38 C.F.R. § 4.87

Schedule of ratings—ear

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Diseases of the Ear

Rating
6200 Chronic suppurative otitis media, mastoiditis, or cholesteatoma (or any combination):
During suppuration, or with aural polyps10
Note: Evaluate hearing impairment, and complications such as labyrinthitis, tinnitus, facial nerve paralysis, or bone loss of skull, separately.
6201 Chronic nonsuppurative otitis media with effusion (serous otitis media):
Rate hearing impairment
6202 Otosclerosis:
Rate hearing impairment
6204 Peripheral vestibular disorders:
Dizziness and occasional staggering30
Occasional dizziness10
Note: Objective findings supporting the diagnosis of vestibular disequilibrium are required before a compensable evaluation can be assigned under this code. Hearing impairment or suppuration shall be separately rated and combined.
6205 Meniere's syndrome (endolymphatic hydrops):
Hearing impairment with attacks of vertigo and cerebellar gait occurring more than once weekly, with or without tinnitus100
Hearing impairment with attacks of vertigo and cerebellar gait occurring from one to four times a month, with or without tinnitus60
Hearing impairment with vertigo less than once a month, with or without tinnitus30
Note: Evaluate Meniere's syndrome either under these criteria or by separately evaluating vertigo (as a peripheral vestibular disorder), hearing impairment, and tinnitus, whichever method results in a higher overall evaluation. But do not combine an evaluation for hearing impairment, tinnitus, or vertigo with an evaluation under diagnostic code 6205.
6207 Loss of auricle:
Complete loss of both50
Complete loss of one30
Deformity of one, with loss of one-third or more of the substance10
6208 Malignant neoplasm of the ear (other than skin only)100
Note: A rating of 100 percent shall continue beyond the cessation of any surgical, radiation treatment, antineoplastic chemotherapy or other therapeutic procedure. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based on that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter. If there has been no local recurrence or metastasis, rate on residuals.
6209 Benign neoplasms of the ear (other than skin only):
Rate on impairment of function.
6210 Chronic otitis externa:
Swelling, dry and scaly or serous discharge, and itching requiring frequent and prolonged treatment10
6211 Tympanic membrane, perforation of0
6260 Tinnitus, recurrent10
Note (1): A separate evaluation for tinnitus may be combined with an evaluation under diagnostic codes 6100, 6200, 6204, or other diagnostic code, except when tinnitus supports an evaluation under one of those diagnostic codes.
Note (2): Assign only a single evaluation for recurrent tinnitus, whether the sound is perceived in one ear, both ears, or in the head.
Note (3): Do not evaluate objective tinnitus (in which the sound is audible to other people and has a definable cause that may or may not be pathologic) under this diagnostic code, but evaluate it as part of any underlying condition causing it.
(Authority: 38 U.S.C. 1155) [64 FR 25210, May 11, 1999, as amended at 68 FR 25823, May 14, 2003]
Notes of Decisions
Cited in 69 cases (11 in the last 5 years), 1992–2023 · leading case: Ellis C. Smith v. R. James Nicholson, 19 Vet. App. 63 (Vet. App. 2005).
Ellis C. Smith v. R. James Nicholson, 19 Vet. App. 63 (Vet. App. 2005). · cites it 16× “STEINBERG, Judge: Veteran Ellis Smith (the appellant), through counsel, seeks review of a December 12, 2000, decision of the Board of Veterans' Appeals (BVA or Board) that, inter alia, granted a Department of Veterans Affairs (VA) disability rating of 10% (but no higher)…”
Ellis C. Smith, Claimant-Appellee v. R. James Nicholson, Sec'y of Vets. Affairs, 451 F.3d 1344 (Fed. Cir. 2006). · cites it 6× “25 (b) and 38 C.F.R. § 4.87 , DC 6260 require the assignment of dual ratings for bilateral tinnitus.”
Robert Fountain v. Robert A. McDonald, 27 Vet. App. 258 (Vet. App. 2015). · cites it 3× “Letter’s description of tinnitus as a symptom (1) ignores the nature of tinnitus, which is described in the Training Letter itself as a condition that “originates in the central nervous system”; (2) is inconsistent with VA’s benefits scheme that identifies tinnitus as a…”
Joe L. Monzingo v. Eric K. Shinseki, 26 Vet. App. 97 (Vet. App. 2012). · cites it 2× “85 (2012) ("Evaluation of hearing impairment"), with 38 C.F.R. § 4.87 , Diagnostic Code (DC) 6260 (2012) ("Tinnitus"); see 38 C.”
Hatmaker v. United States, 127 Fed. Cl. 217 (Fed. Cl. 2016). · cites it 5× “See 38 C.F.R. § 4.87 (code 6204 Peripheral vestibular disorders).”
Hatmaker v. United States, 117 Fed. Cl. 560 (Fed. Cl. 2014). · cites it 5× “; see also 38 C.F.R. § 4.87 (2007) 4 (code 6204). The PEB recommended that Mr.”
Wanner - Wright v. Principi, 17 Vet. App. 4 (Vet. App. 2003). · cites it 3× “See 38 C.F.R. § 4.87 , [DC] 6260, effective on and after June 10, 1999.”
Mary Vilfranc v. Robert A. McDonald, 28 Vet. App. 357 (Vet. App. 2017). · cites it 6× “At issue in Smith was 38 C.F.R. § 4.87 , Diagnostic Code 6260, the Secretary's diagnostic code governing tinnitus, a condition in which a person perceives sound–usually ringing–in his or her ear or ears that is not actually there.”
Jacob Wanner & King L. Wright, Claimants-Appellees v. Anthony J. Principi, Sec'y of Vets. Affairs, 370 F.3d 1124 (Fed. Cir. 2004). “” See 38 C.F.R. § 4.87 , DC 6260 (1999). Wanner appealed the Board’s decision to the Veterans Court.”
Lendenmann v. Principi, 3 Vet. App. 345 (Vet. App. 1992). “38 C.F.R. § 4.87 , table VII. Because the Court can find no error on the part of the VA or the Board in applying the rating schedule to the results of the audiometric examination, the Court holds that appellant has not demonstrated that the BVA committed either legal or factual…”
Alfred W. Vahey v. R. James Nicholson, 20 Vet. App. 208 (Vet. App. 2006). · cites it 2× “25 (b) (2002) provided for an award of two 10% disability ratings under 38 C.F.R. § 4.87 , Diagnostic Code (DC) 6260 ,,,,,2 one for each ear, to veterans exhibiting recurrent bilateral .”
Breland v. McDonough, 22 F.4th 1347 (Fed. Cir. 2022). “79 , DC 6014 (Malignant neoplasms of the eye, orbit, and adnexa (excluding skin)); 38 C.F.R. § 4.87 , DC 6208 (Malignant neoplasm of the ear); 38 C.”
Annotations are extracted automatically from the opinions in the Syfert caselaw corpus and ranked by authority, recency, and treatment. Dots show Syfertize treatment of the citing case itself.