by Ryan Guina, Last updated: April 10, 2019

Funny Math – VA Disability Ratings. When 30 + 20 Doesn’t Always Equal 50 (Podcast 004)

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If I asked you the answer to 30 + 20, you would quickly tell me 50. And you would be right in just about every instance. But for veterans with service-connected disability ratings, the math doesn’t always work out quite so easily. In fact, 30 + 20 might only equal 44, which rounds down to 40. Or it might equal 48.4, which rounds up to 50. Confused yet? Welcome to the world of VA Math!

$VA Math - combined disability ratings$

Understanding VA math is essential for understanding your benefits.

The VA Service-Connected Disability rating system is complex. There are many reasons for this, and that’s a topic best left for another day, and another website. But there is one aspect I would like to address today: the somewhat confusing math used to determine the final service-connected disability rating awarded to veterans. This is the rating used to determine compensation payments and access to certain other benefits. It’s enormously important you understand how your rating is determined so you can make sure your benefits are calculated properly. The difference can literally be worth hundreds, or even thousands of dollars a year in compensation payments and other benefits.

Let’s dive in.

What Do Disability Ratings Represent?

The first thing to understand is what your disability rating represents. In short, the VA takes each individual injury or illness into consideration and gives it a numerical disability rating. Each rating is represented by a percentage divisible by 10 (ex: 10%, 20%, 30%, 40%, etc.). These disabilities are racked and stacked, then the VA does “VA Math” to determine your overall disability rate. We’ll get to the math later in this article.

A good way to look at this is to consider how the disabilities affect your ability to perform work and daily activities. To do this, the VA takes into account your overall efficiency after the disability or disabilities are considered. Let’s say you are a normal 40 year-old retiree with no major service-connected injuries or illnesses. Your efficiency would be rated at 100%. Now let’s assume you just retired from the military after 20 years of service and had some service-connected disabilities.

For example, let’s say you tweaked your knee while you were deployed and had arthroscopic surgery. You still have some pain and stiffness in that knee and the VA grants you a 10% service-connected disability rating. Assuming this is your only service-connected disability rating, your service-connected disability rating would be 10%. This is determined by looking at your efficiency, which is 90% (efficiency rating of 100, times 10% disability rating = 10%. You subtract 10% from 100% and end up with 90%). The math is simple when you only have one disability rating to consider. We’re going to come back to the math in a moment because it changes dramatically with each new service-connected rating we consider.

More than one disability rating? Each injury or illness is rated by itself, without consideration of other illnesses or injuries, unless they contribute to further injuries. We will also need to take into consideration whether or not the injuries are bilateral, which means they affect limbs on both sides of the body (for example, disabilities on both arms, or both legs). All of your disability ratings are listed in descending order, then the VA math begins.

How the VA Rates Multiple Disabilities

The above example covers the most basic situation – a single disability rating. In the previous example, it seems like you can just subtract the 10% from 100% and come up with 90%. But notice that we didn’t do the math that way. Things get more interesting when you have more disability ratings. Let’s run through an example, building on the previous profile.

Example profile: We’re going to stay with our example of a 40 year old military retiree. Above we said he had a disability in his knee. Let’s add a few conditions and do some math.

Let’s say our retiree has the following service-connected disability ratings:

30% rating for a back injury,
20% rating for right shoulder injury,
10% rating for his right knee, and
10% for hearing loss.

Now for the math: The VA uses a descending efficiency scale for its calculations. The VA will rate each injury or illness, giving each a numerical rating. When it comes time to determine the overall rating, the VA will start with the highest rating, then work its way down. You start with an efficiency rating of 100, then work your way down. Each new disability gives you a new baseline.

We start by racking and stacking the disabilities. In the example above, we have ratings of 30%, 20%, 10%, and 10%. We start with the 30%, then factor in the 20%, the 10%, then the final 10%. Again, we aren’t subtracting here, we’re doing VA math. At the bottom of this article is the VA Combined Ratings Table, which we will use to complete our calculations (you may find it easier to open this article in two browser tabs so you can follow along, or download and print the Combined Ratings Table, which we have a link to).

We start with the 30% disability. Look at the Combined Ratings Table and scroll down the left column until you find the number 30. Then go to the right column until you find the 20. The 30 and 20 combine for 44. If those are your only two ratings, you would have a 44% Va service-connected disability rating, which would round down to 40%. But we’re not done. We still have to add two 10% ratings.

Start on the left column again. This time, you will look for the 44 in the left column. Then find the intersection point with the 44 and 10. Your new rating is 50%. Repeat this one more time, starting with 50, and meeting up with 10. Your new combined rating is 55%, which rounds up to 60%.

How does this add up? Again, we aren’t doing normal subtraction here. We are doing VA math. You start with your efficiency rate of 100, multiple it by your disability rating, then subtract the result from your original rating. In this case, you would multiple 30% times 100, and get 30. You subtract that from 100 and come up with 70. Your new efficiency rating is 70 and your disability rating is 30. This is the starting point for the next calculation. You repeat the process for the next rating. You take 20%, multiply it by 70, and come up with 14. You subtract 14 from 70, and you get 56. Your new efficiency rating is 56, and your disability rating is 44. You repeat the process for each additional disability rating.

The math can be a bit confusing if you try to do it manually. The best thing to do is use the VA Combined Ratings Table, which does the math for you.

How Bilateral Disabilities Affect Your Rating

There is one more issue we need to consider – the bilateral factor. The bilateral factor can have a big impact on your rating, so don’t dismiss it.

What is the Bilateral Factor? The bilateral factor is considered when the veteran has disabilities on both limbs (for example, both arms, or both legs, or of paired skeletal muscles). The disabilities don’t have to mirror each other. For example, they don’t need to occur on both knees to be considered bilateral. A left foot disability and a right knee disability satisfies the requirement they injuries be on both legs.

With the bilateral factor, the VA combines two or or more ratings, adds a bilateral factor to the outcome, and considers them as one rating when using the Combined Ratings Table (found below). It’s best if I quote the regulations the VA uses, then we’ll use this in an example:

§4.26 Bilateral factor (Source).

When a partial disability results from disease or injury of both arms, or of both legs, or of paired skeletal muscles, the ratings for the disabilities of the right and left sides will be combined as usual, and 10 percent of this value will be added (i.e., not combined) before proceeding with further combinations, or converting to degree of disability. The bilateral factor will be applied to such bilateral disabilities before other combinations are carried out and the rating for such disabilities including the bilateral factor in this section will be treated as 1 disability for the purpose of arranging in order of severity and for all further combinations. For example, with disabilities evaluated at 60 percent, 20 percent, 10 percent and 10 percent (the two 10’s representing bilateral disabilities), the order of severity would be 60, 21 and 20. The 60 and 21 combine to 68 percent and the 68 and 20 to 74 percent, converted to 70 percent as the final degree of disability.

(a) The use of the terms “arms” and “legs” is not intended to distinguish between the arm, forearm and hand, or the thigh, leg, and foot, but relates to the upper extremities and lower extremities as a whole. Thus with a compensable disability of the right thigh, for example, amputation, and one of the left foot, for example, pes planus, the bilateral factor applies, and similarly whenever there are compensable disabilities affecting use of paired extremities regardless of location or specified type of impairment.

(b) The correct procedure when applying the bilateral factor to disabilities affecting both upper extremities and both lower extremities is to combine the ratings of the disabilities affecting the 4 extremities in the order of their individual severity and apply the bilateral factor by adding, not combining, 10 percent of the combined value thus attained.

(c) The bilateral factor is not applicable unless there is partial disability of compensable degree in each of 2 paired extremities, or paired skeletal muscles.

Example using the Bilateral Factor

Let’s stick with the example profile from above, but let’s add another knee disability, one on each leg. This would qualify for the bilateral factor. The disability rating for each knee was 10%, but when combined, they equal 21%, according to the VA’s Combined Rating Table. Here is how we apply the bilateral factor:

Bilateral Factor Applied:

A 10% disability combined with another 10% disability = 19%,

Then you add 10% of 19, or 1.9%.

19% + 1.9% = 20.9%, which rounds up to 21%.

The combined rating for both knees is now 21%, and the VA will use 21% as the rating for those disabilities. It is possible to have more than two disabilities combined in the bilateral factor.

New example with Bilateral Factor: We’ll stick with the previous example, but add the other knee injury and see how it affects the final outcome. Let’s say our retiree has the following service-connected disability ratings:

30% rating for a back injury,
21% (10% rating for his left knee, and 10% rating for his right knee, with bilateral factor applied),
20% rating for right shoulder injury, and
10% for hearing loss.

Using the Combined Rating Table, we start with the 21% and the 30%. This takes us to 45. Follow the left column down to 45 and find where it intersects with 20. You get 56. Repeat the process for 56 and 10, and you get 60. This overall service-connected disability rating for this veteran is exactly 60%.

The previous example was 55%, rounded up to 60%, and this example was exactly 60%. As your disability percentage increases, it takes more disabilities with higher ratings to move the needle. This is the impact of the math the VA uses to determine disability ratings.

VA Combined Ratings Table

The VA Combined Ratings Table is where all the math magic happens.

Instructions: List all disabilities in descending order. Start with the highest disability rating, find it in the left column, and find the intersecting point with the next highest disability rating. This is your combined rating for these two disabilities. If these are your only two disabilities, you can round to the nearest number divisible by 10 (anything 4.9 and lower are rounded down; 5 and higher are rounded up). Repeat this process until you have run the numbers for all disability ratings.

(Article continues below table):

	10	20	30	40	50	60	70	80	90
19	27	35	43	51	60	68	76	84	92
20	28	36	44	52	60	68	76	84	92
21	29	37	45	53	61	68	76	84	92
22	30	38	45	53	61	69	77	84	92
23	31	38	46	54	62	69	77	85	92
24	32	39	47	54	62	70	77	85	92
25	33	40	48	55	63	70	78	85	93
26	33	41	48	56	63	70	78	85	93
27	34	42	49	56	64	71	78	85	93
28	35	42	50	57	64	71	78	86	93
29	36	43	50	57	65	72	79	86	93
30	37	44	51	58	65	72	79	86	93
31	38	45	52	59	66	72	79	86	93
32	39	46	52	59	66	73	80	86	93
33	40	46	53	60	67	73	80	87	93
34	41	47	54	60	67	74	80	87	93
35	42	48	55	61	68	74	81	87	94
36	42	49	55	62	68	74	81	87	94
37	43	50	56	62	69	75	81	87	94
38	44	50	57	63	69	75	81	88	94
39	45	51	57	63	70	76	82	88	94
40	46	52	58	64	70	76	82	88	94
41	47	53	59	65	71	76	82	88	94
42	48	54	59	65	71	77	83	88	94
43	49	54	60	66	72	77	83	89	94
44	50	55	61	66	72	78	83	89	94
45	51	56	62	67	73	78	84	89	95
46	51	57	62	68	73	78	84	89	95
47	52	58	63	68	74	79	84	89	95
48	53	58	64	69	74	79	84	90	95
49	54	59	64	69	75	80	85	90	95
50	55	60	65	70	75	80	85	90	95
51	56	61	66	71	76	80	85	90	95
52	57	62	66	71	76	81	86	90	95
53	58	62	67	72	77	81	86	91	95
54	59	63	68	72	77	82	86	91	95
55	60	64	69	73	78	82	87	91	96
56	60	65	69	74	78	82	87	91	96
57	61	66	70	74	79	83	87	91	96
58	62	66	71	75	79	83	87	92	96
59	63	67	71	75	80	84	88	92	96
60	64	68	72	76	80	84	88	92	96
61	65	69	73	77	81	84	88	92	96
62	66	70	73	77	81	85	89	92	96
63	67	70	74	78	82	85	89	93	96
64	68	71	75	78	82	86	89	93	96
65	69	72	76	79	83	86	90	93	97
66	69	73	76	80	83	86	90	93	97
67	70	74	77	80	84	87	90	93	97
68	71	74	78	81	84	87	90	94	97
69	72	75	78	81	85	88	91	94	97
70	73	76	79	82	85	88	91	94	97
71	74	77	80	83	86	88	91	94	97
72	75	78	80	83	86	89	92	94	97
73	76	78	81	84	87	89	92	95	97
74	77	79	82	84	87	90	92	95	97
75	78	80	83	85	88	90	93	95	98
76	78	81	83	86	88	90	93	95	98
77	79	82	84	86	89	91	93	95	98
78	80	82	85	87	89	91	93	96	98
79	81	83	85	87	90	92	94	96	98
80	82	84	86	88	90	92	94	96	98
81	83	85	87	89	91	92	94	96	98
82	84	86	87	89	91	93	95	96	98
83	85	86	88	90	92	93	95	97	98
84	86	87	89	90	92	94	95	97	98
85	87	88	90	91	93	94	96	97	99
86	87	89	90	92	93	94	96	97	99
87	88	90	91	92	94	95	96	97	99
88	89	90	92	93	94	95	96	98	99
89	90	91	92	93	95	96	97	98	99
90	91	92	93	94	95	96	97	98	99
91	92	93	94	95	96	96	97	98	99
92	93	94	94	95	96	97	98	98	99
93	94	94	95	96	97	97	98	99	99
94	95	95	96	96	97	98	98	99	99

Source: 38 CFR 4.25 – Combined ratings table. Downloadable PDF: You can download this table here (pdf, courtesy of PurpleHeart.org).

Online VA Disability Ratings Calculator: It’s great to know how to use the Combined Ratings Table so you can verify your disability rating for yourself. But it’s also nice to be able to use a calculator that takes all of these factors into consideration. Here is a great online calculator that will help you determine your disability rating. This calculator seems accurate for the most part. However, it doesn’t seem to account for the bilateral factor. So you may wish to use the Combined Ratings Table to determine your overall rating if you have bilateral disabilities.

Summary: VA Math can seem confusing at first. But it makes sense when you take some time to run the numbers. When in doubt, use the Combined Ratings Table to do the math for you. If you have further questions about your specific case, then I recommend contacting the VA for clarification, or contacting a Veterans Service Officer at a Veterans Service Organization. VSO’s will help you with your claim free of charge.

Oh, and as for the examples with the 30 + 20: The combined ratings table shows us two disabilities rated at 30 and 20 equal 44%. This rounds down to 40% disability rating. If you apply the bilateral factor to disability ratings of 30 and 20, you would get 48.4% (44% + 4.4%). This rounds up to 50%.

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Article by Ryan Guina

Ryan Guina is the founder and editor of The Military Wallet. He is a writer, small business owner, and entrepreneur. He served over 6 years on active duty in the USAF and is a current member of the IL Air National Guard. Ryan started The Military Wallet in 2007 after separating from active duty military service and has been writing about financial, small business, and military benefits topics since then. He also writes about personal finance and investing at Cash Money Life. Ryan uses Personal Capital to track and manage his finances. Personal Capital is a free software program that allows him to track his net worth, balance his investment portfolio, track his income and expenses, and much more. You can open a free Personal Capital account here.

Comments

Doug @ The-Military-Guide says

September 3, 2014 at 9:40 am

Great post, Ryan– thanks for demystifying the numbers!

I started my VA claim last month, and it looks a lot like your example– bilateral knee damage and hearing loss. Now I finally understand how the numbers add up, and I can focus on documenting everything. I’ll keep you posted…

Reply
- Ryan Guina says
  
  September 3, 2014 at 2:34 pm
  
  Best of luck with your disability claim, Doug. It’s definitely a good idea to utilize the assistance of a Veterans Service Officer at a VSO. They offer free VA benefits claims assistance. The system can be difficult to navigate, even if you know what you are doing. So having someone double check your claim is highly recommended. I’m sure you’ll have some great information to share after going through the claims process!
  
  Reply
  - stanislaw schab says
    
    August 1, 2015 at 11:29 am
    
    Hey, I am lite confused because my overall rating is 80% with 2 disabilities rated 90% and 30%. It doesn’t quite match up your rating table. Could you please explain how is that possible. …
  - Ryan Guina says
    
    August 1, 2015 at 2:48 pm
    
    Stanislaw, Thank you for contacting me. Unfortunately, I don’t have an answer here. The chart used on my site was taken from VA sources, so that should be how it is calculated. I recommend speaking with someone at the VA, or from a Veterans Service Organization such as the DAV.
  - Mutschler says
    
    August 25, 2015 at 3:15 pm
    
    Thats because you have 90% out of 100% leaving you with 10%
    10 – 30% would give you 3 your Total is 93% so the VA rounds down to 90%
- Phil says
  
  January 7, 2018 at 7:52 am
  
  What is the rating for Tinnitus? I’m seeing a lot of people with a 10% rating. I’m service connected for Tinnitus, but my rating is only 0%. If 10% is a new automatic rating. Would I be entitled to back pay from the time that I received my original rating? Thanks
  
  Reply
  - Matt says
    
    February 2, 2018 at 9:50 am
    
    Maximum allowable by law for Tinnitus is 10%
Andrew McKeown says

January 30, 2015 at 12:37 pm

Hey Ryan, nice job explaining the intricacies of VA Math! You nailed it, my friend! A few months ago a created a mobile app called “VetCalc” that performs VA Math calculations including bilateral factor inputs. VetCalc also provides an estimated monthly payment based on any unique dependency situation. It can be purchased on both Apple and Android platforms for just 99 cents. From my experience, Veterans often overlook the importance of making sure the VA Math on their claim is correct, especially when the bilateral factor is involved. I provide several examples of the impact of erroneous VA Math at my website http://www.VetCalc.com Again really nice job on the article! Regards Andrew McKeown

Reply
- Todd says
  
  March 9, 2019 at 10:36 pm
  
  Yes I’m finding this very interesting what are bilateral factor inputs ? I’m confused I don’t understand I thought they added up your different ratings apply it to the chart and get your new rating which I still don’t understand that because I was rated at 30% but I think the VSO said I had like 43 that gave me a rating of 30 but I just got an increase of 50% for a disability and they now say I’m at 70 and I get a letter today almost 3 months after the VA gave me there decisions on the claims I claimed and I got the additional 50 which they say brought me to 70 but the letter I got today sais they changed one of there decisions and awarded me an addiontal 50% for ptsd-depressive and anxiety and they say my new rating is 80 % now but when I add with the chart I come up with something else I’m lost. Any help would be appreciated sir
  
  Reply
Andrew Thompson says

March 6, 2015 at 11:56 am

I can see clearly now, the rain is gone….oh wait, still foggy. Anyway. I recently discovered that the VA bumped my S/C hearing loss of 0% to 10%…back in 2006. I was already at 40%, and there was no increase in my compensation. The afformentioned and explained chart shows 40 + 10 = 46% which rounds to 50. Is my fuzzy math correct? I have asked several VA employees and they had no explaination. I understood your math breakdown, but this isn’t a case of the 10 being added in during the initial rating phase.

Reply
- Ryan Guina says
  
  March 6, 2015 at 12:28 pm
  
  Andrew, Thank you for contacting me. A 40 + a 10 would be 46, which rounds up to 50. But was your rating exactly 40? Or did you have several different ratings that added up to 40 after rounding?
  
  When the VA adds another rating, they won’t start with your last score. They will group the new rating in with all the old ratings.
  
  For example, say you had a 36. That would round up to a 40. If you add another 10% disability rating to that, you don’t start with 40, you start with the 36. A rating of 36 + a rating of 10 = 42, which rounds down to 40.
  
  Does this sound like it might apply to your situation?
  
  Reply
- randy says
  
  November 9, 2015 at 1:53 pm
  
  Depends on if your 40% was for one condition meaning.
  Back 30%
  eye 10% = 37%
  now add 10% for ear would be 6% plus 37% = 43% round down to 40%
  
  Reply
Andrew Thompson says

March 7, 2015 at 9:25 am

Ryan,

I had forgotten that originally I started out at 30%. Which was 3 10s combined for a 27, rounding to 30. Then 18 months later they gave 10% for bilateral knee syndrome. That brought it up to 34(from 27…) and then 10% of that again takes it to 37.4%. Which brings it up to 40%. And the missing 10%(or so I originally thought) only takes it to 43%. Which leaves me at the grand total of…40%. Now I see the light, but it’s kinda dim and not shining on me. Anyway, I’m in the middle of upgrade/secondary claims process, and 2 more the file after these play out. I’m going down the only road I’ve ever known…all by myself. Every time I muster up the courage to speak to a VSO I get waylaid by anxiety and then I get too afraid of rocking the boat and losing what I do have.

Thanks for replying so quickly. I appreciate it very much.

Semper Fi.

Reply
Andrew says

March 28, 2015 at 10:42 am

Ryan,

I have a interesting question for you. One of the doctors involved with my C&P appointments called me the other day. She was giving me the results of an MRI. She told me what she saw, clear as day, no doubt about it. She then told me she went back through my VA medical history, and then my Active Duty medical history. She found X-rays from the AD time frame that showed the early stages of Degenerative Disc Disease. The X-rays were from 1998. She also noted that the original C&P finding was written up as low back strain, and rated 10%. She told me that this was clearly incorrect and is going to correct that original finding and note in my records as such. She said that this will change my original rating code and % as well. Can I expect a backcheck for the difference going back to 1998, or what? Thanks for your time.

Andrew
Semper Fi.

Reply
Kenneth Droddy says

August 15, 2015 at 7:52 pm

I still don’t undrestand how I am at at 80%. I have had five back sugerys they are service conected and the VA botched one sugery which made me lose the function of one of my legs. They had me at 80% before the last two sugerys.

Reply
JC says

August 17, 2015 at 12:46 pm

Ryan,
You seem to have a good grasp on how disability benefits are calculated. I have yet to get a clear answer, so I figured I would ask you….

I currently have a 40% disability rating (Spine Range of Motion), but there were a number of items the VA overlooked that I had submitted on, which are in the appeal process now. All of the issues stem from my original back issue (compression fractures).

Say I receive another 20% for the sciatica that’s root cause was due to the back fractures I’m rated 40% for, would my rating be 60% or do they look at this as separate conditions and use VA math to get to 52%?

I appreciate your help with this.

Reply
- Ryan Guina says
  
  August 17, 2015 at 1:57 pm
  
  JC, Thank you for contacting me. I’m sorry, but I’m not 100% certain how the VA would rate this. I believe the VA would consider it two different ratings, in which case it would be a 40% and a 20%. I believe each specific condition is rated on its own merits, and isn’t added to other ratings to make a higher rating. Again, I’m not 100% certain, this is only based on my understanding. I would ask the VA for further clarification, or consult with a benefits counselor at a Veterans Service Organization.
  
  Reply
Andrew McKeown says

August 25, 2015 at 11:37 am

Hey Ryan, I contacted you awhile back and was wondering if you had the chance to check out VetCalc. I just wanted to update you and tell it is now totally free to download. Your analytics are no doubt more robust than mine, but I would be willing to either pay you for a link on this page (www.VetCalc.com) or blog about your site. Let me know. Great job on the post.

Regards

Andrew

Reply
James says

September 5, 2015 at 5:50 pm

Sir,

Just curious. If I get rated at 95% then from what I understand the VA will pay me at the 100% rate. Basically, 95% is round up to 100%?

respectfully,

James

Reply
- Ryan Guina says
  
  September 6, 2015 at 12:02 am
  
  James, The VA only awards ratings in 10% increments, and will round to the nearest 10. Anything that ends in a 4 or lower rounds down, and any number that ends in a 5 or higher rounds up. So if your combined rating comes out to 95, I believe it should round to 100%.
  
  Reply
  - cathrine says
    
    November 18, 2015 at 12:20 pm
    
    I used a spreadsheet calculator that calculated them at 94.6 would that be rounded up to 95 or down to 90? ratings would be 60%, 30%, 20%, 20% and 10%.
  - Ryan Guina says
    
    November 21, 2015 at 11:21 am
    
    Cathrine, Thank you for contacting me. I believe the VA rounds from the actual number, to the closest 10. So 94.6 would round down to 90. They don’t round to 95, then round again to 100. You would need a combined disability rating of at least 95% to have it round up to 100%. I hope this answers your question.
  - gino andracchio says
    
    December 6, 2018 at 3:44 pm
    
    Hello I’m helping a friend get to 100%…so far he was awarded 70..40..30..10 and 10 and the math comes to 90%..now he has a claim for unemployability..if he wins the appeal will that put him to 100%..ty very much
ronald jones says

October 26, 2015 at 3:39 pm

i have 70% rating now for ptsd and i have a claim in for sleep apena for which i have been issued a capac machaine what would be my new rating if approved by the va

Reply
- Ryan Guina says
  
  October 26, 2015 at 7:25 pm
  
  Ronald, Thank you for contacting me. The answer depends on what the rating is for sleep apnea. The best way to get a good idea is to use the chart referenced in the article and plugging in the numbers for your current rating, and the possible rating you might receive. That’s the only way to get a good idea.
  
  Reply
- randy says
  
  November 9, 2015 at 1:56 pm
  
  90%
  
  Reply
- Victor says
  
  November 16, 2016 at 9:10 pm
  
  Randy,
  
  Assuming that the VA awards you 50% for Sleep Apnea (CPAP), then your combined rating would be 85, pushing you to 90% disability.
  
  So yes, you are correct.
  
  Victor
  
  Reply
Arthur Adair says

March 9, 2016 at 3:15 pm

Ryan, I started out at 30%(10,10+10) in 1969, I have shrapnel in left calf and shrapnel in right foot,also had broken right wrist and shrapnel due to land mine.
Does the to different legs wounds call for a(bilateral) rating?. and how would that effect me. Now to today, I have 50 PTSD, 30 for right wrist,10 for left leg,10 for right foot and 10 for something else?(I’m trying to look for what the other 10 is for), I’m being paid at the 100% rate do to unemployability, and I also get K award(loss of organ extremities(about $103.00 for the K award).
Ryan after all of this writing, how would the (Bilateral) rating effect my comp all these years of increases from 30% to my 110% now. Thank you. Artie A

Reply
- Ryan Guina says
  
  March 10, 2016 at 9:01 am
  
  Arthur, Thank you for contacting me. I believe this would qualify for bilateral disability, but I’m not sure it would affect your rating since you are already receiving 100% due to unemployability. To see if this would affect your rating, you would need to use the chart using the following numbers:
  
  50% + 30% + 21% (bilateral for both 10% ratings for legs = 20.9%, which rounds up to 21%) + 10%
  
  50% + 30% = 65%
  
  65% + 21% = 73%
  
  73% + 10+ = 76%
  
  76% + 10% = 78%, which rounds up to 80%
  
  Keep in mind, this is an unofficial estimate – the VA provides the final rating. But this is based on their table and should be fairly accurate.
  
  It seems like the 100% rating for being unemployable is the better value. Your other ratings would need to be higher to receive the 100% schedular rating (rating based purely on the table, not on employability). I hope this helps. Best of luck, and thank you for your service!
  
  Reply
Janelle Wolves says

April 5, 2016 at 1:41 am

This is very nteresting and thanks for explaining VA magic math. Do you know how they actually determine the dollar amounts? Say for example, at 90% disability rating, you current draw $1743.48. This is 60% of the 100% amount (this is just the numbers for a single veteran). For example, 1743.48 divided by 2906.83 = .5997. If I calculate 90% of the full amount, that is 2906.83 * 90% = 2616.15. So how is it that a 90% disability rating gets only 60% of the full amount?

Reply
- Ryan Guina says
  
  April 5, 2016 at 6:18 am
  
  Hello Janelle, Thank you for contacting me. To be honest, I haven’t read any official explanation regarding how the monetary compensation is determined. I do know that disability compensation is intended to compensate those who cannot work, based on the percentage of their disability – meaning, someone who is considered 90% disabled still has a 10% capacity to work. That said, all disabilities are different, and some people can still perform work at various ratings, while others may find it difficult, or impossible.
  
  The VA does have the ability to grant people a 100% rating if they are unemployable, even if their rating is less than 100% (this is the 100% Individual Unemployability, or IU rating). Veterans should speak to a veterans benefits counselor to learn more about this, and to see if they may be eligible for this rating. There are strict rules about who can receive this rating, and veterans under a 100% IU rating cannot maintain substantial gainful employment, or they can risk losing the 100% IU rating, and will revert back to their previous rating. I hope this is helpful. Best of luck, and thank you for your service!
  
  Reply
Joe says

July 12, 2016 at 5:11 pm

Ron I have 3 0% service contacted disability ratings. I have had them since 2006. I was unaware that multiple 0% can qualify me for a bump to 10% disability. Is there a way I can go about receiving that adjustment upwards or has the va already decided and that’s why I never received a 10% rating. Thanks

Reply
- Ryan Guina says
  
  July 13, 2016 at 8:40 am
  
  Hello Joe, Thank you for contacting me. Here is the reference in the US Code: § 3.324 Multiple noncompensable service-connected disabilities.
  
  Whenever a veteran is suffering from two or more separate permanent service-connected disabilities of such character as clearly to interfere with normal employability, even though none of the disabilities may be of compensable degree under the 1945 Schedule for Rating Disabilities the rating agency is authorized to apply a 10-percent rating, but not in combination with any other rating.
  
  I read this as that the conditions must interfere with employability. So I believe you need to show how these conditions affect your ability to work in the career you are, or were, trained to do. You will likely need to file an appeal for this. I recommend speaking with a veterans benefits counselor at a Veterans Service Organization, such as the DAV, AMVETS, etc. They offer free benefits claims assistance. I hope this points you in the right direction. I wish you the best, and thank you for your service!
  
  Reply
demel acklin says

August 23, 2016 at 5:40 am

my rating was already 50% i was given another 30% for another claim my final rating was 60% how

Reply
Charles says

September 10, 2016 at 8:01 am

So how would secondary conditions affect the combined rating, or do they affect the numbers at all? I’m 70% overall with ratings of 40%, 20%, and 10% for both ankles. But I also have 10% for numbness in my right leg from my lowe back rating of 40% and then I have a 20% secondary rating for degenerative arthritis related to my right shoulder rating of 20%. I’m just trying to see does secondary conditions move the needle at all.

Reply
- Victor says
  
  November 16, 2016 at 8:54 pm
  
  Charles,
  
  Remember that a doctor needs for first diagnose your condition and must suggest a nexus for secondary conditions with new and material medical evidence. Without that, you will never be service connected.
  
  ALSO, your primary service connected condition will also be RE-EVALUATED. Make sure that you have new and material medical evidence proving that the condition is still an issue.
  
  Victor
  
  Reply
Gregory says

October 2, 2016 at 7:59 pm

I have read your article and understand the process of calculating the disability rating. Having said that, my rating was calculated incorrectly. Who should I contact to have it corrected?

Reply
- Ryan Guina says
  
  October 3, 2016 at 10:22 am
  
  Hello Gregory, Thank you for contacting me. You should contact the VA and ask them to review your case. They should be able to explain your current rating, or make the changes accordingly. You may also find it helpful to speak with a benefits counselor at an organization such as the DAV, AMVETS, American Legion, VFW, etc. I hope this points you in the right direction. Best of luck, and thank you for your service!
  
  Reply
Victor says

November 16, 2016 at 9:02 pm

Gregory,

What exactly do you mean that your rating were calculated incorrectly? Do you mean that you disagree with the rating for the condition or that the combined rating is incorrect?

The reason I ask is because the VA’s combined ratings are calculated by computer and is very hard to dispute.

In the case that you disagree with the rating decision, if you haven’t already you may need to submit a Notice of Disagreement to the VA and submit new and material evidence suggesting a higher rating.

Victor

Reply
- Rich says
  
  August 2, 2017 at 4:41 pm
  
  Missed this thread and posted the same thing. So, if the VA is using a calculator now instead of the old VA math chart, shouldn’t they make that available to us, so we can see the numbers too, like with the old math chart?
  
  Thanks everyone!
  Rich
  
  Reply
Nazem Elmasri says

November 19, 2016 at 9:16 pm

I am on disability social security for bipolar disorder, and I am on medication for that , I also have a VA 10% disability for partial hearing loss, but now 2 years after being diagnosed with the hearing loss, I have osteoarthritis, diabetes,not on any medications for that and prostate problems on two medications for that
…I am receiving all that from the VA hospital and clinic…Do you guys think that I am more than 10% disabled according to VA standards…I mean I volunteer where I live at the front desk as well a a dishwasher, will be attending college part time and can walk a lot but I am in pain most of the time.

Reply
- Victor says
  
  November 19, 2016 at 10:37 pm
  
  Nazem,
  
  Have you been treated for any of those diagnosed conditions you stated while in military service? Or, did you complain about any of those conditions while in service but was never diagnosed?
  
  Unfortunately, what some Veterans fail to understand is that the VA clinics/hospitals will diagnose and treat you for any condition that you may have however it does not mean that you will be service-connected. Unless there are presumptive conditions, for example like being exposed to tactical herbicides (Agent Orange) during Vietnam, in most cases the conditions would have to have manifested themselves while in service and documented in your service treatment records.
  
  If you don’t have your service treatment records, try ordering them from the National Personnel Records Center to review them. Or better yet, visit your nearest Veteran County Service Representative or nationally accredited VA Rep like the VFW, AMVET’s, American Legion, etc.
  
  Victor
  
  Reply
Joel says

November 29, 2016 at 3:29 am

I have a combined rating of 70%. I have 10% Lower back strain. I have 10% radiculopathy, left lower extremity as a Secondary condition. 50% Tension headaches. 10% Tinnitus. 10% Chronic Thoracolumbar Strain, left side IVDS. 10% Mild Right Sciatic Radiculopathy as a secondary condition and 20% Moderate left sciatic radiculopathy as another secondary condition. So I added the following.
50% + 20%= 60%
60% + 10%= 64%
64% + 10%= 68%
68% + 10%= 71%
71% + 10%= 74%
74% + 10%= 77%

Maybe I am doing something wrong but shouldn’t this be rounded up to 80% or do secondary conditions count for a lower percentage. all these numbers are coming straight from ebenefits.

Reply
- Ryan Guina says
  
  November 29, 2016 at 9:12 am
  
  Hello Joel, Thank you for contacting me. Your math looks right to me. I’m not sure why the VA is showing a combined rating of 70%. I’m not familiar with how the secondary conditions are calculated, so perhaps that is the case. I recommend contacting the VA to inquire, or contacting a veterans benefits counselor at a Veterans Service Organization such as the DAV, AMVETS, American Legion, etc. Best of luck, and thank you for your service!
  
  Reply
- Victor says
  
  November 29, 2016 at 7:16 pm
  
  Joel,
  
  Congratulations on your rating. All conditions are calculated according to the VA’s rating system. When you add “bilateral” conditions, they are actually worth more due to the fact that they are much more limiting to the Veteran.
  
  However, you might want to re-check your percentages again against your award letter. The VA is very good at calculating the combined ratings as they are automated.
  
  If you have a combined rating of 70%, then you are adding 1 too many 10%’s. And, IF I understand you correctly you have:
  
  50% = Tension Headaches
  20% = LEFT SIDE RADICULOPATHY OF THE SCIATIC NERVE (LEG) ?
  10% = Chronic Thoracolumbar Strain
  10% = Right Sciatic Radiculopathy (leg)
  10% = Lower Back Strain
  10% = RADICULOPATHY OF THE LOWER LEFT EXTREMITY (LEG) ?
  10% = Tinnitus
  
  I am somewhat confused? You were rated 10% in the same extremity for the same condition? Let me know.
  
  Reply
Hector Cuellar says

February 3, 2017 at 12:32 am

I my VA ratings are as follows 70% 40% 20% 10% 10% 10% 10% 10%. What would be my VA rating?

Reply
Robbie Clark says

March 30, 2017 at 4:19 pm

Does BI-Lateral Tinitus (ringing in both ears) qualify for the bi-lateral 10% + 10% = 19% x 10% = 1.9% then 19% + 1.9 % = 21%? This may help me make 100%

Reply
- Ryan Guina says
  
  March 30, 2017 at 10:33 pm
  
  Hello Robbie, Thank you for contacting me. Unfortunately, tinnitus is only a 10% rating, regardless of whether it is present in one ear or both ears. It is not a separate rating for each ear.
  
  Reply
Sam Longwell says

May 11, 2017 at 2:11 am

I have several injuries. 1. Hearing Loss 2. Right and left knee injuries. One has been replaced with a metal knee. The other needs to be replaced as well. 3. Achilles Tendon was torn off and had to be re-attached. Still has pain. What would be my percentage? And, the percentage is a percentage of VA, Military pay or what?
Thanks

Reply
Dorothy Laska says

June 8, 2017 at 11:32 pm

R shoulder is 60%, L shoulder is 20%

60% + 8% = 68%. Bilateral = 6.8%
68% + 6.8% = 74.8% which is rounded to 75%
Total combined rating is 80%

Am I figuring this correctly?

Reply
Cecilio A Perez says

July 25, 2017 at 5:40 pm

Confirm for me that I’m doing this correctly;
70% depression
60% shoulders (30% Right shoulder + 30% Left shoulder=51%. add bilateral factor of 5.1 and the result is 56.1 which rounds up to 60%)
40% back
20% knees
10% tinnitus
All added is a 95% rating (which rounds up to 100%)

Reply
Michael bennett says

July 26, 2017 at 2:02 pm

Ok I have 90%
70% PTSD
40% Lumbar Strain
30% Cervical Strain
Secondary
10% Left Lower
10% Right Lower extremities
Do secondaries Lower my ratings?

Reply
Rich says

August 2, 2017 at 4:30 pm

Hi Ryan,

Great article. I just submitted a letter to the VA asking them to refigure my disability rating. Under disabilities in eBenefits the %s listed eqaul 95 using the VA math chart, but they have me at 90%. I called the VA yesterday to confirm they received my fax and the individual on the phone said let me figure it up real quick as we have a calculator. She did and said she still came up with 90%. Is the VA using a calculator nowadays or still using the old math chart? Thanks in advance for your assistance.

Regards,
Rich

Reply
- Ryan Guina says
  
  August 3, 2017 at 7:30 pm
  
  Thank you, Rich. The VA plugs the numbers into a computer program that calculates the percentages. I recommend contacting a veterans service organization such as the DAV, VFW, AMVETS, American Legion, etc. if you have specific questions. They have trained counselors that can help you with your claim.
  
  Reply
Francisco Dezra says

October 7, 2017 at 11:38 am

Thank you for sharing your knowledge, please help me with this. I’m currently rated with bilateral low extremity radiculopathy at 10% each leg. If I’m awarded 20% rating for both knees on my current disability claim, what would my total rating be for all my bilateral conditions factoring in the bilateral factor considering all 4 parts are located at low extremity?

Reply
- Ryan Guina says
  
  October 7, 2017 at 12:44 pm
  
  Hello Francisco, Thank you for contacting me. There isn’t enough information in your question to give you an answer. Also, I can’t predict anyone’s disability rating because there are too many unknown factors to consider. I recommend using a disability calculator that you can find online or using the table to run different scenarios based on what some of the disability ratings may be. You can also contact a veterans service organization to get personalized assistance. I wish you the best, and thank you for your service!
  
  Reply
Jay Cunningham says

November 3, 2017 at 9:11 am

FYI, the order of severity is irrelevant. The math is still the same. Great information, thanks for sharing.

Reply
Stephanie says

December 21, 2017 at 11:46 am

Ryan,

How do I know if my claim is bilateral? For instance, as a result of my major depressive disorder I have scars. I receive 70% for my depression and 20% for my scars, also receive 10% for my feet. So that combined at 80%. So what if i claim that my scars and depression are bilateral? Can I do that, and if so how do I do that?

Reply
- Ryan Guina says
  
  December 21, 2017 at 1:24 pm
  
  Hello Stephanie, Thank you for contacting me. The way I understand it is the bilateral classification only applies to disability ratings occurring on two opposing limbs. For example, a combination of two injuries, one on each arm, may qualify. An example could include a left shoulder and right shoulder injury or a left shoulder and right wrist injury. Both of sets of examples are injuries to the same arm, even though it is a different part of the arm. Another example could be a right knee and left knee injury, or right knee and left ankle. Both of those occur on the each respective leg.
  
  However, just having a disability rating on each side of your body may not qualify if they are not on the opposite limb. For example, a right leg and left arm injury would not qualify.
  
  I am not aware of specific allowances for bilateral classifications for injuries or ratings that are not located on opposing limbs. I do not think depression and scars would qualify under the above examples.
  
  The VA should be able to clarify your disability ratings further. I wish you the best, and thank you for your service.
  
  Reply
Karl says

January 2, 2018 at 5:20 pm

Ryan, I had a knee injury while on active duty orders in Air Force ROTC summer training when I was in college in 1984. The surgery was done at Ft Bragg Army hospital (ACL) due to its close proximity to my home. The surgery was done poorly and I have suffered from it ever since. I went on active duty after college and served in the Air Force from 1987 to 1992, and with the Air Force Reserves from 1992 to 1997. I am going to eventually have to have a knee replacement.
Would this qualify as a Veteran’s disability? If so, how should I look into it? I really have no idea how to start. Thank you.

Reply
- Ryan Guina says
  
  January 3, 2018 at 12:48 pm
  
  Hello Karl, Thank you for contacting me. Yes, it is possible this could qualify as a VA disability, but it can become more difficult to prove as time goes by. I recommend working with a Veterans Service Organization to file a claim. Many organizations have trained benefits counselors that offer free benefits claims assistance. They can walk you through the process.
  
  In the mean time, I recommend getting all the supporting documentation you can get your hands on, including your military records, medical records, etc. These will be important for substantiating your case. I wish you the best, and thank you for your service!
  
  Reply
Andrew says

January 5, 2018 at 11:26 am

Ryan,

I am quite disappointed in how my ratings came back. I was initially given

20% for shoulder
10% for hearing / Tinitus
10% for right knee
0% for left knee
For a final degree of 40%

Went in for a “reconsideration” and was given 10% for my left knee. But my final degree did not change. So as such, I really do not get any compensation for my disabilities. Since I am less than 50% I loose part of my retirement. yes, I know that it reduces the amount of taxable income but that does not amount to much at all.

Reply
- Todd Wyndham says
  
  March 9, 2019 at 11:28 pm
  
  That’s really sad that person has to have there retirement reduced for getting a VA disability ratings I remember when this happened that Obama that had that enacted he claimed hey some of these folks are getting paid to many benefits retirement from military and whatever % they are getting for VA dis. ratings to me one thing doesn’t have anything to do with the other because you earned your retirement by time and by the gov. Regulations so I’d you sustained injuries or whatever during your time in serivice yoinshould compensated fully just as anyone else does it makes no sense all I can say is I’m sorry thank you for your service.
  
  Reply
Phil says

January 7, 2018 at 9:04 am

Hi Ryan,

My question concerns Tinnitus. I see a lot of posts stating that they have 10% rating for Tinnitus. Is this a new standard for Tinnitus? I’ve been rated with Tinnitus for years with only a 0% rating. if this is new. Will I be able to up my rating to 10% and receive back pay? Thanks.

Reply
- Ryan Guina says
  
  January 8, 2018 at 9:19 am
  
  Hello Phil, Thank you for contacting me. I do know people who have received a 10% rating for tinnitus. But I am not certain if all cases of tinnitus are rated at 10%. I recommend contacting a Veterans Service Organization to ask about your claim. They have trained benefits counselors that can assist you with the details. As for back pay – each situation is handled on a case by case basis. So I cannot comment on that. However, this is a good question for a veterans service officer. I wish you the best, and thank you for your service!
  
  Reply
- hutsky says
  
  January 15, 2018 at 6:47 pm
  
  The rating schedule for tinnitus was changed sometime around 2000. Prior to that time there were permitted ratings of 0% and 10%. After the change only one rating of 10% is provided by 38 CFR §4.87 Schedule of ratings–ear for DC 6260, tinnitus, recurrent. I was rated 0% for tinnitus under the old criteria but it was increased to 10% when I applied to VA. I do not recall if my request if my request was defined as a claim of not but the action occurred automatically. I do not know the answer regarding back pay. Have a VSO inquire or call the 1-(800)827-1000 number for an answer.
  
  Reply
HChestnut says

February 5, 2018 at 5:23 pm

Ok can someone please shed some light on this for me. I’m currently receiving 100% p&t for a Lung Condition. And I’m also rated at:
100% for digestive issue
70% for PTSD
60% for Urinary Issue
30% Hypertension
50% Sleep Apenea

I’m rated at SMC S , but they was before the Digestive and Urinary conditions . I was just bumped to 70% for PTSD . We’re pursuing SMC R1. Do I fit the criteria for this rating???

Reply
Ralph walker says

March 25, 2018 at 4:07 pm

Hi Ryan, I enjoy the comments you are receiving from the veterans. First I have learn how to use the VA chart you have post I really enjoy your Q&A columns. I’m a Vietnam veteran. I served with the Army 101st Airborne. My question is – I came down with prostate cancer. The VA put me a 100 % until I have my my cancer resolved. I had my radiation treatment so now I’m cancer free psa 0.51. My question – VA gave me special monthly compensation of 500.00 extra a month. I will be reevaluated in May 2018 for side effects from the cancer. My rate will come down, I’m sure. I was at 70% before I had the caner. I feel the smc was my right hand I was hit with shrapnel 50 % disability. I would like you thoughts will that stay or will 500 go away after I’m reevaluated?

Reply
- Ryan Guina says
  
  March 26, 2018 at 8:19 am
  
  Hello Ralph,
  
  Thank you for your question. I’m glad to hear that your cancer is improving. I hope you will be completely cured and that it won’t return. Regarding your disability ratings – I don’t know about the $500/mo special compensation. I can’t comment on that. The cancer diagnosis is usually considered a temporary rating because cancer is a health condition that can improve over time. So it is possible that rating will go away if your cancer is deemed to be 100% cured. If your cancer rating is removed, you will more than likely revert to your previous disability rating. Your previous ratings should not change if they were not connected to the cancer rating. So the rating for the shrapnel wound in your hand, for instance, will not likely change.
  
  My recommendation is to always work closely with a benefits counselor at a Veterans Service Organization, such as the DAV, AMVETS, VFW, American Legion, Vietnam Veterans Association, or a similar veterans organization. Many of these organizations have trained counselors that can help you through the benefits claims process and answer specific questions about the claims process, why your rating may change, and similar questions.
  
  I wish you the best of health, and thank you for your service!
  
  Reply
Tom Ziebert says

April 23, 2018 at 12:40 pm

Sir,
TY. My claim still in the works. But mine also has PTSD, be interesting how it works out. At least the VA got me in.
Tom

Reply
George says

May 13, 2018 at 4:29 pm

I have had a rating of 100% Disability with Employability for over 10 years. I went back to school through the VA to learn a new skill, but it hasn’t worked out for me. I am unable to work for 8 hrs a day or even less then that. I have had my student loans on deferment due to my low income. I haven’t had to pay any of it back as yet. I received a letter that I may be able to have the loans forgiven due to my 100% Rating, but one of the questions on the form says I need to have a Rating with Unemployability. I am 68 years old and there is no way I can go back to work. How do I work my way through this situation? Thank You in advance for your help.

Reply
Scott says

July 16, 2018 at 6:19 pm

I have create a spreadsheet to try and do my bi-lat calculations. I think that I am at 93%, but I am not sure if I have it right. Here is what I have minus all the 0’s for all my fingers.
BILATERAL CONDITIONS?
left lower extremity radiculopathy 20.00%
right hip degenerative joint disease 10.00%
left hip degenerative joint disease 10.00%
right knee degenerative arthritis 10.00%
left knee degenerative arthritis 10.00%
right shoulder degenerative arthritis 10.00%
left shoulder degenerative arthritis 10.00%
right cubital tunnel syndrome 10.00%
left cubital tunnel syndrome 10.00%
right hip degenerative joint disease limitation of flexion 0.00%
left hip degenerative joint disease limitation of flexion 0.00%
Singular Conditions
obstructive sleep apnea 50.00%
thoracolumbar spine degenerative arthritis 20.00%
cervical spine degenerative arthritis 20.00%
tinnitus 10.00%
Cumulative Disability 91.94%

Can you tell me if I have it right?

Reply
- Ryan Guina says
  
  July 18, 2018 at 11:45 am
  
  Scott, I think you are in the right ballpark, but this is complicated enough that I would consult with a veterans benefits counselor or the VA to double-check the math. They should be able to walk you through the calculation to verify your numbers. They won’t hide it from you — you have the right to know. You may have to ask around a couple times to find someone who can verify the numbers, as I believe the calculations are automated by computer. Best wishes!
  
  Reply
Edomrek says

December 11, 2018 at 11:22 pm

Hello. I just had a quick question. I have a final award decision of 90%. I went through a MED Board this last year and ended up with that. At the time of my MED Board i was diagnosed with Sleep apnea but I could not claim it along with other claims because my MED Board had already started. It was recommended to me that I claim it once I was discharged.

So i just did that last week. My question is this, when the VA goes to calculate my 90% final award and the new Sleep Apnea (50%) will they use the 90% as the starting point and do the VA math and add the 50% which would result in 100%?

Or will they go back and calculate it all over again with all my other disabilities individually which would result in me staying at 90%?

This is a difference of about $1200 a month for me so I just would like to know what to expect before it happens. Thank you so much.

Reply
- Ryan Guina says
  
  December 12, 2018 at 7:18 am
  
  Hello Edomrek, Thank you for your question. From what I understand, the VA will go back and calculate your combined rating all over again. They will put each of the ratings in order from high to low, factor in any bilateral conditions (if any), and calculate from the top.
  
  You should be able to meet with a VA representative or a veterans benefits counselor at a veterans service organization to help you with the calculation if you believe there to be any issues with the final numbers.
  
  I wish you the best, and thank you for your service!
  
  Reply
Dave says

December 17, 2018 at 9:24 pm

Hello, I have 2 separate issues I’m concerned with:

1. What if a service connected knee contributes to falling down some stairs and injuring a shoulder? Would the shoulder be covered as being caused by the other already service connected knee condition?

2. Also, I was a USMC pilot and feel like I have tinnitus. It wasn’t as aggravating when I first left service but has become quite annoying. Can I apply to have that added to my disability rating?

Thank you

Reply
- Ryan Guina says
  
  December 18, 2018 at 6:38 am
  
  Hello Dave,
  
  Question 1) I don’t know. You would need to speak with a veterans benefits counselor for more information. You can either contact the VA or a benefits counselor at your county VA office, or an organization such as the DAV, AMVETS, etc. Here are some recommendations – https://themilitarywallet.com/veterans-service-organizations-benefits-claims/
  
  Question 2) Yes, you can apply to have tinnitus added to your claim. Again, you may wish to have a veterans benefits counselor assist you – they have experience and may be able to help you.
  
  I hope this helps. I wish you the best, and thank you for your service!
  
  Reply
anthony willis says

January 4, 2019 at 5:49 pm

VA rating of 10% and 30% with an appeal that has been won and granted of 10% what will be the total disability rated for compensation?

Reply
Freida says

February 4, 2019 at 2:32 pm

I have service connected disabilities of left ankle 10%, right ankle 10%, left knee 10% and right knee 10%. ( amongst other issues) Will the bilateral factor be used for knees and ankles even though they are all on the lower extremities.

Reply
Dana says

February 15, 2019 at 1:47 pm

Seeking help with a question. I have had a total disability rating of 70% for the past couple of years. Recently I received a 50% rating on a new claim. Will the VA math begin with the 70% total rating and then factor in the new 50% or do they start fresh and add all the ratings over again to come up with my new total rating? Thanks in advance

Reply
- Ryan Guina says
  
  February 15, 2019 at 2:40 pm
  
  Hello Dana,
  
  The VA will start the process from the beginning, adding all your total ratings together. They won’t count all your previous ratings as a single 70% rating, then add another 50% rating to it. They will add them all together as described in the article.
  
  I hope that answers your question.
  
  Reply
Robert Ranck says

March 19, 2019 at 7:27 am

I am getting 90% now and I was just awarded 30%for PTSD what should my rate be?

Reply
- Ryan Guina says
  
  March 19, 2019 at 8:25 am
  
  Hello Robert, Thank you for your question. You will need to run the calculations based on the table in the article to know your new rating. The VA will rack and stack all of your ratings and run the calculation from the beginning. You can also contact the VA for the official number, once the calculate it, or you can work with a veterans service organization to help you run the numbers. I wish you the best, and thank you for your service!
  
  Reply
Kevin Brockway says

April 17, 2019 at 2:32 pm

Hello,
My name kevin and would like to know what total percent disability you calculate.
30% chronic adjustment disorder
20% degenerative disc
10% flat foot left
10% flat foot right
10% tinnitus
10% vertigo
10% carpel tunnel left
10% carpel tunnel right
*My overall rating is 70%.
I do not see where the bi-lateral factor was added to my left and right wrist carpel tunnel or bi-lateral flat feet.
What am I missing?

Reply
- Ryan Guina says
  
  April 18, 2019 at 7:11 am
  
  Hello Kevin, I ran the numbers you provided. The result was 70%, even with the bilateral factor applied to both your arms and legs.
  
  The VA Award Letter does not specify the bilateral factor has been applied and it does not show the math – just the individual ratings and the combined rating.
  
  I hope this is helpful. I wish you the best, and thank you for your service!
  
  Reply
Kevin Brockway says

April 18, 2019 at 2:31 pm

Ryan,
Thank you very much! I have just received my EMG results for my bilateral carpal tunnel syndrome. I am currently rated at 10% for each wrist. My EMG results state that I am a grade 3. The report states that I have significant CTS and graded both wrists a grade 3. I do believe that puts me in the 30% for the right wrist and 20% for the left. It states in my award letter that those two percentages were the max and no more. I’m curious if the bilateral factor would still apply and factored in the way the 10% + 10% bilateral CTS originally was or will the new percentages just be slid in?

….so I am at 70% with a 10% rating for both wrists. If I am awarded the increased disability of 30% and 20% and the bilateral factor is added that will bring me up to 80%?

Thank you very much for being available and sharing your expertise.

Reply
- Ryan Guina says
  
  April 18, 2019 at 10:15 pm
  
  Hello Kevin, The VA should change your 10% rating in each wrist to the new rating, then apply the bilateral factor to these ratings. The calculations will then be run from highest to lowest ratings.
  
  Regarding your other question, yes, I believe your new combined disability rating should be 80%.
  
  I wish you the best!
  
  Reply
LOUIS PIAZZA says

May 6, 2019 at 5:12 pm

Hello Ryan,
My Compensatory Benefit is currently at 50%
I receive 30% for VERTIGO, 20% for BILATERAL HEARING LOSS and 10% for TINNITUS, both ears.
in September of 2008 and again in November of 2008, I had 2 independent heart interventions resulting in 3 stents in the “widow-maker” heart artery.
Both cases, (which were 2 months apart) were labeled as “heart failure” by the surgeons.

In October of 2018, 10 years later, I had triple bypass surgery and, my Aortic Valve was replaced during that same surgery.

So, I went to see a VSO Agent and, she filed a claim for “heart failure” and PTSD.
This was on (about) 24 April 2019.

I realize that you don’t likely consult with your crystal ball very often but, in your experience, what’s likely to occur with my Award moving up from the 30,20,10% (50%), that I have now?

Thank you, for your time and especially, for your Service to others.
Be well,
Louis.

Reply
LOUIS PIAZZA says

May 6, 2019 at 5:17 pm

P.S.
I am a BLUE WATER VETERAN of Viet Nam, 1965 -1967. My ships are listed as qualified for Agent Orange Exposure, if that affects anything.
Thank you,
Louis.

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