Hearing Loss
Hearing loss is rated under DC 6100 using a specific mathematical formula based on audiometric testing. The VA conducts two tests: a puretone audiometry test (detecting the softest tones you can hear at 1000, 2000, 3000, and 4000 Hz) and a speech discrimination test (repeating spoken words back). These results are plotted on tables to assign a Roman numeral severity level for each ear, then those numerals are combined on a rating table. The VA considers BOTH ears together for one rating. If only one ear is service-connected, the other ear is assumed to have perfect hearing unless specific conditions are met. Hearing loss must meet at least one of these thresholds to qualify: an auditory threshold of 40 dB or greater at any tested frequency, auditory thresholds of 26 dB or greater at three or more tested frequencies, or speech recognition below 94%.
VA Rating Levels
Hearing loss documented and service-connected but not severe enough to yield a compensable rating under the VA's audiometric formula. This is very common and still establishes service connection.
Hearing loss meeting the compensable threshold on the VA's combined rating table based on audiometric testing and speech discrimination scores.
Total deafness in both ears. Ratings between 10% and 100% exist (20, 30, 40, 50, 60, 70, 80, 90) but depend entirely on the mathematical formula applied to your test results. The veteran may also qualify for Special Monthly Compensation.
Exam Tips & Key Evidence
- →The VA hearing loss formula is strict. Many veterans with noticeable hearing loss still receive 0%, but that 0% establishes service connection and enables secondary claims and VA healthcare.
- →Speech discrimination scores (Maryland CNC test) are just as important as puretone thresholds. Both are used together to determine your rating, so document both thoroughly.
- →Remove your hearing aids before the exam. The VA rates your unaided hearing ability, and hearing aids do not affect your rating.
- →If only one ear is service-connected, the non-service-connected ear can be considered for rating purposes if: it was not caused by willful misconduct, it has hearing loss that meets VA criteria, and the service-connected ear rates at least 10% by itself.
- →Hearing loss is a presumptive condition if it manifests within one year of separation at a compensable level. Depending on your MOS or combat experience, your claim may be given additional weight for service connection.
- →Hearing loss ratings often increase over time as hearing degrades. File for an increase when you notice worsening. Tinnitus is the most common secondary condition.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.85, Diagnostic Code 6100