The VA rates migraines at 0%, 10%, 30%, or 50% under Diagnostic Code 8100. The rating turns on how often you have "prostrating" attacks — headaches severe enough to stop you in your tracks. The top 50% rating applies to very frequent, completely prostrating attacks that cause "severe economic inadaptability." Migraines are commonly service-connected directly or claimed secondary to tinnitus, a neck/back condition, or PTSD.
Diagnostic code
DC 8100
How the rating works
0% = less frequent attacks; 10% = prostrating attacks averaging once every two months; 30% = prostrating attacks averaging once a month; 50% = very frequent, completely prostrating and prolonged attacks productive of severe economic inadaptability. A headache journal documenting frequency is the single most useful piece of evidence.
Secondary conditions to watch for
These are commonly connected to migraines — each can be rated on top of it with a medical nexus. Most veterans leave these on the table.
Secondary to tinnitus
Ringing and ear conditions are recognized migraine triggers.
Secondary to neck/back condition
Cervical conditions commonly cause headaches.
Secondary to PTSD / TBI
Stress, sleep loss, and head injury frequently drive migraines.
Evidence that wins this claim
- A diagnosis of migraine from a treating provider.
- A headache log showing how often attacks occur and how they stop your activity.
- Statements showing missed work or the need to lie down in a dark room.
- For secondaries, a nexus opinion to the primary condition.
Migraines — frequently asked questions
- What does "prostrating" mean for VA migraine ratings?
- A prostrating attack is one severe enough that you must stop what you’re doing and lie down or seek a dark, quiet space. The VA rates migraines mainly by how often these prostrating attacks occur.
- How do I get a 50% rating for migraines?
- A 50% rating requires very frequent, completely prostrating and prolonged attacks that cause severe economic inadaptability — strong evidence (a headache journal and proof of work impact) is essential.
- Can migraines be secondary to another condition?
- Yes — migraines are often granted secondary to tinnitus, neck/back conditions, TBI, or PTSD with a medical nexus opinion.
Updated June 2026. Ratings come from the VA Schedule for Rating Disabilities (38 CFR Part 4); your exact rating depends on the medical evidence. Educational information, not medical or legal advice. Not affiliated with the VA.
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