2026 update — Proposed tinnitus rating change: VA has proposed removing Diagnostic Code 6260 and rating tinnitus as a symptom of the underlying service-connected condition causing it, instead of as a stand-alone 10% rating. The rule is not yet final, DC 6260 still applies to claims today, and VA has said the change would not affect veterans already service-connected for tinnitus. Read our full breakdown: Is the 10% Tinnitus Rating Going Away? Proposed DC 6260 Rule.
What is tinnitus and how does it affect veterans?
Tinnitus is the perception of ringing, buzzing, hissing, or other sounds in your ears when no external sound is present. It is the single most commonly claimed VA disability condition, and for good reason — military service frequently involves intense noise exposure from weapons fire, explosions, aircraft, heavy machinery, and other sources that damage the auditory system.
For many veterans, tinnitus is more than a minor annoyance. Persistent ringing can make it difficult to concentrate at work, hold conversations, fall asleep, and enjoy quiet activities. The constant noise can lead to frustration, anxiety, and depression over time. Some veterans describe their tinnitus as a sound that never stops, making it impossible to experience true silence.
While tinnitus itself carries a maximum 10% schedular rating, it is an important condition to have service-connected. It validates your noise exposure history and creates a foundation for secondary claims for hearing loss, anxiety, sleep problems, and migraines — conditions that can carry significantly higher ratings.

VA diagnostic code for tinnitus
Tinnitus is rated under Diagnostic Code (DC) 6260 per 38 CFR § 4.87, Schedule of Ratings — Ear Diseases.
DC 6260 provides only a single 10% rating level for recurrent tinnitus. This is a flat rating regardless of severity — whether your tinnitus is mild and intermittent or constant and debilitating, the schedular maximum is the same. The VA assigns only one 10% rating even if tinnitus is present in both ears, as confirmed by the Federal Circuit in Smith v. Nicholson (2006).
Rating criteria for tinnitus
The VA assigns tinnitus at a single rating level:
10% rating — $180.42/month
Criteria: Recurrent tinnitus.
That’s it. The rating criteria for tinnitus are unusually simple compared to other conditions. If you have recurrent tinnitus — meaning persistent or frequently recurring ringing, buzzing, or other sounds in your ears — and it is service-connected, you receive 10%.
DC 6260 lists one 10% evaluation for recurrent tinnitus. Service connection alone does not guarantee a compensable evaluation: under 38 CFR § 4.31, a 0% evaluation may apply when the compensable requirements are not met. Objective tinnitus is evaluated as part of its underlying condition rather than under DC 6260.
Note on bilateral tinnitus: Under 38 CFR § 4.87, DC 6260 Note (2), only a single evaluation is assigned for tinnitus whether it is perceived in one ear, both ears, or in the head. You cannot get 10% for each ear.
Extraschedular consideration: If your tinnitus causes marked interference with employment or frequent hospitalizations beyond what the 10% rating contemplates, you may be eligible for an extraschedular rating under 38 CFR § 3.321(b)(1). This is rare but possible in severe cases.
What evidence do you need?
Tinnitus claims rely heavily on your noise exposure history and credible testimony. Here’s what to gather:
Service records
- DD-214 showing your MOS (Military Occupational Specialty) — the VA maintains a list of noise-exposed occupations
- Deployment records and duty assignments involving noise exposure
- Any audiograms from service, especially if they show hearing threshold shifts
- Service treatment records mentioning ear complaints, ringing, or hearing problems
Medical evidence
- Current diagnosis of tinnitus from an audiologist or ENT physician
- Audiological evaluation showing any associated hearing loss
- Treatment records documenting your tinnitus complaints over time
Nexus letter
A medical opinion linking your tinnitus to military noise exposure. A strong nexus letter will reference your specific noise exposure history (weapons qualification, flight line duty, armored vehicles, etc.) and explain why your tinnitus is “at least as likely as not” caused by military service.
Buddy statements
Statements from fellow service members who can confirm your noise exposure or from family members who noticed the onset of your tinnitus during or after service. Statements describing how tinnitus affects your daily life (sleep disruption, difficulty concentrating, irritability) also strengthen your claim.
Personal statement
Your own detailed description of when tinnitus started, what noise exposure you experienced in service, and how the ringing affects your daily life. Describe the sound, whether it is constant or intermittent, and specific ways it impacts your work, sleep, and relationships.
C&P exam tips for tinnitus
The C&P exam for tinnitus typically involves an audiological evaluation. Here’s what to expect and how to prepare:
What the examiner evaluates
- Whether you have recurrent tinnitus
- When it started (during service or after)
- Your noise exposure history in and after service
- Whether a nexus exists between your service and your tinnitus
- The examiner may also conduct a full audiological exam to check for associated hearing loss
How to prepare
- Know your noise exposure history. Be ready to describe specific sources of noise — weapon systems you fired, vehicles you operated, aircraft you worked near, explosions you were exposed to. Include whether hearing protection was provided and used.
- Be consistent with your records. If your service treatment records mention ear complaints, reference those. If they don’t, be prepared to explain why (many service members don’t report tinnitus because they consider it normal).
- Describe the impact honestly. Explain how tinnitus affects your concentration, sleep, mood, and daily functioning. Don’t minimize it.
- Don’t exaggerate on hearing tests. The audiologist can detect inconsistent responses. If you also have hearing loss, respond honestly to the audiometric testing — inconsistent results can undermine your entire claim.
- Mention the onset clearly. Whether tinnitus started during service, immediately after, or gradually worsened — be clear and consistent about the timeline.
Common secondary conditions linked to tinnitus
Tinnitus is often connected to other conditions that can be claimed as secondary disabilities:
- Hearing loss — The most common companion to tinnitus. Noise exposure that causes tinnitus frequently causes sensorineural hearing loss as well. Hearing loss ratings range from 0% to 100% based on audiometric testing.
- Anxiety — Constant ringing can cause significant anxiety and stress. Research shows a strong association between tinnitus and anxiety disorders.
- Sleep apnea — Tinnitus-related sleep disruption can be linked to broader sleep disorders, though this connection requires strong medical evidence.
- Migraines — Some veterans experience migraines triggered or worsened by tinnitus, particularly when combined with other noise-related conditions.
- Depression — The persistent nature of tinnitus is associated with higher rates of depression, especially when tinnitus is severe and constant.
How to calculate your monthly payment
While tinnitus alone pays $180.42/month at 10%, your total VA disability payment depends on your combined rating across all service-connected conditions. If you have tinnitus at 10% plus hearing loss, PTSD, or other conditions, your combined rating — and payment — will be higher.
Use our VA disability calculator to:
- Calculate your combined rating with multiple conditions
- See how VA math works (10% + 10% does not equal 20%)
- Estimate your monthly payment including dependents
For the full breakdown of payment amounts at every rating level, see our 2026 VA disability pay rates page.
Correction — October 21, 2026: Corrected the FAQ to explain the chronic-disease presumption for tinnitus. Clarified that recurrent tinnitus gets a single 10% rating and that service connection does not always mean a compensable rating.
Disclaimer: This content is for informational purposes only and does not constitute legal or medical advice. For personalized guidance on your VA disability claim, consult a VA-accredited Veterans Service Organization (VSO), attorney, or claims agent. You can find accredited representatives at VA.gov.
Frequently Asked Questions
Can you get more than 10% for tinnitus?
No. Under the VA's rating schedule, 10% is the maximum schedular rating for tinnitus under Diagnostic Code 6260. This applies whether tinnitus is in one ear or both ears. The Federal Circuit confirmed this in Smith v. Nicholson, 451 F.3d 1344 (2006). However, you can pursue an extraschedular rating under 38 CFR § 3.321(b)(1) if your tinnitus causes an exceptional disability picture not captured by the 10% rating.
Is tinnitus a presumptive condition for veterans?
Tinnitus, at least where there is acoustic trauma, is an organic disease of the nervous system under § 3.309(a) (Fountain v. McDonald). For qualifying service of 90 days or more during wartime or after December 31, 1946, the chronic-disease presumption can apply if it manifested to a compensable degree within one year after separation, subject to § 3.307. Chronicity in service or continuity of symptoms under § 3.303(b) may also support a claim when its requirements are met. Noise exposure or a noisy MOS alone does not guarantee service connection; diagnosis, symptom history, and applicable linkage evidence still matter.
Can tinnitus be claimed as secondary to another condition?
Yes. Tinnitus is frequently claimed as secondary to hearing loss, or hearing loss is claimed secondary to tinnitus. Tinnitus can also be secondary to traumatic brain injury (TBI), PTSD, or other conditions that affect the auditory system.
Is tinnitus worth claiming at only 10%?
Absolutely. That 10% rating pays $180.42/month in 2026. More importantly, establishing service connection for tinnitus opens the door to secondary claims for conditions like hearing loss, anxiety, migraines, and sleep disorders — which can carry much higher ratings.
Sources
The rating criteria, diagnostic codes, and dollar figures on this page are cited to the references below. See our editorial policy for how we choose and verify sources.
- Fountain v. McDonald — Tinnitus as a chronic disease — U.S. Court of Appeals for Veterans Claims
- 38 CFR § 4.87 — Schedule for Rating Disabilities — eCFR
- VA Disability Compensation — U.S. Department of Veterans Affairs
- VA Disability Compensation Rates — U.S. Department of Veterans Affairs
- Diagnostic Code 6260 — VA Schedule for Rating Disabilities — eCFR
- 38 CFR § 4.31 — Zero percent evaluations — eCFR
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This content is for informational purposes only and does not constitute legal or medical advice. For personalized guidance, consult a VA-accredited VSO, attorney, or claims agent.