Rating Ledger

Combined ratings / 60% and 10%

38 CFR 4.25 Table I · checked 2026-10-20

60% and 10% VA rating combined

A 60% and a 10% rating combine to 64, which VA rounds down to 60%. The 10% is not added to the 60%: it takes 10% of the 40% efficiency the first rating leaves, which is 4 points. At 60% a veteran alone receives $1,435.02 a month and a veteran with a spouse $1,566.02.

Table I value64%Rounded once60%60 + 10 → 641234
  1. 1First rating 60 squares
  2. 210% of what is left 4 squares
  3. 3Efficiency left 36%
  4. 4Combined rating 60%
Table I value
64%
VA rating
60%
Monthly, alone
$1,435.02
Efficiency left
36%

The arithmetic, step by step

  1. Order by severity: 60% first, then 10%.
  2. After the 60% rating, 40% efficiency is left. The 10% rating takes 10% of that: 10 × 40 ÷ 100 = 4.
  3. 60 + 4 = 64. That is the figure printed in Table I at row 60, column 10.
  4. Round once to the nearest 10, values ending in 5 going up: 64 becomes 60%.

Because 64 ends in 4, it rounds down. The result is the same 60% the first rating gave alone, so on its own the 10% rating changes neither the rating nor the $1,435.02 monthly payment. It still counts: it stays in the ledger, and the next rating combines with 64, not with 60. One more 10% rating would lift it to 68, rated 70%.

Added together, the two ratings would make 70. VA's method gives 60, 10 points less. The gap grows with the size of the ratings, because each later rating works on a smaller remainder.

What 60% pays

60% alone$1,435.0260% + 10% (60%)$1,435.02With another 10% (70%)$1,808.45
Monthly compensation, veteran with no dependents, VA rates effective December 1, 2025. Bars to scale from zero.

At 60%, VA's table effective December 1, 2025 pays $1,435.02 a month to a veteran alone, $1,566.02 with a spouse, and $1,663.02 with a spouse and one child under 18. That is the same payment as 60% alone. The 60% pay page lists every dependent row.

If a third rating is added

A third 10% rating would combine with 64, not with 60: 64 and 10 give 68, rated 70%, one step up. The smallest single rating that moves this pair up a step is 10%, reaching 68 and 70% ($1,808.45 a month alone).

On the numbers alone this pair meets the schedular threshold for a total rating based on unemployability in 38 CFR 4.16(a): one disability rated at least 60%. Meeting the percentages is only the start; VA must also find that service-connected disabilities prevent substantially gainful work. See the TDIU guide.

If the two ratings are on paired limbs

When the 60% and the 10% are on the left and right leg (or both arms), 38 CFR 4.26 adds a bilateral factor: 60 and 10 combine to 64, plus 10% of that gives 70, rated 70%. Here the factor moves the rating from 60% to 70%, worth $1,808.45 a month alone instead of $1,435.02. The bilateral factor guide has the full rule.

Conditions that are rated at 60% and 10%

Diagnostic codes on this site with a 60% level include Meniere's disease (DC 6205), Shoulder replacement (DC 5051), Knee replacement (DC 5055), Intervertebral disc syndrome (IVDS) (DC 5243), Sciatic nerve (radiculopathy) (DC 8520), Epilepsy (seizures) (DC 8910), Asthma (DC 6602), COPD (DC 6604), Hypertension (high blood pressure) (DC 7101), Varicose veins (DC 7120), Hernia (inguinal, ventral, umbilical) (DC 7338), Eczema (dermatitis) (DC 7806), Diabetes mellitus (type 2) (DC 7913), Prostate conditions (voiding dysfunction) (DC 7527). A 10% level appears in Tinnitus, Vertigo (peripheral vestibular disorder), PTSD, Degenerative arthritis, Elbow (forearm) limitation of flexion, Back strain (lumbosacral or cervical strain), Intervertebral disc syndrome (IVDS), Knee instability, Knee limitation of flexion, Knee limitation of extension, Ankle limited motion, Flat feet (pes planus), Plantar fasciitis, Foot injury (other), Hip (thigh) limitation of flexion, Migraines, Sciatic nerve (radiculopathy), Carpal tunnel (median nerve), Common peroneal nerve (foot drop), Epilepsy (seizures), Asthma, COPD, Allergic rhinitis, Chronic sinusitis, Hypertension (high blood pressure), Supraventricular arrhythmia (incl. AFib), Varicose veins, GERD (acid reflux), Irritable bowel syndrome (IBS), Hemorrhoids, Hernia (inguinal, ventral, umbilical), Scars of the head, face or neck, Deep scars (not head, face or neck), Painful or unstable scars, Eczema (dermatitis), Diabetes mellitus (type 2), Prostate conditions (voiding dysfunction), TMJ (temporomandibular disorder).

38 CFR 4.97, diagnostic code 6604, COPD, 60%: “FEV-1 of 40 to 55 percent predicted, or FEV-1/FVC of 40 to 55 percent, or DLCO (SB) of 40 to 55 percent predicted, or maximum oxygen consumption of 15 to 20 ml/kg/min with cardiorespiratory limit.”

38 CFR 4.71a, diagnostic code 5243, Intervertebral disc syndrome (IVDS), 10%: “Incapacitating episodes having a total duration of at least 1 week but less than 2 weeks during the past 12 months.”

38 CFR 4.71a, diagnostic code 5260, Knee limitation of flexion, 10%: “Flexion limited to 45 degrees.”

38 CFR 4.114, diagnostic code 7338, Hernia (inguinal, ventral, umbilical), 60%: “Irreparable hernia present 12 months or more, 15 cm or more in one dimension, with pain during two of those activities.”

Criteria summarized from the rating schedule; each condition page links to the regulation.

Other pairs

4 other pairs also round to 60%: 50+20, 50+10, 40+40, 40+30.

For three or more ratings, or to add dependents, use the calculator. Background: why 50 and 50 is not 100.

Rating Ledger is not part of VA and does not file or decide claims. Amounts are VA's published monthly rates effective December 1, 2025 for a veteran, before any deduction or special monthly compensation; ratings follow 38 CFR 4.25 and 38 CFR 4.26. Last checked 2026-10-20. Only a VA rating decision sets a rating or a payment. See the methodology.