Rating Ledger

Combined ratings / 60% and 60%

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

60% and 60% VA rating combined

A 60% and a 60% rating combine to 84, which VA rounds down to 80%. Two equal ratings never double: it takes 60% of the 40% efficiency the first rating leaves, which is 24 points. At 80% a veteran alone receives $2,102.15 a month and a veteran with a spouse $2,277.15.

Table I value84%Rounded once80%60 + 60 → 841234
  1. 1First rating 60 squares
  2. 260% of what is left 24 squares
  3. 3Efficiency left 16%
  4. 4Combined rating 80%
Table I value
84%
VA rating
80%
Monthly, alone
$2,102.15
Efficiency left
16%

The arithmetic, step by step

  1. Order by severity: 60% first (both are the same, so either goes first), then 60%.
  2. After the 60% rating, 40% efficiency is left. The 60% rating takes 60% of that: 60 × 40 ÷ 100 = 24.
  3. 60 + 24 = 84. That is the figure printed in Table I at row 60, column 60.
  4. Round once to the nearest 10, values ending in 5 going up: 84 becomes 80%.

Because 84 ends in 4, it rounds down. The 60% still lifts the rating 20 points above the 60% alone. One more 10% rating would lift it to 86, rated 90%.

Added together, the two ratings would make 120. VA's method gives 80, 40 points less. The gap grows with the size of the ratings, because each later rating works on a smaller remainder.

What 80% pays

60% alone$1,435.0260% + 60% (80%)$2,102.15With another 10% (90%)$2,362.30
Monthly compensation, veteran with no dependents, VA rates effective December 1, 2025. Bars to scale from zero.

At 80%, VA's table effective December 1, 2025 pays $2,102.15 a month to a veteran alone, $2,277.15 with a spouse, and $2,406.15 with a spouse and one child under 18. Compared with 60% alone ($1,435.02), the pair adds $667.13 a month for a veteran with no dependents. The 80% pay page lists every dependent row.

If a third rating is added

A third 10% rating would combine with 84, not with 80: 84 and 10 give 86, rated 90%, one step up. The smallest single rating that moves this pair up a step is 10%, reaching 86 and 90% ($2,362.30 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 60% are on the left and right leg (or both arms), 38 CFR 4.26 adds a bilateral factor: 60 and 60 combine to 84, plus 10% of that gives 92, rated 90%. Here the factor moves the rating from 80% to 90%, worth $2,362.30 a month alone instead of $2,102.15. The bilateral factor guide has the full rule.

Conditions that are rated at 60%

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).

38 CFR 4.119, diagnostic code 7913, Diabetes mellitus (type 2), 60%: “Requiring one or more daily injections of insulin, restricted diet, and regulation of activities, with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensable if separately evaluated.”

38 CFR 4.97, diagnostic code 6602, Asthma, 60%: “FEV-1 of 40 to 55 percent predicted, or FEV-1/FVC of 40 to 55 percent, or at least monthly visits to a physician for care of exacerbations, or intermittent (at least three per year) courses of systemic corticosteroids.”

38 CFR 4.104, diagnostic code 7101, Hypertension (high blood pressure), 60%: “Diastolic pressure predominantly 130 or more.”

38 CFR 4.71a, diagnostic code 5051, Shoulder replacement, 60%: “With chronic residuals consisting of severe, painful motion or weakness in the affected extremity.”

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

Other pairs

8 other pairs also round to 80%: 80+20, 80+10, 70+40, 70+30, 70+20, 60+50, 60+40, 50+50.

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.