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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.

Browse by Category

Conditions in the same body system often share a rating formula, so understanding one helps you understand related conditions.

Mental Health

PTSD, anxiety, depression, bipolar disorder, somatic symptom disorder, and TBI. All mental health conditions except TBI are rated under the same General Rating Formula (38 CFR § 4.130) with tiers from 0% to 100%. The criteria focus on occupational and social impairment rather than diagnosis.

Musculoskeletal & Orthopedic

Back pain, neck pain, knee pain, knee instability, shoulder, hip, ankle, arthritis, and flat feet. Most joint and spine conditions are rated by range of motion, with additional ratings possible for instability, nerve involvement, and functional loss during flare-ups.

Neurological

Tinnitus, hearing loss, migraines, sciatica, radiculopathy, peripheral neuropathy, carpal tunnel, and seizure disorder. Nerve conditions are rated by severity of paralysis (incomplete to complete) and can often be rated separately from the underlying musculoskeletal condition.

Respiratory & Cardiovascular

Sleep apnea, asthma, burn pit lung disease, hypertension, coronary artery disease, and ischemic heart disease. Sleep apnea is one of the highest-value secondary claims available, commonly linked to PTSD or medication-related weight gain.

Digestive, Metabolic & Other

GERD, IBS, hiatal hernia, diabetes, kidney disease, hypothyroidism, erectile dysfunction, fibromyalgia, and Gulf War syndrome. Many of these are filed as secondary conditions to medications or primary service-connected conditions.

Frequently Asked Questions

Should I file all my conditions at once?

You can, but you don't have to. Many veterans start with their strongest condition — the one with the clearest service connection and medical evidence — and then file additional claims later. Filing secondary conditions after your primary condition is rated can actually be easier because you already have an established service connection to build on.

What is a secondary condition?

A secondary condition is a disability that was caused or worsened by a condition you're already service-connected for. For example, depression caused by chronic back pain, or sleep apnea caused by weight gain from PTSD medications. Secondary conditions are rated and compensated the same as primary conditions and can significantly increase your combined rating.

What if my rating is too low to live on?

If your service-connected conditions prevent you from working, you may qualify for TDIU (Total Disability based on Individual Unemployability), which pays at the 100% rate even if your combined schedular rating is lower. You generally need at least one condition rated 60% or a combined rating of 70% with one condition at 40%.

Can I get separate ratings for the same body part?

Yes, in many cases. For example, a knee can receive separate ratings for limitation of flexion, limitation of extension, and instability under different diagnostic codes. A spine condition and radiculopathy in the legs are also rated separately. The VA cannot "pyramid" — rate the same symptom twice — but different manifestations of the same injury can each receive their own rating.

PTSD

0%-100% DC 9411

Post-traumatic stress disorder ratings based on social and occupational impairment.

Tinnitus

10% DC 6260

Ringing in the ears. Maximum schedular rating is 10%, the most commonly claimed condition.

Sleep Apnea

0%-100% DC 6847

Obstructive sleep apnea ratings based on need for CPAP, oxygen therapy, or respiratory failure.

Back Pain (Lumbosacral Strain)

0%-100% DC 5237

Lower back pain ratings based on range of motion limitation and incapacitating episodes.

Migraines

0%-50% DC 8100

Migraine headache ratings based on frequency, duration, and economic impact.

Hearing Loss

0%-100% DC 6100

Hearing loss ratings determined by audiometric testing using Table VI and Table VII.

Anxiety

0%-100% DC 9400

Generalized anxiety disorder rated under the same criteria as PTSD and other mental health conditions.

Knee Pain

0%-30% DC 5260

Knee disability ratings based on limitation of flexion. Rated under DC 5260; separate codes exist for extension (DC 5261) and instability (DC 5257).

GERD

0%-80% DC 7206

GERD rated under DC 7206 (since May 19, 2024) on documented esophageal stricture and the treatment it needs: daily medication, dilatation, stent, surgery, or feeding tube.

Erectile Dysfunction

0% DC 7522

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

0%-100% DC 9434

Major depressive disorder rated under the same general rating formula as PTSD and other mental health conditions.

Bipolar Disorder

0%-100% DC 9432

Bipolar disorder ratings based on social and occupational impairment during manic and depressive episodes.

Traumatic Brain Injury (TBI)

0%-100% DC 8045

TBI residuals rated across ten facets (highest level 0/10/40/70%; 100% if any facet is total), with physical and diagnosed mental health residuals rated separately.

Somatic Symptom Disorder

0%-100% DC 9421

Somatic symptom disorder rated under the general rating formula for mental disorders.

Neck Pain (Cervical Spine)

0%-100% DC 5237

Cervical spine disability ratings based on range of motion limitation and incapacitating episodes.

Degenerative Disc Disease

0%-100% DC 5242

Rated on spinal range of motion under DC 5242. DC 5243 and its incapacitating-episode formula apply only when a herniated disc compresses or irritates a nerve root.

Shoulder Pain

0%-40% DC 5201

Shoulder disability ratings based on limitation of arm motion. Higher ratings for dominant arm.

Ankle Pain

0%-20% DC 5271

Ankle disability ratings based on limited range of motion under DC 5271.

Hip Pain

0%-40% DC 5252

Hip disability ratings based on limitation of flexion of the thigh.

Plantar Fasciitis

10%-40% DC 5269

Plantar fasciitis rated under DC 5269: 10% for one or both feet, 20% or 30% with no relief from non-surgical and surgical treatment, 40% with loss of use.

Flat Feet (Pes Planus)

0%-50% DC 5276

Acquired flatfoot ratings based on severity of symptoms including pain, swelling, and characteristic calluses.

Knee Instability

0%-30% DC 5257

Knee instability from a ligament sprain or tear, or patellar instability, rated 10%-30% under DC 5257 based on a prescribed brace or assistive device.

Fibromyalgia

0%-40% DC 5025

Fibromyalgia ratings based on widespread musculoskeletal pain, tender points, and associated symptoms.

Arthritis (Degenerative)

0%-20% DC 5003

Degenerative arthritis rated on X-ray evidence and limitation of motion of affected joints.

Carpal Tunnel Syndrome

0%-70% DC 8515

Carpal tunnel syndrome rated as median nerve paralysis. Higher ratings for dominant hand.

Radiculopathy

0%-90% DC 8520/8510-8513

Rated as nerve paralysis (sciatic DC 8520; cervical radicular groups DC 8510-8513), mild to complete. Wholly sensory involvement is limited to mild or moderate.

Peripheral Neuropathy

0%-80% DC 8520

Peripheral neuropathy ratings based on affected nerve group and severity of incomplete or complete paralysis.

Sciatica

0%-80% DC 8520

Sciatic nerve disability ratings from mild incomplete paralysis to complete paralysis with foot drop.

Seizure Disorder (Epilepsy)

10%-100% DC 8910/8911

Epilepsy rated by seizure frequency under the General Rating Formula for Major and Minor Epileptic Seizures, with a 10% minimum when continuous medication is required.

Asthma

0%-100% DC 6602

Bronchial asthma ratings based on FEV-1, FEV-1/FVC ratio, and frequency of systemic corticosteroid use.

Sinusitis

0%-50% DC 6513

Chronic sinusitis ratings based on frequency of incapacitating episodes and non-incapacitating episodes per year.

Rhinitis (Allergic)

0%-30% DC 6522

Allergic rhinitis ratings based on polyp presence and nasal passage obstruction.

Hypertension

0%-60% DC 7101

Hypertension ratings based on diastolic and systolic blood pressure readings and medication requirements.

Coronary Artery Disease

0%-100% DC 7005

Rated on the METs workload that causes heart failure symptoms, cardiac enlargement on echocardiogram, and need for continuous medication.

Ischemic Heart Disease

0%-100% DC 7005

Rated on the METs workload that causes heart failure symptoms and cardiac enlargement on echocardiogram.

Irritable Bowel Syndrome (IBS)

10%-30% DC 7319

IBS rated on days of abdominal pain related to defecation over the previous three months plus two or more listed bowel symptoms.

Hiatal Hernia

0%-80% DC 7346

Hiatal and paraesophageal hernia (DC 7346), rated as esophageal stricture under DC 7203 since May 19, 2024.

Diabetes Mellitus Type 2

10%-100% DC 7913

Type 2 diabetes ratings based on insulin requirements, dietary restrictions, and regulation of activities.

Hypothyroidism

30%-100% DC 7903

Rated 30% for six months after diagnosis (100% with myxedema until six months after stabilization), then on residuals under other body systems.

Eczema (Dermatitis)

0%-60% DC 7806

Eczema/dermatitis ratings based on percentage of body area affected and treatment requirements.

Psoriasis

0%-60% DC 7816

Psoriasis ratings based on body area affected, treatment with systemic therapy, and frequency of treatment.

Scars

0%-80% DC 7800

Scar ratings based on location (head/face vs. body), size, stability, pain, and limitation of function.

Chloracne

0%-30% DC 7829

Chloracne rated on deep versus superficial acne and the areas affected (face and neck, skin folds), or as disfigurement or scars.

Kidney Disease

0%-100% DC 7502

Chronic kidney disease rated as renal dysfunction based on GFR or eGFR over 3 consecutive months, dialysis, or transplant eligibility.

Urinary Incontinence

0%-60% DC 7542

Rated as voiding dysfunction (absorbent material changes or appliance) under the code for the underlying cause, such as DC 7542 neurogenic bladder.

Prostate (BPH)

0%-60% DC 7527

Benign prostatic hypertrophy rated on urinary symptoms including voiding frequency and obstructed voiding.

Dry Eye Syndrome

0%-20% DC 6025

Dry eye is rated by analogy, often to DC 6025: 10% for one eye, 20% for both.

Glaucoma

0%-100% DC 6012/6013

Rated on visual impairment (field and acuity) or incapacitating treatment visits, whichever gives the higher rating.

Meniere's Disease

30%-100% DC 6205

Meniere's disease rated under DC 6205 (30%-100%) or by rating vertigo, hearing loss and tinnitus separately, whichever is higher, never both.

Burn Pit Lung Disease

0%-100% DC 6600

Rated under the code for the actual diagnosis (for example chronic bronchitis, COPD, or interstitial lung disease). Constrictive bronchiolitis is rated by analogy.

Agent Orange Heart Disease

0%-100% DC 7005

Ischemic heart disease presumptively linked to Agent Orange/herbicide agent exposure during Vietnam-era service.

Gulf War Syndrome

0%-100% DC Analog

Undiagnosed illness and medically unexplained chronic multi-symptom illness for Gulf War veterans under 38 CFR § 3.317.