VA Disability Condition Guides
Detailed rating criteria, evidence requirements, and C&P exam tips for the most common VA disability conditions.
Every condition the VA rates has its own diagnostic code under 38 CFR Part 4, and the rating criteria for each code are surprisingly specific. The difference between a 30% and a 50% rating for the same condition is usually not severity in general — it is whether you meet a particular bullet in the rating schedule (a frequency, a measurement, a documented functional limitation). The guides on this page walk through the actual criteria the VA rater is reading when they decide your claim, so you can see exactly what evidence and language move the needle.
The most-claimed conditions among veterans, in rough order of frequency, are tinnitus (which has a flat 10% maximum but is one of the most consistently granted), hearing loss (rated by audiogram results under DC 6100), PTSD (DC 9411, with the same general formula as anxiety and depression), back pain and other musculoskeletal conditions (rated by range of motion and functional loss), and sleep apnea (DC 6847, often filed as a secondary to PTSD or weight gain from prescribed medications). Each guide includes the diagnostic code, the controlling CFR section, every rating tier with its specific criteria, the evidence the VA expects, and what to say (and not say) at the C&P exam.
Two patterns are worth understanding before you read individual guides. First, conditions in the same body system are usually rated under the same general formula — all mental health conditions share one formula, all spine conditions share another — so rating PTSD also tells you a lot about how anxiety or depression would be rated. Second, the highest leverage move for many veterans is not increasing an existing rating but adding secondary service-connected conditions you have not yet claimed: sleep apnea secondary to PTSD, GERD secondary to medications, radiculopathy secondary to back pain, depression secondary to chronic pain. Once you have the conditions you want to claim, the combined rating calculator will show how they stack under VA math.
PTSD
Post-traumatic stress disorder ratings based on social and occupational impairment.
Tinnitus
Ringing in the ears. Maximum schedular rating is 10%, the most commonly claimed condition.
Sleep Apnea
Obstructive sleep apnea ratings based on need for CPAP, oxygen therapy, or respiratory failure.
Back Pain (Lumbosacral Strain)
Lower back pain ratings based on range of motion limitation and incapacitating episodes.
Migraines
Migraine headache ratings based on frequency, duration, and economic impact.
Hearing Loss
Hearing loss ratings determined by audiometric testing using Table VI and Table VII.
Anxiety
Generalized anxiety disorder rated under the same criteria as PTSD and other mental health conditions.
Knee Pain
Knee disability ratings based on limitation of flexion. Rated under DC 5260; separate codes exist for extension (DC 5261) and instability (DC 5257).
GERD
Gastroesophageal reflux disease rated under updated DC 7346 criteria (effective May 19, 2024) based on esophageal stricture severity.
Erectile Dysfunction
ED rated at 0% under DC 7522 (since Nov 2021), but veterans receive SMC-K ($139.87/mo) for loss of use of a creative organ.
Depression
Major depressive disorder rated under the same general rating formula as PTSD and other mental health conditions.
Bipolar Disorder
Bipolar disorder ratings based on social and occupational impairment during manic and depressive episodes.
Traumatic Brain Injury (TBI)
TBI ratings based on cognitive, emotional/behavioral, and physical residuals evaluated across ten facets.
Somatic Symptom Disorder
Somatic symptom disorder rated under the general rating formula for mental disorders.
Neck Pain (Cervical Spine)
Cervical spine disability ratings based on range of motion limitation and incapacitating episodes.
Degenerative Disc Disease
Intervertebral disc syndrome rated on incapacitating episodes or spinal range of motion limitation.
Shoulder Pain
Shoulder disability ratings based on limitation of arm motion. Higher ratings for dominant arm.
Ankle Pain
Ankle disability ratings based on limited range of motion under DC 5271.
Hip Pain
Hip disability ratings based on limitation of flexion of the thigh.
Plantar Fasciitis
Plantar fasciitis rated as acquired flatfoot or analogous foot condition based on severity and bilateral involvement.
Flat Feet (Pes Planus)
Acquired flatfoot ratings based on severity of symptoms including pain, swelling, and characteristic calluses.
Knee Instability
Knee instability (subluxation or lateral instability) rated separately from limitation of motion under DC 5257.
Fibromyalgia
Fibromyalgia ratings based on widespread musculoskeletal pain, tender points, and associated symptoms.
Arthritis (Degenerative)
Degenerative arthritis rated on X-ray evidence and limitation of motion of affected joints.
Carpal Tunnel Syndrome
Carpal tunnel syndrome rated as median nerve paralysis. Higher ratings for dominant hand.
Radiculopathy
Radiculopathy rated as sciatic nerve paralysis based on severity from mild to complete paralysis.
Peripheral Neuropathy
Peripheral neuropathy ratings based on affected nerve group and severity of incomplete or complete paralysis.
Sciatica
Sciatic nerve disability ratings from mild incomplete paralysis to complete paralysis with foot drop.
Seizure Disorder (Epilepsy)
Epilepsy ratings based on frequency and severity of seizures (grand mal and petit mal).
Asthma
Bronchial asthma ratings based on FEV-1, FEV-1/FVC ratio, and frequency of systemic corticosteroid use.
Sinusitis
Chronic sinusitis ratings based on frequency of incapacitating episodes and non-incapacitating episodes per year.
Rhinitis (Allergic)
Allergic rhinitis ratings based on polyp presence and nasal passage obstruction.
Hypertension
Hypertension ratings based on diastolic and systolic blood pressure readings and medication requirements.
Coronary Artery Disease
Coronary artery disease ratings based on METs workload capacity, ejection fraction, and cardiac symptoms.
Ischemic Heart Disease
Ischemic heart disease — a presumptive condition for Agent Orange exposure — rated on cardiac workload and ejection fraction.
Irritable Bowel Syndrome (IBS)
IBS ratings based on frequency of disturbances of bowel function with abdominal distress.
Hiatal Hernia
Hiatal hernia rated under updated DC 7346 criteria (effective May 19, 2024) based on esophageal stricture severity.
Diabetes Mellitus Type 2
Type 2 diabetes ratings based on insulin requirements, dietary restrictions, and regulation of activities.
Hypothyroidism
Hypothyroidism ratings based on fatigue, mental sluggishness, weight gain, and cold intolerance symptoms.
Eczema (Dermatitis)
Eczema/dermatitis ratings based on percentage of body area affected and treatment requirements.
Psoriasis
Psoriasis ratings based on body area affected, treatment with systemic therapy, and frequency of treatment.
Scars
Scar ratings based on location (head/face vs. body), size, stability, pain, and limitation of function.
Chloracne
Chloracne — a presumptive condition for herbicide agent exposure — rated on body area affected and treatment.
Kidney Disease
Chronic kidney disease ratings based on renal dysfunction severity, dialysis requirements, and BUN/creatinine levels.
Urinary Incontinence
Urinary incontinence rated on voiding frequency, use of absorbent materials, or need for catheterization.
Prostate (BPH)
Benign prostatic hypertrophy rated on urinary symptoms including voiding frequency and obstructed voiding.
Dry Eye Syndrome
Dry eye syndrome ratings based on visual impairment or rated by analogy to conjunctivitis.
Glaucoma
Glaucoma ratings based on visual field loss and visual acuity impairment.
Meniere's Disease
Meniere's disease ratings based on frequency of attacks with hearing loss, tinnitus, and vertigo.
Burn Pit Lung Disease
Constrictive bronchiolitis and other burn pit-related respiratory conditions expanded under the PACT Act.
Agent Orange Heart Disease
Ischemic heart disease presumptively linked to Agent Orange/herbicide agent exposure during Vietnam-era service.
Gulf War Syndrome
Undiagnosed illness and medically unexplained chronic multi-symptom illness for Gulf War veterans under 38 CFR § 3.317.