How the VA Rates Conditions
Understanding how the VA assigns ratings helps you present your claim effectively. The VA uses a specific system to evaluate every condition.
The Rating Schedule (VASRD)
The VA uses the Schedule for Rating Disabilities (VASRD) to assign ratings. This is a list of conditions with specific criteria for each rating level (0%, 10%, 20%, etc.).
Each condition has a diagnostic code. For example, PTSD uses code 9411, and tinnitus uses code 6260. The rating criteria describe what symptoms or limitations qualify for each percentage.
Rating Percentages
Ratings range from 0% to 100% in increments of 10:
- 0%: Condition is service-connected but does not currently limit function (still valuable for future claims)
- 10-20%: Mild limitations
- 30-50%: Moderate limitations
- 60-70%: Significant limitations
- 100%: Total disability or unemployability
Combined Ratings
If you have multiple conditions, the VA uses "VA math" to combine them. It is not simple addition. For example, 50% plus 30% does not equal 80%.
The VA calculates combined ratings by applying each percentage to your remaining "whole person" efficiency. A 50% rating leaves you at 50% efficiency; a 30% rating then applies to that 50%, not to 100%.
What Raters Look For
VA raters evaluate your claim based on:
- Medical evidence: Diagnosis, treatment records, and exam results
- Functional impact: How your condition affects daily activities, work, and relationships
- Frequency and severity: How often symptoms occur and how bad they get
- Lay evidence: Your statements and buddy letters describing real-world impact
The C&P Exam
For most claims, the VA schedules a Compensation and Pension (C&P) exam. This is a medical evaluation by a VA or contract examiner. The examiner's report heavily influences your rating.
Tips for your C&P exam:
- Be honest about your worst days, not your best
- Describe specific limitations (can't lift, can't concentrate, etc.)
- Mention all symptoms, even if they seem minor
- Bring a list of your conditions and medications
Appealing Your Rating
If you disagree with your rating, you have options. You can request a higher-level review, file a supplemental claim with new evidence, or appeal to the Board of Veterans' Appeals.
Understanding the rating criteria for your specific condition helps you know whether a higher rating might be appropriate.
Key Takeaway
The VA rates based on functional impact, not just diagnosis. Focus on clearly describing how your condition limits your daily life, work, and relationships.
Disclaimer: Valor Rating is not affiliated with the U.S. Department of Veterans Affairs. This content is for educational purposes only and does not constitute legal or medical advice. Always review your documents carefully before submitting to the VA. For official guidance, consult an accredited VSO, claims agent, or attorney.