PTSD is rated under the VA’s General Rating Formula for Mental Disorders (Diagnostic Code 9411) at 0%, 10%, 30%, 50%, 70%, or 100%, based on how much your symptoms impair work and daily life — not on a symptom checklist alone. PTSD is also a powerful primary for secondary claims: it commonly supports sleep apnea, hypertension, GERD, migraines, and erectile dysfunction, each ratable on top of the PTSD rating.
Diagnostic code
DC 9411
How the rating works
The percentages track occupational and social impairment: 30% = occasional decrease in efficiency; 50% = reduced reliability and productivity; 70% = deficiencies in most areas (work, family, mood, judgment); 100% = total occupational and social impairment. Veterans unable to work may also qualify for TDIU (paid at the 100% rate).
Secondary conditions to watch for
These are commonly connected to ptsd — each can be rated on top of it with a medical nexus. Most veterans leave these on the table.
Sleep apnea
A leading secondary to PTSD; often reaches 50%.
Hypertension
Chronic stress response is linked to high blood pressure.
GERD / acid reflux
Anxiety and psychiatric medications aggravate reflux.
Migraines
Stress and sleep disruption from PTSD trigger headaches.
Erectile dysfunction
A recognized secondary to both PTSD and its medications (may add special monthly compensation).
Evidence that wins this claim
- A confirmed PTSD diagnosis from a qualified provider (DSM-5 criteria).
- A documented in-service stressor (combat, MST, or other) — the VA has relaxed stressor rules for many cases.
- A C&P exam and statements describing how symptoms affect work and relationships.
- Buddy/lay statements showing the change in you since service.
PTSD — frequently asked questions
- How does the VA rate PTSD?
- On a 0/10/30/50/70/100% scale (DC 9411) based on how much PTSD impairs your work and social life. The rating reflects overall functioning, not just a count of symptoms.
- What conditions are secondary to PTSD?
- Commonly sleep apnea, hypertension, GERD, migraines, and erectile dysfunction. Each can be rated in addition to PTSD with a nexus opinion linking it to the PTSD.
- Can PTSD lead to a 100% rating?
- Yes — through a 100% schedular rating for total impairment, or through TDIU (paid at the 100% rate) when PTSD prevents you from holding substantially gainful work.
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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