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Vertigo (Peripheral Vestibular Disorder) VA Disability Rating
DC 6204 | 38 C.F.R. § 4.87 | M21-1, Part IV.ii.3
OVERVIEW
Vertigo and peripheral vestibular disorders are rated under Diagnostic Code 6204 at 38 C.F.R. § 4.87. Vertigo is common among veterans with TBI, blast exposure, tinnitus, and inner ear damage. Ratings are based on the frequency of dizziness episodes and whether they cause staggering.
RATING CRITERIA (2 LEVELS)
30% — Dizziness and occasional staggering
Dizziness and occasional staggering. Objective findings supporting the diagnosis of vestibular disequilibrium required before compensable evaluation. Hearing impairment and tinnitus separately rated and combined.
10% — Occasional dizziness
Occasional dizziness without staggering. Objective findings required. Hearing impairment and tinnitus from the same causative event rated separately and combined.
KEY EVIDENCE TO GATHER
-Audiological or ENT evaluation documenting vestibular dysfunction
-Service records showing blast exposure, head trauma, or ear injury
-Videonystagmography (VNG) or electronystagmography (ENG) test results
-Documentation of falls or near-falls related to dizziness episodes
-Buddy statements describing observable balance problems
SECONDARY CONDITIONS (2 MAPPED)
DC 9434/9413
Chronic vertigo significantly impacts quality of life and commonly causes secondary mental health conditions.
DC 8100
Vestibular migraines are a recognized condition linking vertigo and headache disorders.
C&P EXAM TIPS (4)
1.Describe the frequency, duration, and triggers of dizziness episodes.
2.Report any falls or near-falls — this establishes 'staggering' for the 30% criteria.
3.If related to TBI or blast exposure, make sure that connection is documented.
4.Note impact on driving, working, and daily activities.
RELEVANT CASE LAW
38 C.F.R. § 4.87, DC 6204
Objective findings supporting diagnosis of vestibular disequilibrium required before compensable evaluation. Hearing impairment or suppuration separately rated and combined. Distinguish from Meniere's syndrome (DC 6205) which has higher ratings for severe attacks with tinnitus and hearing loss.
DOLLAR IMPACT
Vertigo at 30% ($552/mo) is often secondary to TBI, tinnitus, or hearing loss. Combined with those primary conditions and depression, total ratings can exceed 70%.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026