👂 HearingEarDC 6204

Peripheral Vestibular Disorder

A balance disorder caused by dysfunction of the inner ear (vestibular system), producing dizziness, vertigo, or unsteadiness. Includes conditions such as labyrinthitis, vestibular neuritis, and BPPV. Rated under DC 6204 based on severity of dizziness and gait disturbance.

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VA Rating Tiers

30%
constant dizziness or staggering
10%
occasional dizziness
0%
Meets minimum criteria

Rating Notes

  • 30%: Moderate vestibular disorder — frequent episodes of vertigo lasting minutes to hours with significant functional limitation. DC 6204.
  • 10%: Mild vestibular disorder — occasional dizziness or imbalance with activity limitation. DC 6204.
  • 0%: Documented but below compensable threshold — service connected but non-compensable.
  • DC 6204: Peripheral vestibular disorder.
  • 30%: Constant dizziness or occasional staggering.
  • 10%: Occasional dizziness.
  • Hearing impairment (if present) is rated separately under DC 6100.
  • If symptoms include episodic hearing loss, vertigo, and tinnitus together, consider Meniere's Syndrome (DC 6205).
  • Vestibular function testing (VNG/ENG) provides objective documentation of inner ear dysfunction.

Eligibility Basics

Current symptoms
In-service event
Diagnosis or lay evidence
  • DC 6204 — peripheral vestibular disorder; rated based on severity of dizziness and balance impairment.
  • Noise-induced inner ear damage, blast injury, and head trauma are common service connection pathways.
  • Evaluate any associated hearing impairment separately under DC 6100.
  • If dizziness is accompanied by episodic hearing loss and tinnitus, consider Meniere's Syndrome (DC 6205) instead.
  • Document dizziness frequency, severity, and whether gait (walking balance) is affected.

Evidence to Gather

Service Records

  • records of head trauma, blast injury, or ear barotrauma during service
  • sick call records documenting dizziness, vertigo, or balance problems during service
  • records of in-service ear infections or pressure-related ear injury

Medical Evidence

  • ENT or neurotology records documenting vestibular dysfunction
  • vestibular function tests (VNG/ENG, rotary chair, VEMP)
  • audiogram if hearing loss is also present
  • physical therapy records for vestibular rehabilitation

Lay Evidence (Buddy Statements)

  • personal statement describing dizziness or balance problems that began during or after service
  • statement from family or coworker noting balance problems or dizziness episodes
  • buddy statement confirming blast exposure or head trauma during service

Diagnostic Tests

  • videonystagmography (VNG) or electronystagmography (ENG)
  • rotary chair testing
  • vestibular evoked myogenic potentials (VEMP)
  • audiogram
  • Dix-Hallpike maneuver (for BPPV)

C&P Exam Preparation

Exam type: ENT / Audiology / Neurotology — Vestibular

Be ready to describe

  • how often dizziness or vertigo occurs and how long episodes last
  • whether dizziness affects walking or balance (staggering)
  • nausea or vomiting with dizzy episodes
  • in-service cause — blast, trauma, barotrauma, ear infection
  • treatments tried (Epley maneuver, vestibular rehab, medications)

Prep notes

  • Bring vestibular function test results (VNG/ENG) if available.
  • Describe worst-day dizziness — do not only report good days.
  • Mention whether dizziness causes you to hold on to things or avoid activities.
  • File a separate Hearing Loss claim (DC 6100) if you have measurable hearing loss.
  • If symptoms include episodic hearing loss + tinnitus + vertigo together, consider also filing Meniere's Syndrome (DC 6205).

Quick Facts

Diagnostic Code
DC 6204
Category
Hearing
Subcategory
Ear
Typical Claim Type
direct
Rating Range
0% – 30%

Also Known As

peripheral vestibular disordervestibular disorderlabyrinthitisbenign paroxysmal positional vertigoBPPVvestibular neuritisvestibular dysfunctioninner ear balance disorderdizziness balance disorderchronic dizziness earlabyrinthine disorder

Related Conditions

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