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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
Check presumptive conditions for your exposure →

Real decisions

Browse all 3,686 Vertigo & vestibular disorders decisions →

Browse Vertigo & vestibular disorders decisions by year

Jump to the decisions from a specific year.

What you can do next

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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.