What are the VA rating percentages for Benign Paroxysmal Positional Vertigo?

Benign Paroxysmal Positional Vertigo (DC 6204) is rated at 0%, 10%, 20%, 30% under 38 CFR § 4.87, DC 6204. Hearing loss present but puretone thresholds and speech recognition scores result in Level I designation bilaterally under Table VI.

What rates 0% for Benign Paroxysmal Positional Vertigo under 38 CFR § 4.87, DC 6204?

Under 38 CFR § 4.87, DC 6204 (DC 6204), a 0% rating for Benign Paroxysmal Positional Vertigo requires: Hearing loss present but puretone thresholds and speech recognition scores result in Level I designation bilaterally under Table VI.

What rates 10% for Benign Paroxysmal Positional Vertigo under 38 CFR § 4.87, DC 6204?

Under 38 CFR § 4.87, DC 6204 (DC 6204), a 10% rating for Benign Paroxysmal Positional Vertigo requires: Hearing loss with at least one ear at Level II-IV per Table VI or VII, resulting in a 10% rating per Table VII.

What rates 20% for Benign Paroxysmal Positional Vertigo under 38 CFR § 4.87, DC 6204?

Under 38 CFR § 4.87, DC 6204 (DC 6204), a 20% rating for Benign Paroxysmal Positional Vertigo requires: Hearing loss with audiometric results producing a 20% rating per Table VII combination.

What rates 30% for Benign Paroxysmal Positional Vertigo under 38 CFR § 4.87, DC 6204?

Under 38 CFR § 4.87, DC 6204 (DC 6204), a 30% rating for Benign Paroxysmal Positional Vertigo requires: Hearing loss with audiometric results producing a 30% rating per Table VII combination.

What happens during a C&P exam for Benign Paroxysmal Positional Vertigo?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Benign Paroxysmal Positional Vertigo

Q: What evidence do I need for a Benign Paroxysmal Positional Vertigo VA claim?

Key evidence for a Benign Paroxysmal Positional Vertigo claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 6204 | 38 CFR § 4.87, DC 6204 | 

Benign Paroxysmal Positional Vertigo is rated by the U.S. Department of Veterans Affairs under DC 6204 of 38 CFR § 4.87, DC 6204 across 4 severity tiers (0% / 10% / 20% / 30%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

OVERVIEW

Common inner ear disorder causing brief episodes of vertigo triggered by specific head position changes. Caused by displaced calcium carbonate crystals (otoconia) in the semicircular canals. Common after head trauma and blast injuries in military service.

RATING CRITERIA (4 LEVELS)

Hearing loss present but puretone thresholds and speech recognition scores result in Level I designation bilaterally under Table VI.

10%

Hearing loss with at least one ear at Level II-IV per Table VI or VII, resulting in a 10% rating per Table VII.

20%

Hearing loss with audiometric results producing a 20% rating per Table VII combination.

30%

Hearing loss with audiometric results producing a 30% rating per Table VII combination.

KEY EVIDENCE TO GATHER

-Service treatment records showing injury or complaints

-Imaging (X-ray, MRI, CT)

-Range of motion measurements

-Flare-up documentation per Sharp v. Shulkin

-Buddy statements describing limitations

-Prescription history

-Physical therapy records

-Employment impact documentation

C&P EXAM TIPS (6)

1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5.If you use assistive devices (brace, cane), bring them.

6.Describe daily activity impact: work, sleep, household tasks.

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SOURCES & EDITORIAL

Rating criteria reference 38 C.F.R. Part 4 (Schedule for Rating Disabilities). This entry has not yet undergone editorial review against the live regulation text — consult the authoritative source directly before relying on the criteria shown.

→ View 38 C.F.R. Part 4 on eCFR → Editorial Standards → Suggest a correction

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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