Rating guide · Hearing
Hearing Loss: A Rating Set by the Numbers
Unlike most conditions, hearing loss leaves the rater almost no discretion. Your test results go into VA tables and the percentage falls out, so getting a proper exam is everything.
- Valid exam checklist
- How results convert
- Exceptional patterns
- Long-term value
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What Makes an Exam Valid
- Performed by a state-licensed audiologist
- Done without hearing aids
- Includes a Maryland CNC speech discrimination test
- Includes puretone audiometry
Screenings from retail hearing aid centers rarely meet these standards.
How Your Results Become a Percentage
Your thresholds at 1000, 2000, 3000 and 4000 Hz are averaged for each ear. That average and your speech score produce a Roman numeral from I to XI for each ear, and the two numerals together set the percentage from a second table.
Exceptional patterns (38 CFR 4.86)
- 55 dB or worse at all four frequencies: the VA uses whichever table gives the higher numeral.
- 30 dB or better at 1000 Hz, but 70 dB or worse at 2000 Hz: the higher numeral is used and then bumped up one more.
Why a 0% Hearing Loss Rating Is Worth It
A 0% rating still makes hearing loss service-connected. When it gets worse, and it usually does, you only need to show the change. It also supports a tinnitus claim from the same noise exposure, and can matter for VA health care benefits like hearing aids.
Hearing Loss VA Rating: Common Questions
Why did I get 0% for real hearing loss?
The VA tables set the percentage from your test results, and many genuine service-connected hearing losses fall below the compensable level.
Can I use a private audiologist?
Yes, if they’re state-licensed and the exam includes the Maryland CNC speech test and puretone audiometry without hearing aids.
Should I wear my hearing aids to the exam?
No. VA hearing exams are done without them.
Can I get an increase later?
Yes. Once service-connected, you can file for an increase and a new exam will measure your current hearing.
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