Condition
VA Nexus Letters for Tinnitus & Hearing Loss
Noise-exposure claims for tinnitus and sensorineural hearing loss.
Tinnitus and hearing loss claims are frequently denied when separation audiograms look normal. Current medical literature recognizes delayed-onset and progressive noise-induced hearing loss, and the VA's own duty-MOS noise exposure listings can establish the in-service event even without documented complaints.
What the VA requires
- A current diagnosis (audiogram for hearing loss; tinnitus is diagnosed by report)
- In-service noise exposure, often established by MOS
- A medical opinion linking exposure to the current condition
How it is rated
Tinnitus is rated at a maximum of 10 percent under DC 6260. Hearing loss is rated from tables in 38 CFR 4.85 using puretone thresholds and speech discrimination scores.
How we help
- Opinions grounded in your MOS noise-exposure probability
- Medical reasoning for delayed-onset and progressive hearing loss
- Rebuttal of C&P opinions that rely only on a normal separation audiogram
Commonly claimed as secondary
- Migraines
- Anxiety
- Sleep disturbance
Find out which of your conditions a medical opinion can support.
Answer eight plain-English questions. No cost, no obligation, and a real person follows up.