VA Tinnitus Rating

38 CFR 4.87, Diagnostic Code 6260

If you're experiencing persistent ringing, buzzing, or hissing in your ears after military service, you're not alone. Tinnitus is one of the most common service-connected conditions reported by veterans.

Tinnitus, though invisible, can affect many other aspects of your health, such as sleep, balance, and emotional well-being, to name a few. Many veterans assume the condition isn't serious enough to warrant benefits, but the VA recognizes it and may assign compensation.

In this guide, you'll discover how the VA defines tinnitus, how the rating is determined, what documentation you'll need to prove that you are eligible for a tinnitus VA rating, and—if you already have a tinnitus rating—how to increase it.

Whether you're filing for the first time or filing again after being denied, knowing how to approach your tinnitus VA claim can make all the difference.

How Does the VA Rate Tinnitus?

Tinnitus (pronounced TI-nuh-tuhs) is often described as a phantom sound—something only you can hear. It might be a high-pitched tone, a low hum, or intermittent whooshing in one or both ears. Tinnitus can also cause a sensation of fullness in the ears. For veterans, it's frequently caused by exposure to loud noises, such as gunfire, aircraft engines, machinery, or explosions. It can also stem from head injuries or as a side effect of medications taken during service.

The tinnitus VA disability rating is unique in that it doesn't vary by severity. Unlike other conditions where the VA assigns percentages based on how disabling the symptoms are, tinnitus is generally rated at 10% (no less, no more), regardless of whether you have it in one ear or both.

Even though tinnitus is subjective and often hard to "prove," the VA relies on specific evidence and documentation when making a decision about your tinnitus rating. This includes service records, medical opinions, and your own description of how and when the condition began.

What to Submit for your Tinnitus VA Claim

Current Diagnosis

A lot of veterans think they need a hearing test to prove tinnitus, but tinnitus is not directly visible on tests. Rather, a medical provider will rely on a combination of physical exams, your description of symptoms, and your medical history to diagnose you. If you do not have a current diagnosis, make an appointment with a doctor as soon as possible.

In-Service Connection

The VA will need to see that your tinnitus is related to your military service. If you were diagnosed while in service, you should be good to go. But if you were not diagnosed with tinnitus while serving, you will need to establish this connection.

This could include showing your job involved loud noises or getting a nexus letter from a doctor explaining the connection.

Personal Statement

Your personal statement (VA Form 21-4138) is your way of conveying the subjective things the VA doctors can't see, such as when your tinnitus started and how it affects you. Talk about the emotional toll it has taken on your life and the steps you have taken to treat it (like hearing aids, white noise therapy, etc.).

Buddy Statements

Statements from fellow service members who witnessed your exposure to loud noise or remember you complaining about ear problems during service can be persuasive. These can be submitted through VA Form 21-10210.

What if the VA Denied My Tinnitus Claim in the Past?

You can request a Higher Level Review, where a more senior VA adjudicator examines your claim again to see if errors were made in the initial review.

You can also file a supplemental claim. Unlike filing an appeal, a supplemental claim does not start your case all over again. Rather, the VA reviews your former claim in light of new evidence. This new evidence might include more medical documentation, a nexus letter, or a better personal statement. A supplemental claim with the right documentation can do a lot to help you get approval for your VA tinnitus claim.

Can I Get Higher than a 10% Tinnitus VA Rating?

While the VA rarely gives higher than a 10% rating for tinnitus, there's another path to increasing your disability compensation for tinnitus, and that's through secondary conditions.

Secondary conditions are impairments that are caused or aggravated by a primary service-connected condition. Tinnitus commonly leads to other conditions, like headaches, sleep disruptions, and mental health disorders. When you get rated for tinnitus and then claim these conditions secondary to your tinnitus diagnosis, you could elevate your compensation considerably.

For example, many veterans have been granted:

Secondary Conditions

  • 30% disability for vertigo secondary to tinnitus
  • 50% disability for migraines secondary to tinnitus
  • 70% disability for mental health conditions secondary to tinnitus (depression, anxiety, somatic symptom disorder, etc.)
  • 100% disability for Ménière's disease secondary to tinnitus

If you are filing a claim for a health condition secondary to tinnitus, make sure to include a compelling personal statement and nexus letter to bolster your claim.

Is the VA Tinnitus Disability Rating Changing?

There are proposed changes under review for the VA's tinnitus disability rating protocol. If these changes pass, the VA would get rid of the standalone 10% rating for tinnitus. This means that tinnitus won't be compensated as a distinct condition, only in conjunction with an underlying condition like hearing loss or vertigo.

That's why it's important to quickly submit your Intent to File (VA Form 21-0966). Your intent to file locks in a date, while still allowing you a year to submit your full claim. It is expected that if your Intent to File is in before the changes take place, you'll be grandfathered in under the old protocol.

Why Choose VA Claims Academy?

The VA claims process can seem extremely hard to navigate, but VA Claims Academy has cracked the code. We offer one-on-one consultations to help you approach your claim in the right way and set you up with online courses to get you smart on the VA process.

We also provide you with tried-and-true templates for personal statements, nexus letters, etc. Why start from scratch when you can use drag-and-drop templates that have been proven to work with the VA?

In short, we teach you how to speak the language the VA understands. Veterans often leave benefits on the table—not because their conditions don't qualify, but because they don't know how to provide the evidence, documentation, and wording the VA wants to see. VA Claims Academy exists to close that gap and give you a structured path to the tinnitus VA disability rating you are legally entitled to.

FAQs: VA Tinnitus Rating

1. What is the highest VA rating for tinnitus?

The maximum schedular rating for tinnitus is 10%, regardless of whether one or both ears are affected.

2. Can tinnitus be rated higher if it causes other issues like anxiety or insomnia?

Tinnitus itself remains capped at 10%, but you may qualify for additional ratings if it leads to secondary conditions such as depression, sleep disturbances, or anxiety.

3. Is it worth filing a claim for tinnitus?

Yes. Tinnitus is a recognized, service-connected disability that can qualify you for compensation. It also helps when building combined ratings with other conditions.

4. How do I prove my tinnitus is service-connected?

You'll need to show a current diagnosis and a medical nexus linking your condition to your military service. For example, you could show how your military occupational specialty (MOS) exposed you to loud noises.

5. What if I wasn't treated for tinnitus while on active duty?

You can still win a claim by providing a medical opinion that connects your current tinnitus to military noise exposure, even if it was never documented during service.

6. Does the VA require hearing loss for a tinnitus rating?

No. You can be rated for tinnitus even if your hearing is otherwise normal, as long as a medical provider diagnoses the condition.

7. Can tinnitus be claimed as a secondary condition?

Yes. It can also be the primary condition that leads to secondary effects like migraines, vertigo, depression, anxiety, insomnia, etc.

8. What should I expect at my C&P exam for tinnitus?

The examiner will likely ask about when your symptoms started, their frequency and severity, and how they affect your daily life. They may also perform basic hearing tests.

Ready to Maximize Your VA Disability Benefits?

After reviewing this guide, take the next step toward securing the benefits you deserve.