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Understanding ratings

How VA disability ratings work — the honest version.

Two things confuse veterans more than anything: what the possible rating levels are for a condition, and why several ratings don't just add up. Here's both, plainly. We explain the rules; we don't tell you how they apply to you — that's between you, the evidence, and the VA.

Read this first. The levels below come straight from the VA's rating schedule (38 CFR Part 4). They show what levels exist for a condition — not what you'll receive. Your actual rating depends on your specific medical evidence and a VA examiner's findings. Nothing here is a prediction, a promise, or medical or legal advice.

Possible rating levels by condition

What levels the schedule allows.

A rating ladder shows the steps the VA can assign for a condition and, in plain terms, what generally distinguishes each step.

Tinnitus

38 CFR 4.87, DC 6260
10%Recurrent tinnitus. A single 10% is the maximum schedular level, whether one ear or both.

Tinnitus has one rating level under the schedule.

PTSD & other mental health

38 CFR 4.130
0%Diagnosed, but symptoms not severe enough to interfere with work/social function or require medication.
10%Mild or transient symptoms; decrease in work efficiency only during significant stress.
30%Occasional decrease in work efficiency; intermittent inability to perform tasks.
50%Reduced reliability and productivity.
70%Deficiencies in most areas — work, school, family, judgment, mood.
100%Total occupational and social impairment.

The same general formula applies to most mental-health conditions.

Sleep apnea

38 CFR 4.97, DC 6847
0%Asymptomatic but with documented sleep disorder breathing.
30%Persistent day-time hypersomnolence.
50%Requires use of a breathing assistance device such as CPAP.
100%Chronic respiratory failure with carbon dioxide retention, or requires a tracheostomy.

Lumbar / back strain (general spine)

38 CFR 4.71a
10%Limited motion or localized tenderness within specified ranges.
20%Greater limitation of forward flexion, or muscle spasm affecting gait.
40%Forward flexion of the spine 30 degrees or less.
50%Unfavorable ankylosis of the entire thoracolumbar spine.
100%Unfavorable ankylosis of the entire spine.

Spine ratings turn on measured range of motion.

Migraine headaches

38 CFR 4.124a, DC 8100
0%Less frequent attacks than the 10% level.
10%Characteristic prostrating attacks averaging one in two months over the last several months.
30%Characteristic prostrating attacks occurring on average once a month.
50%Very frequent, completely prostrating and prolonged attacks productive of severe economic inadaptability.

Asthma (respiratory)

38 CFR 4.97, DC 6602
10%FEV-1 71–80% predicted, or intermittent inhalational/oral bronchodilator therapy.
30%FEV-1 56–70% predicted, or daily inhalational therapy.
60%FEV-1 40–55% predicted, or at least monthly visits for required care.
100%FEV-1 less than 40% predicted, or more-than-once-weekly episodes of respiratory failure.

Rated largely on pulmonary function test results.

These are common examples, not the full schedule. Every condition in 38 CFR Part 4 has its own criteria.

Why the numbers don't add up

VA math: 50 + 30 + 20 is not 100.

The VA doesn't add ratings. It uses a 'whole person' formula — each new rating applies only to the healthy part you have left.

Think of your body as 100% whole. Your highest rating comes off first. Every rating after that applies only to what's left — so the total shrinks as you stack conditions, and it can never exceed 100%.

Say you have 50%, 30%, and 20%. The 50% leaves 50% of you. The 30% applies to that 50% — adding 15%, for 65%. The 20% applies to the 35% still remaining — adding 7%, for 72%. That rounds to a 70% combined rating — not 100%.

Two rules worth knowing: the VA rounds only at the very end, to the nearest 10% (a 5 rounds up). And for paired limbs — both knees, both arms — a bilateral factor adds 10% of their combined value before the rest is combined.

Knowing the math won't change your ratings — but it helps you check the VA's work and see how close you are to the next threshold.

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Combined rating calculator

Cond. 1
Cond. 2
Cond. 3
Combined value
72%
Rounds to
70%
The math, step by step
Start with highest: 50%= 50%
Apply 30% to remaining 50% → +15= 65%
Apply 20% to remaining 35% → +7= 72%
Round 72% to nearest 10%= 70%

For context, the 2026 monthly compensation at 70% for a single veteran with no dependents is about $1,759.19. Dependents and Special Monthly Compensation can add more. This is a general estimate — the VA determines your actual rating and pay.

What it's worth over time

A rating isn't a check. It's an income for life.

This is why filing matters: a rating pays every month for the rest of your life, and rises with cost of living. Here's a way to understand the scale — honestly, with the assumptions shown.

Most tools that show you a "lifetime value" give one big, inflated number, because a scary-large figure sells their fee. We'd rather show you the real picture, with the levers visible.

Two things change the number a lot. Cost-of-living raises (COLA) push it up — your payment grows most years. Present value pulls it down — a dollar you'll receive in 2050 isn't worth a full dollar today. A calculator that ignores either is lying to you in one direction or the other.

So this shows both, and lets you adjust the assumptions. Use it to understand the scale of what's at stake — not to bank on an exact figure.

Life-expectancy figures come from the Social Security Administration's period life table. They're population averages — many veterans live well beyond them.

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What a rating is worth over a lifetime

Estimated lifetime value (in today's dollars)
$666,885
$1,759/mo · about 34.2 years of life expectancy remaining
The assumptions (adjust them)
2.5%
Present value at 3%/yr — money far in the future is worth less now
This is a rough estimate for understanding, not a promise. It uses average life expectancy (SSA), single-veteran rates with no dependents, and the assumptions above. Your actual benefit depends on your rating, dependents, future COLA, and how long you live. The VA determines your rating and pay.
The compensation ladder

See what each 10% step is actually worth.

A single combined number doesn't tell the whole story. The ladder shows the monthly pay at every step — and how much each increase would add.

The staircase

What each 10% is worth

10%
$176
20%
$347
30%
$537
you're here
40%
$774
+$237/mo
50%
$1,102
+$565/mo
60%
$1,396
+$859/mo
70%
$1,759
+$1,222/mo
80%
$2,045
+$1,507/mo
90%
$2,298
+$1,761/mo
100%
$3,831
+$3,294/mo

Monthly amounts are 2026 rates for a single veteran, no dependents. Notice the jump from 90% to 100% — it's far bigger than any other step, which is why that last push matters most. These are the schedule's amounts, not a prediction of your rating.

What each level unlocks

It's not just the monthly check.

Each rating threshold opens up more — for you and your family. Benefits are cumulative: every level includes the ones before it. This is what's on the table, not a promise you'll receive any of it.

0%
Any rating (0%+)
  • VA health care for your service-connected conditions
  • VA home loan funding-fee waiver (10%+) — can save thousands at closing
  • Commissary, exchange, and MWR access (in person and online)
  • Voc-rehab / VR&E eligibility (Chapter 31) with an employment handicap
30%
30% and up
  • Additional monthly compensation for dependents (spouse, children, dependent parents) — file VA Form 21-686c; it isn't automatic
  • 10-point federal hiring preference
50%
50% and up
  • Free VA health care and prescriptions for ALL conditions — not just service-connected ones (Priority Group 1)
70%
70% and up
  • Eligibility for VA nursing-home care based on the service-connected rating
  • Often the threshold where TDIU is discussed (combined 70%+ with one condition at 40%+)
100%
100% (schedular or TDIU)
  • Maximum monthly compensation, tax-free
  • Highest-priority free VA health care
  • Eligibility for many state property-tax exemptions (varies by state)
  • VA-backed life insurance (VALife)
P&T
100% Permanent & Total (P&T)
  • CHAMPVA — civilian health coverage for your spouse and dependent children
  • Chapter 35 (DEA) — up to 36 months of education benefits for dependents
  • No future re-examinations — the rating is protected
  • The strongest state and local benefits (full property-tax exemptions in many states, dependent tuition programs)

Important: several of the biggest family benefits — CHAMPVA and Chapter 35 — require 100% PERMANENT AND TOTAL, not just 100%. A 100% schedular rating without P&T, or TDIU without P&T, may not extend these to your family. The sharks often blur this; we won't.

Federal benefits shown; many states add their own. Thresholds and rules change — the VA and your state are the authoritative sources.

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