This guide covers how the VA actually rates ringing in the ears under diagnostic code 6260 — the criteria the rater applies, the evidence that carries weight, and the related conditions veterans most often leave unclaimed. It's the same playbook our own case managers work from.
How the VA rates it
10% flat — that is the maximum. One ear or both, constant or intermittent.
Honest ceiling: 10% is the max — one ear or both, it doesn't change.
The evidence that wins
Service connection: MOS noise exposure (check VA Duty MOS Noise List).
Medical opinion (nexus): Often conceded on lay evidence + noise MOS — vet is competent to report onset.
Secondary conditions veterans miss
Conditions that commonly develop because of this one can be service-connected on top of it:
- Insomnia → MH aggravation
- Migraines secondary to tinnitus — Recognized pathway — chase it when he has both
Filing it right the first time
Most denials on ringing in the ears claims trace to the same failures: the evidence never addressed the actual rating criteria, the connection to service was asserted instead of supported, or the C&P exam went sideways because nobody prepared for it. A complete file — records, statements written to the criteria above, and honest exam preparation — is the difference.
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