Tinnitus is the most common VA disability claim — but hearing loss is a separate condition that can be rated independently. Many veterans get the tinnitus rating and stop there, leaving a second disability and additional monthly compensation unclaimed.
How the VA Tests Hearing Loss
VA hearing loss ratings are based on two tests: puretone audiometry (measuring thresholds at specific frequencies) and speech recognition (the Maryland CNC test measuring how well you understand spoken words). The VA plots your results on a conversion table to assign Roman numeral levels (I through XI) for each ear, and those levels combine into a percentage rating ranging from 0% to 100%.
Zero percent is common for mild hearing loss — but zero percent service-connected is still worth claiming. It establishes the service connection, protects you from future denial, and means if your hearing worsens you can file for an increase without having to re-prove service connection.
Building the Service Connection
The most effective way to connect hearing loss to service is through documentation of noise exposure during your service — working on flight lines, around heavy equipment, in MOS roles known for high noise environments, or combat deployments. A private audiologist’s letter stating that your current hearing loss is consistent with noise-induced damage from service is a powerful piece of nexus evidence.
Stacking Hearing Loss and Tinnitus
Because they are separate diagnostic codes affecting different aspects of hearing function, you can and should claim both. The VA combines them into your overall rating using the combined ratings table. A 10% tinnitus combined with a 10% hearing loss produces approximately a 19% combined rating (rounded to 20%), which meaningfully increases your monthly compensation.
Assistive Devices Through the VA
Service-connected hearing loss also qualifies you for VA-provided hearing aids, audiology appointments, and related devices at no cost — regardless of your percentage rating. This benefit is separate from your monthly compensation and doesn’t require a high rating to access.
Can I get hearing aids from the VA with a 0% hearing loss rating?
Yes. Any service-connected hearing loss — even at 0% — qualifies you for VA audiology services and hearing aids at no cost.
What if my hearing loss wasn’t documented in service?
Lack of in-service documentation doesn’t automatically end your claim. A nexus letter from an audiologist linking your current hearing profile to the type of noise exposure your MOS or deployment involved can establish service connection without in-service records.