VA Disability Percentages for Conditions: 2026 Complete Guide

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What Are VA Disability Percentages?

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VA disability percentages are ratings from 0% to 100% that measure how much a service-connected condition impairs your ability to work and function. Each condition is rated under a specific diagnostic code in 38 CFR Part 4. Ratings are assigned in multiples of 10. A 100% rating pays $3,938.58 per month in 2026; a 10% rating pays $180.42. Combined ratings determine your total compensation.

Quick Facts

ItemDetails
BenefitTax-free monthly VA disability compensation
EligibilityVeterans with service-connected conditions
ApplicationVA Form 21-526EZ (online at VA.gov)
Processing Time75–80 days average for initial claims
Official AgencyU.S. Department of Veterans Affairs (VA)
Required FormsVA Form 21-526EZ; DD-214; medical evidence; nexus letter
Updated For2026
See also
VA Disability Compensation 2026: Rates by Rating

How VA Disability Ratings Work

VA rates each service-connected condition under a specific diagnostic code in the VA Schedule of Ratings (38 CFR Part 4). The rating reflects how much the condition impairs your ability to work and function in daily life. The VA does not rate how much a condition hurts or how inconvenient it is—it rates functional impairment.

The Rating Scale

Veterans Benefits & Resources
Helpful information about VA benefits, disability, healthcare and services for veterans.

VA disability ratings are assigned in multiples of 10:

RatingWhat It Means
0%Service-connected but no compensable impairment
10%Mild impairment or symptoms controlled by medication
20%Mild to moderate impairment
30%Moderate impairment with occasional decrease in work efficiency
40%Moderate to severe impairment
50%Significant impairment with reduced reliability and productivity
60%Severe impairment
70%Deficiencies in most areas of work and social functioning
80%Very severe impairment
90%Near-total impairment
100%Total occupational and social impairment
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A 0% rating establishes service connection but does not pay compensation. However, a 0% rating is valuable because it makes it easier to receive an increased rating if your condition worsens later.

2026 VA Disability Compensation Rates

RatingMonthly Payment (Veteran Alone)
10%$180.42
20%$356.66
30%$552.47
40%$795.84
50%$1,132.90
60%$1,435.02
70%$1,808.45
80%$2,102.15
90%$2,362.30
100%$3,938.58

Veterans with a 30% or higher rating receive additional compensation for dependents. A 2.8% cost-of-living adjustment (COLA) took effect December 1, 2025.

The Three Pillars of Service Connection

Before VA assigns a rating, you must establish service connection. This requires three elements:

  1. Current diagnosis: A medical provider confirms you have the condition.

  2. In-service event: Something happened during your military service that caused or worsened the condition.

  3. Nexus: A medical link between the in-service event and your current condition.

If all three elements are met, VA assigns a rating based on the severity of your condition. Presumptive conditions under the PACT Act bypass the nexus requirement entirely.

See also
Navigating the Nexus Letter for Hypertension Increase

Musculoskeletal System Ratings (38 CFR § 4.71a)

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Musculoskeletal conditions are the most commonly rated disabilities, accounting for approximately 67% of all VA claims. Ratings depend on limitation of motion, ankylosis (joint fusion), or muscle damage.

Common Musculoskeletal Ratings

ConditionDiagnostic CodeRating Range
Limitation of flexion, knee52600–30%
Limitation of extension, knee52610–30%
Knee instability52570–30%
Degenerative arthritis, knee500310–20%
Lumbosacral strain523710–100%
Intervertebral disc syndrome524310–100%
Osteomyelitis500010–100%
Rheumatoid arthritis500220–100%
Ankylosis of the ankle5270-527410–40%
Ankylosis of the shoulder5200-520320–50%

Spine Ratings (General Rating Formula)

Under 38 CFR § 4.71a, the spine is rated under the General Rating Formula for Diseases and Injuries of the Spine. Ratings are based on forward flexion of the thoracolumbar spine and other criteria:

RatingForward Flexion
100%Unfavorable ankylosis of the entire spine
50%Unfavorable ankylosis of the entire thoracolumbar spine
40%Forward flexion of the thoracolumbar spine 30 degrees or less; or favorable ankylosis of the entire thoracolumbar spine
30%Forward flexion greater than 30 degrees but not greater than 45 degrees
20%Forward flexion greater than 45 degrees but not greater than 60 degrees
10%Forward flexion greater than 60 degrees but not greater than 75 degrees
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The Painful Motion Rule

Under 38 CFR § 4.59, if a joint hurts when you move it, VA must assign at least the minimum compensable rating for that joint—typically 10%. This means you can receive a 10% rating for knee, back, or other joint pain even if your range of motion appears normal.

Mental Health Ratings (38 CFR § 4.130)

Mental health conditions are rated using the General Rating Formula for Mental Disorders under 38 CFR § 4.130. The rating is based on occupational and social impairment, not on the specific diagnosis. PTSD, depression, anxiety, and insomnia are all rated using this same formula.

General Rating Formula for Mental Disorders

RatingCriteria
0%Diagnosis but symptoms do not interfere with occupational and social functioning or require continuous medication
10%Mild or transient symptoms decreasing work efficiency only during significant stress, OR symptoms controlled by continuous medication
30%Occasional decrease in work efficiency and intermittent inability to perform occupational tasks due to symptoms such as chronic sleep impairment, depressed mood, anxiety, or mild memory loss
50%Reduced reliability and productivity due to flattened affect, circumstantial speech, panic attacks more than once a week, difficulty understanding complex commands, impaired memory, impaired judgment, disturbances of motivation and mood, or difficulty maintaining effective work and social relationships
70%Deficiencies in most areas including work, school, family relations, judgment, thinking, and mood. Symptoms may include suicidal ideation, obsessional rituals, impaired impulse control, near-continuous depression, neglect of personal appearance, difficulty adapting to stress, or inability to establish and maintain effective relationships
100%Total occupational and social impairment due to gross impairment in thought processes, persistent delusions or hallucinations, grossly inappropriate behavior, persistent danger of hurting self or others, or intermittent inability to perform activities of daily living
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Specific Mental Health Ratings

ConditionDiagnostic CodeRating Range
PTSD94110–100%
Major depressive disorder94340–100%
Generalized anxiety disorder94000–100%
Insomnia disorder94330–100%
Bipolar disorder94320–100%

Important Note on Mental Health Ratings

The list of symptoms for each rating level is not exhaustive. The phrase “such as” means that other symptoms of similar severity, frequency, and duration can justify a particular rating. However, the symptoms must cause occupational and social impairment. A veteran may qualify for a rating by demonstrating the particular symptoms associated with that percentage, or other symptoms of similar severity, frequency, and duration.

Neurological Conditions (38 CFR § 4.124a)

Neurological conditions are rated based on impairment of motor, sensory, or mental function. Ratings for most neurological conditions range from 10% to 100% depending on severity.

See also
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Common Neurological Ratings

ConditionDiagnostic CodeRating Range
Migraine headaches81000–50%
Epilepsy (grand mal)891010–100%
Epilepsy (petit mal)891110–100%
Multiple sclerosis801830–100%
Amyotrophic lateral sclerosis (ALS)8017100%
Parkinson’s disease800430–100%
Peripheral neuropathy (mild)852010%
Peripheral neuropathy (moderate)852020%
Peripheral neuropathy (moderately severe)852040%
Peripheral neuropathy (severe)852060%
Paralysis of sciatic nerve852010–80%

Migraine Ratings (Diagnostic Code 8100)

RatingCriteria
50%Very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability
30%Characteristic prostrating attacks occurring on average once a month over the last several months
10%Characteristic prostrating attacks averaging one in two months over the last several months
0%Less frequent attacks
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Traumatic Brain Injury (TBI) Ratings

TBI is rated under 38 CFR § 4.124a, Diagnostic Code 8045, using a table that assigns ratings based on the severity and frequency of residuals across 10 categories of symptoms, including memory, concentration, judgment, mood, and neurological deficits. The minimum rating for TBI with residuals is 10%.

Respiratory System Ratings (38 CFR § 4.97)

Respiratory conditions are rated based on pulmonary function tests (PFTs), medication requirements, and frequency of exacerbations. Asthma, sleep apnea, and COPD are the most commonly rated respiratory conditions.

Common Respiratory Ratings

ConditionDiagnostic CodeRating Range
Asthma660210–100%
Sleep apnea68470–100%
COPD660410–100%
Chronic bronchitis660010–100%
Chronic sinusitis65100–50%
Chronic rhinitis65200–10%

Asthma Ratings (Diagnostic Code 6602)

RatingCriteria
100%FEV-1 less than 40% predicted, or FEV-1/FVC less than 40%, or more than one attack per week with episodes of respiratory failure, or daily use of systemic high-dose corticosteroids or immunosuppressive medications
60%FEV-1 of 40–55% predicted, or FEV-1/FVC of 40–55%, or at least monthly visits to a physician for care of exacerbations, or at least three courses per year of systemic corticosteroids
30%FEV-1 of 56–70% predicted, or FEV-1/FVC of 56–70%, or daily inhalational or oral bronchodilator therapy or inhalational anti-inflammatory medication required
10%FEV-1 of 71–80% predicted, or FEV-1/FVC of 71–80%, or intermittent inhalational or oral bronchodilator therapy required
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Sleep Apnea Ratings (Diagnostic Code 6847)

RatingCriteria
100%Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or requires tracheostomy
50%Requires use of a breathing assistance device such as a CPAP machine
30%Persistent daytime hypersomnolence
0%Asymptomatic but with documented sleep disorder breathing

Cardiovascular System Ratings (38 CFR § 4.104)

Cardiovascular conditions are rated based on metabolic equivalents (METs), ejection fraction, and symptoms. Heart conditions are rated using a general rating formula.

Common Cardiovascular Ratings

ConditionDiagnostic CodeRating Range
Hypertension71010–60%
Coronary artery disease700510–100%
Myocardial infarction700610–100%
Arrhythmia701010–100%
Peripheral vascular disease711010–100%
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Hypertension Ratings (Diagnostic Code 7101)

RatingCriteria
60%Diastolic pressure predominantly 130 or more
40%Diastolic pressure predominantly 120 or more
20%Diastolic pressure predominantly 110 or more, or systolic pressure predominantly 200 or more
10%Diastolic pressure predominantly 100 or more, or systolic pressure predominantly 160 or more, or minimum evaluation for an individual with a history of diastolic pressure predominantly 100 or more who requires continuous medication for control

Hemic and Lymphatic System Ratings (38 CFR § 4.117)

Blood and lymphatic cancers are rated at 100% during active disease and treatment, with residuals rated after treatment ends.

Common Hemic and Lymphatic Ratings

ConditionDiagnostic CodeRating
Non-Hodgkin’s lymphoma7715100% with active disease or during treatment
Leukemia7703100% with active disease or during treatment
Multiple myeloma7704100% with active disease or during treatment
Aplastic anemia771630–100% depending on transfusion frequency
Hodgkin’s lymphoma7709100% with active disease or during treatment
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A 100% evaluation continues beyond the cessation of surgery, radiation therapy, chemotherapy, or other therapeutic procedures. Two years after discontinuance of treatment, the appropriate rating is determined by mandatory VA examination. If there has been no recurrence, residuals are rated under the appropriate diagnostic codes.

Special Monthly Compensation (SMC)

Special Monthly Compensation (SMC) is additional compensation paid to veterans with very severe disabilities, including loss of use of extremities, blindness, deafness, or the need for aid and attendance. SMC rates are significantly higher than standard 100% rates.

SMC Rates (Effective December 1, 2025)

SMC CodeMonthly Rate
SMC (k)$139.87
SMC (l)$4,900.83
SMC (m)$5,408.55
SMC (n)$6,152.64
SMC (o)$6,877.12
SMC (p)$6,877.12
SMC (r)$2,949.76; $4,394.55
SMC (s)$4,408.53
SMC (t)$4,394.55

How VA Combined Ratings Work

VA does not add disability percentages together. It uses a combined ratings formula under 38 CFR § 4.25 that considers your remaining efficiency. This is often called “VA math.”

See also

The Combined Ratings Table

VA starts with 100% efficiency and subtracts each disability in order from highest to lowest. For example:

  • 50% disability leaves you 50% efficient

  • A second 30% disability is applied to your remaining 50% efficiency (50% × 30% = 15%), leaving you 35% efficient

  • Combined rating: 65%, which rounds to 70%

The Bilateral Factor

If you have disabilities affecting both arms or both legs, VA adds 10% to the combined value of those disabilities before combining them with other conditions. This is the bilateral factor under 38 CFR § 4.26.

Common Combined Rating Examples

Individual RatingsCombined Rating
50% + 30%70%
70% + 40%80%
70% + 50%90%
70% + 50% + 30%90%
100% + 60%100% (plus SMC)

PACT Act Presumptive Conditions

The PACT Act of 2022 expanded presumptive service connection for veterans exposed to toxic substances. Presumptive conditions do not require a nexus—if you have a current diagnosis and qualifying service, VA presumes the condition is service-connected.

PACT Act Presumptive Conditions (Partial List)

Cancers:

  • Brain cancer

  • Gastrointestinal cancer

  • Glioblastoma

  • Head cancer

  • Kidney cancer

  • Lymphatic cancer

  • Lymphoma

  • Melanoma

  • Neck cancer

  • Pancreatic cancer

  • Reproductive cancer

  • Respiratory cancer

  • Acute leukemias

  • Chronic leukemias

  • Genitourinary cancers

  • Bladder cancer

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Respiratory Conditions:

  • Asthma diagnosed after service

  • Chronic bronchitis

  • COPD

  • Chronic rhinitis

  • Chronic sinusitis

  • Constrictive bronchiolitis

  • Emphysema

  • Interstitial lung disease

  • Pulmonary fibrosis

  • Sarcoidosis

Other Conditions:

  • Hypertension (effective October 1, 2026, for Agent Orange)

  • Monoclonal Gammopathy of Undetermined Significance (MGUS) (effective October 1, 2026, for Agent Orange)

  • Ischemic heart disease

  • Type 2 diabetes

  • Parkinson’s disease

Qualifying Locations and Periods

LocationPeriod
VietnamJanuary 9, 1962 – May 7, 1975
ThailandJanuary 9, 1962 – June 30, 1976
LaosDecember 1, 1965 – September 30, 1969
CambodiaApril 16, 1969 – April 30, 1969
Guam or American SamoaJanuary 9, 1962 – July 31, 1980
Johnston AtollJanuary 1, 1972 – September 30, 1977
Southwest AsiaAugust 2, 1990 – present

How to Increase Your VA Disability Rating

If you believe your rating is too low, you have several options to request an increase. The key is providing evidence that your condition has worsened since your last rating decision.

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Steps to Request an Increased Rating

  1. Gather new medical evidence. Obtain current treatment records, imaging studies, range-of-motion measurements, and provider statements documenting worsening symptoms.

  2. File VA Form 21-526EZ (for an increased rating) or a Supplemental Claim if you are within one year of your last decision.

  3. Obtain a new nexus letter. If claiming a secondary condition, a medical provider must state that the new condition is caused by your service-connected disability.

  4. Attend your C&P exam. Describe your worst symptoms, not your best days. Be specific about frequency, duration, and functional impact.

  5. Appeal if denied. You have three appeal options: Supplemental Claim, Higher-Level Review, or Board Appeal.

When to Request an Increase

  • Your condition has worsened since your last rating decision

  • You have new medical evidence showing greater impairment

  • Your work or daily functioning has been adversely affected

  • You have developed secondary conditions caused by your service-connected disability

The Appeals Process

If you disagree with a VA rating decision, you have three appeal options under the Appeals Modernization Act.

Appeal OptionWhen to UseTimeframe
Supplemental ClaimYou have new and relevant evidence4–8 months average
Higher-Level ReviewNo new evidence; argue VA made an error4–8 months average
Board AppealWant a Veterans Law Judge to review your case1–3 years average
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Common Appeal Grounds

  • Incorrect diagnostic code applied

  • Rating criteria not properly applied

  • Range of motion not properly measured

  • Secondary service connection not considered

  • Effective date assigned incorrectly

  • Rating percentage not supported by evidence

Common Mistakes to Avoid

  1. Assuming VA math adds percentages. VA uses a combined ratings formula, not simple addition.

  2. Describing your best day at the C&P exam. VA ratings are based on your worst days. Describe your worst symptoms.

  3. Not claiming secondary conditions. Sleep apnea secondary to PTSD, sciatica secondary to back strain, and migraines secondary to tinnitus are common examples.

  4. Failing to appeal a low rating. Many veterans accept a low rating without realizing they can appeal with new evidence.

  5. Not requesting an increased rating when your condition worsens. If your condition has worsened, you can request an increased rating at any time.

  6. Ignoring the painful motion rule. Under 38 CFR § 4.59, painful motion entitles you to at least the minimum compensable rating for that joint.

See also
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Common Questions

1. What is the highest VA disability rating?

The highest schedular rating is 100%, which pays $3,938.58 per month in 2026. Veterans with certain severe disabilities may qualify for Special Monthly Compensation (SMC), which pays significantly more than the standard 100% rate. TDIU also pays at the 100% rate for veterans who cannot work.

2. How do I calculate my combined VA rating?

VA does not add percentages. It uses a combined ratings formula that subtracts each disability from your remaining efficiency. For example, 50% + 30% = 70%, not 80%. You can use a VA disability calculator to estimate your combined rating.

3. What is the minimum VA disability rating?

The minimum compensable rating is 10%, which pays $180.42 per month. A 0% rating establishes service connection but does not pay compensation. Under the painful motion rule, any painful joint is entitled to at least 10%.

4. How are mental health conditions rated by VA?

Mental health conditions are rated under 38 CFR § 4.130 using the General Rating Formula for Mental Disorders. Ratings range from 0% to 100% based on occupational and social impairment. PTSD, depression, and anxiety are all rated using this formula.

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5. What is the VA rating for sleep apnea?

Sleep apnea is rated under Diagnostic Code 6847. A 50% rating is assigned when the veteran requires a CPAP machine. A 30% rating is for persistent daytime hypersomnolence. A 100% rating is for chronic respiratory failure requiring tracheostomy.

6. What is the VA rating for migraines?

Migraines are rated under Diagnostic Code 8100. A 50% rating is for very frequent prostrating attacks with severe economic inadaptability. A 30% rating is for prostrating attacks once a month. A 10% rating is for prostrating attacks once every two months.

7. What is the VA rating for hypertension?

Hypertension is rated under Diagnostic Code 7101. Ratings are 10%, 20%, 40%, and 60% based on diastolic and systolic pressure readings. A 10% rating is also assigned for hypertension requiring continuous medication for control.

8. What is the VA rating for PTSD?

PTSD is rated under Diagnostic Code 9411 using the General Rating Formula for Mental Disorders. Ratings range from 0% to 100%. The most common rating is 70%, which pays $1,808.45 per month in 2026. A 100% rating requires total occupational and social impairment.

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9. What are PACT Act presumptive conditions?

PACT Act presumptive conditions include several cancers, respiratory conditions like asthma and chronic bronchitis, chronic sinusitis, chronic rhinitis, and hypertension. Veterans with qualifying service and a current diagnosis are presumed to have service-connected conditions. No nexus is required.

10. How do I increase my VA disability rating?

To request an increased rating, gather new medical evidence showing your condition has worsened, file VA Form 21-526EZ, and attend a new C&P exam. Describe your worst symptoms. If denied, appeal with a Supplemental Claim, Higher-Level Review, or Board Appeal.

11. What is the bilateral factor?

The bilateral factor under 38 CFR § 4.26 adds 10% to the combined value of disabilities affecting both arms or both legs before combining them with other conditions. This results in a higher combined rating for veterans with bilateral disabilities.

See also
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12. What is Special Monthly Compensation?

Special Monthly Compensation (SMC) is additional compensation for veterans with very severe disabilities, including loss of use of extremities, blindness, deafness, or the need for aid and attendance. SMC rates range from $139.87 to $6,877.12 per month.

13. How are cancers rated by VA?

Active cancers are generally rated at 100%. Non-Hodgkin’s lymphoma, leukemia, and multiple myeloma are rated 100% with active disease or during treatment. A 100% evaluation continues beyond the cessation of treatment. Two years after treatment ends, residuals are rated by mandatory VA examination.

14. What is the VA rating for a knee replacement?

A knee replacement is rated under Diagnostic Code 5055. The minimum rating is 30% for 12 months following the prosthesis is implanted. After the 12-month period, the knee is rated on limitation of motion, with a minimum rating of 30% if the prosthesis is still in place.

15. How long does a VA claim take in 2026?

VA processing times average 75–80 days for initial claims, down from 141.5 days in early 2025. Appeals take longer—Supplemental Claims and Higher-Level Reviews average 4–8 months, while Board Appeals average 1–3 years.

See also
VA Disability Increase 2027 Virginia: 3.6% Projected

Key Takeaways

  • VA disability ratings range from 0% to 100% in multiples of 10. A 100% rating pays $3,938.58 per month in 2026; a 10% rating pays $180.42.

  • Each condition is rated under a specific diagnostic code in 38 CFR Part 4. Musculoskeletal conditions account for approximately 67% of all VA claims.

  • Mental health conditions are rated under 38 CFR § 4.130 using the General Rating Formula for Mental Disorders, with ratings from 0% to 100%.

  • The painful motion rule (38 CFR § 4.59) guarantees at least 10% for any painful joint.

  • VA does not add percentages. It uses a combined ratings formula. 50% + 30% = 70%, not 80%.

  • The bilateral factor adds 10% to combined ratings for disabilities affecting both arms or both legs.

  • PACT Act presumptive conditions do not require a nexus. If you have a diagnosis and qualifying service, VA presumes service connection.

  • Sleep apnea with CPAP use is rated 50%. Migraines max out at 50%. Hypertension is rated 10–60%.

  • Active cancers are generally rated 100% during treatment. Two years after treatment ends, residuals are rated by mandatory examination.

  • File VA Form 21-526EZ with complete evidence. If denied or underrated, appeal with a Supplemental Claim, Higher-Level Review, or Board Appeal.

See also
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