VA Hearing Loss Rating Calculator

Enter the numbers from your audiogram and watch the VA run its own three-table method — 38 CFR §4.85, diagnostic code 6100 — with every lookup shown, including the §4.86 exceptional patterns most calculators skip.

How the VA rates hearing loss — three table lookups:
  1. Average your puretone thresholds at 1000, 2000, 3000 and 4000 Hz for each ear (sum ÷ 4). (§4.85(d))
  2. Table VI crosses that average with your Maryland CNC speech discrimination score to give each ear a Roman numeral, I–XI. If your thresholds fit a §4.86 exceptional pattern, the ear may use Table VIa (average only) instead when it scores higher.
  3. Table VII crosses the two numerals — better ear vs. poorer ear — and the cell where they meet is your rating: 0% to 100%.
A non-service-connected ear counts as numeral I (§4.85(f)).

Right ear

Left ear

Estimate only, using the official method of 38 CFR §4.85 and §4.86 (diagnostic code 6100). The rating requires an exam by a state-licensed audiologist with a Maryland CNC speech test, done without hearing aids — an online hearing test or pharmacy screening can't be used. Your official rating is decided by the VA. Not legal advice; VetAid is not VA-accredited.

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The actual rating tables from 38 CFR §4.85

These are the regulation's own tables, reproduced in full — the VA publishes them only as scanned images, which is why almost nobody can read them. The calculator above highlights the exact cells used: right ear left ear

Table VI — Numeric designation of hearing impairment based on puretone threshold average and speech discrimination
% of speech
discrimination
Puretone threshold average (dB)
0–4142–4950–5758–6566–7374–8182–8990–9798+
92–100IIIIIIIIIIIIIIIIV
84–90IIIIIIIIIIIIIIIIVIVIV
76–82IIIIIIIVIVIVVVVV
68–74IVIVVVVIVIVIIVIIVII
60–66VVVIVIVIIVIIVIIIVIIIVIII
52–58VIVIVIIVIIVIIIVIIIVIIIVIIIIX
44–50VIIVIIVIIIVIIIVIIIIXIXIXX
36–42VIIIVIIIVIIIIXIXIXXXX
0–34IXXXIXIXIXIXIXIXI
Table VIa* — Numeric designation of hearing impairment based only on puretone threshold average
0–4142–4849–5556–6263–6970–7677–8384–9091–9798–104105+
IIIIIIIVVVIVIIVIIIIXXXI

* Table VIa is for use only as specified in §§ 4.85 and 4.86 — when the examiner certifies speech testing isn't appropriate, or when a §4.86 exceptional pattern makes it the higher numeral.

Table VII — Percentage evaluation for hearing impairment (diagnostic code 6100)
Better ear ↓  /  Poorer ear →XIXIXVIIIVIIVIVIVIIIIII
XI100*
X9080
IX807060
VIII70605050
VII6060504040
VI505040403030
V40404030302020
IV3030302020201010
III20202020201010100
II10101010101010000
I1010000000000

* At 100%, review for entitlement to special monthly compensation under §3.350. Rows are the better ear, columns the poorer ear (§4.85(e)).
Tables VI, VIa and VII reproduced cell-for-cell from 38 CFR §4.85 (Federal Register graphics ER11MY99.005–.006, 64 FR 25206, May 11, 1999), checked against the live eCFR on 2026-08-16. §4.86 text from 64 FR 25209.

The §4.86 exceptional patterns — where most calculators get it wrong

Two threshold patterns unlock a second lookup path, and each ear is tested separately:

§4.86(a): when all four thresholds (1000–4000 Hz) are 55 dB or more, the ear uses Table VI or Table VIa — whichever gives the higher numeral. This protects veterans whose flat, severe loss would be understated by a good speech score.

§4.86(b): when the threshold is 30 dB or less at 1000 Hz and 70 dB or more at 2000 Hz — a steep ski-slope loss — the ear takes the higher of Table VI or VIa, and that numeral is then elevated one step higher. This is the only place in the hearing schedule where a numeral gets bumped up.

Honest notes before you type your audiogram in

The rating comes from the audiologist's exam, not a self-test. §4.85(a) requires a state-licensed audiologist, a Maryland CNC speech discrimination test (a controlled 50-word list — scores move in 2% steps), and puretone audiometry without hearing aids. Numbers from an app, an online tone test, or a hearing-aid store screening won't be used.

0% is common — and still worth having. Table VII gives 0% to most numeral combinations below the middle of the table. But a 0% rating means the VA has conceded service connection: when your hearing worsens (it usually does), you file for an increase instead of re-proving the whole claim, and the effective-date fight is already won. It also anchors the claim most veterans actually get paid on — tinnitus (DC 6260, 10%), which is rated separately and combines with hearing loss. Full walkthrough: how the VA rates hearing loss.

One service-connected ear: the other ear counts as numeral I (§4.85(f)) — unless the non-service-connected ear is also deaf, in which case §3.383's paired-organ rule can allow compensation as if both were service-connected.

Rounding: the regulation defines the average as the four thresholds summed and divided by 4 (§4.85(d)); VA raters round a fractional average to the nearest whole decibel, .5 rounding up — the calculator shows that step when it happens.

Hearing loss rarely travels alone

Tinnitus, vertigo and Meniere's are rated separately and combine with your hearing rating — see where your combined number lands with the combined rating calculator, and check what a delayed filing costs with the back pay calculator.

Frequently asked questions

How does the VA rate hearing loss?

Three lookups under 38 CFR §4.85 (DC 6100): average your thresholds at 1000/2000/3000/4000 Hz per ear, turn that average plus your Maryland CNC score into a Roman numeral with Table VI (or VIa in §4.86 cases), then cross the two ears' numerals in Table VII for the percentage.

Why did I get 0% for hearing loss?

Table VII assigns 0% to most low-numeral combinations — a better ear at numeral I pays 0% unless the poorer ear hits X or XI. The 0% still establishes service connection, which makes a later increase claim far easier and pairs with the separate 10% tinnitus rating.

What is the Maryland CNC test?

The controlled 50-word speech discrimination test §4.85(a) requires, given by a state-licensed audiologist without hearing aids. Each word is 2%, so scores come in even steps. Online or store hearing screenings can't substitute.

What is exceptional hearing loss under §4.86?

Two patterns, each ear separate: (a) all four thresholds ≥55 dB — use the higher of Table VI or VIa; (b) ≤30 dB at 1000 Hz and ≥70 dB at 2000 Hz — use the higher of VI or VIa, then elevate the numeral one step.

What if only one ear is service-connected?

The non-service-connected ear is assigned numeral I under §4.85(f), subject to the paired-organ rule in 38 CFR §3.383 if that ear is also deaf.

Is tinnitus rated separately?

Yes — recurrent tinnitus is DC 6260, a flat 10% whether it's in one ear or both, and it combines with the hearing loss rating.