EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Hyperacusis
DC 6260 | 38 CFR § 4.87, DC 6260 (by analogy) |
Hyperacusis is rated by the U.S. Department of Veterans Affairs under DC 6260 of 38 CFR § 4.87, DC 6260 (by analogy) 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
Increased sensitivity to normal environmental sounds, making everyday noises seem intolerably loud or painful. Frequently co-occurs with tinnitus and hearing loss. Common after noise exposure, blast injury, or traumatic brain injury in military service.
RATING CRITERIA (4 LEVELS)
0%
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.
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.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026