Vertigo & vestibular disorders
Vertigo and other inner-ear (vestibular) disorders cause dizziness and a spinning sensation, sometimes with hearing changes. The VA rates them by how often dizziness and balance problems occur.
How the VA looks at Vertigo & vestibular disorders
VA rating schedule, diagnostic code 6204
The VA recognizes vertigo and vestibular (inner-ear balance) disorders, including Meniere's disease, as conditions that can be service-connected and rated. Diseases of the ear are rated under 38 CFR § 4.87.
For a peripheral vestibular disorder under Diagnostic Code 6204, the VA assigns a 10% rating for occasional dizziness and a 30% rating for dizziness with occasional staggering. A note to this code states that objective findings supporting the diagnosis are required before a compensable (paying) rating can be assigned — in plain terms, the VA looks for medical evidence of the condition, not symptoms alone.
Meniere's syndrome (also called endolymphatic hydrops) is rated separately under Diagnostic Code 6205, based on how often attacks of vertigo happen along with hearing loss: 30% for hearing impairment with vertigo less than once a month; 60% with attacks and cerebellar gait one to four times a month; and 100% with attacks more than once a week (with or without tinnitus). The rules also let the VA evaluate Meniere's either under this code or by rating the vertigo, hearing loss, and tinnitus separately — whichever gives the higher overall result, but not both at once.
This is general educational information about how the VA's rules work — not legal advice, not a VA decision, and not a prediction about any individual claim. Outcomes depend on your own facts and evidence; a denial can be appealed.
Grounded in federal regulations and VA guidance, independently reviewed June 2026. Educational information, not legal advice or a VA determination.
Across 3,686 real Board appeals for Vertigo & vestibular disorders
66% were granted, partly granted, or remanded.
A denial is often not the end — remands are sent back for more development and frequently end in a grant.
- Granted 21%
- Partly granted 10%
- Remanded 35%
- Denied 28%
- Dismissed 7%
What tends to win
Among the appeals that were granted or partly granted, the most common ways Vertigo & vestibular disorders was linked to service:
- Direct service connection831
- Secondary to another service-connected condition120
- Reopened with new & material evidence77
How it’s rated, in practice
When Vertigo & vestibular disorders was granted, the rating most often assigned was:
- 100% (173)
- 30% (143)
- 10% (82)
- 70% (46)
- 50% (28)
Presumptive & exposure paths
These appeals involved a recognized exposure — which can mean the link to service is presumed, with no nexus to prove:
- PACT Act40
- Gulf War30
- Agent Orange / herbicides23
- Burn pits & airborne hazards20
- Camp Lejeune water18
Real decisions
- Granted
The Board granted service connection for Meniere's disease, finding that the Veteran's disability was proximately caused by his exposure to excessive noise during active service.
- Granted
The Board granted service connection for a vertigo disability and right-hand cyst, ring finger, resolving reasonable doubt in the Veteran's favor.
- Granted
The Board granted service connection for Meniere's disease, resolving reasonable doubt in favor of the Veteran and finding that his Meniere's disease was caused by acoustic trauma during military service.
- Granted
The Veteran was granted a rating of total disability due to individual unemployability (TDIU) based upon service-connected disorders effective July 20, 2022, and basic eligibility to Dependents' Educational Assistance (DEA) pursuant to 38 U.S.C. chapter 35 for the same effective date.
- Granted
The Board granted service connection for residuals of a traumatic brain injury, post-traumatic migraines secondary to the TBI, and peripheral vestibular disorder secondary to the TBI.
- Granted
The Veteran was granted a 100-percent rating for Meniere's disease with hearing impairment and tinnitus, effective from March 23, 2020, along with an earlier effective date of the same date for eligibility to Dependents' Educational Assistance.
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This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.