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Tinnitus after a TBI: rating it as its own residual

Updated · By AIVA

When tinnitus follows a traumatic brain injury, DC 8045 does not rate it inside the TBI table: the regulation lists hearing loss and tinnitus among the physical dysfunctions evaluated under the appropriate diagnostic code — for tinnitus, DC 6260's single 10% evaluation — and residuals with a distinct diagnosis are separately evaluated rather than folded into the TBI rating.

What’s your situation?

Tinnitus VA rating: a single 10%

RatingCriteria — Diagnostic Code 6260, TinnitusIn plain languageWatch for
10%Tinnitus, recurrentRecurrent tinnitus — ringing or another sound that comes back — in one ear, both ears, or in the head. One 10% evaluation is the whole scale.Note (2) allows a single evaluation however the sound is perceived; there is no higher tinnitus percentage under this code.

Notes from the regulation:

  • 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 is used in support of an evaluation under any 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): Objective tinnitus (in which the sound is audible to other people and has some identifiable cause that may be resolved by surgery or other treatment) is not evaluated under DC 6260, but rather as part of the underlying condition from which it results.

Source: 38 CFR 4.87, Diagnostic Code 6260 — Tinnitus (eCFR)

What the TBI code says

DC 8045 rates most TBI residuals through its ten-facet table, but it carves out physical dysfunctions: emotional and behavioral dysfunction is rated under the mental disorders schedule, and other physical dysfunction — the list runs from endocrine dysfunction to hearing loss and tinnitus — is evaluated under the appropriate diagnostic code. Tinnitus claimed as a TBI residual is therefore still a DC 6260 evaluation: recurrent tinnitus, 10%, alongside whatever the TBI table produces for the cognitive and other facets.

The same section adds that a residual with a distinct diagnosis may be separately evaluated rather than under the TBI table, and that VA will not assign more than one evaluation for the same manifestations that cannot be clearly separated — the anti-pyramiding limit that decides how the pieces fit together.

38 CFR 4.124a, Diagnostic Code 8045 — TBI residuals (eCFR)

In this series: Tinnitus VA rating

Filing tinnitus alongside TBI residuals

Claim the tinnitus expressly and connect it to the injury: the blast or impact event, treatment records from the time noting ringing or hearing change, and continuity since. If tinnitus appears in your records but was never separately evaluated — a common outcome when a TBI claim is decided as a single package — the fix is a claim or Supplemental Claim asking for the separate DC 6260 evaluation DC 8045 directs. Veterans pursue this as a standard part of TBI residual claims; like any secondary or residual claim, it stands on the medical evidence linking the tinnitus to the injury.

38 CFR 4.124a, Diagnostic Code 8045 — TBI residuals (eCFR)

TBI residual evidence worksheet

A tinnitus-as-TBI-residual claim stands on the link between the injury event and the ringing. Assemble this record so the rater can trace that line without guessing.

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This educational series reproduces and explains the linked regulation and VA sources. It is not an individual legal or medical assessment, and it does not predict a rating. For representation or help with your claim, find VA-accredited assistance. Check the current VA instructions and your own decision letter before filing.

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