How VA combines disability ratings
VA doesn't add disability ratings together. It combines them, one at a time, starting with the most severe, using the Combined Ratings Table in 38 CFR §4.25. Each new rating applies only to the part of you that the earlier ratings haven't already counted as disabled. The result is a combined value, which VA then rounds to the nearest 10% to give your combined disability rating.
That is why two ratings of 50% and 30% don't make 80%. VA combines them to 65, which rounds to 70%.
The whole-person approach
VA describes this as the "whole person" method: no one can be more than 100% disabled, so each rating is applied to the efficiency that remains. §4.25 puts it in terms of efficiency. A person with a 60% disability is 40% efficient. A further 30% disability takes 30% of that remaining 40%, leaving 28% efficiency, so the person is 72% disabled.
The same idea, written as arithmetic, is:
combined value = current + next × (100 − current) ÷ 100
where current is the value combined so far and next is the next rating in order of severity, with the answer rounded to a whole number (halves up). Table I in §4.25 lists these whole numbers for ratings in tens, so VA rarely has to do the multiplication by hand. The calculator uses the same rule, and its results match every value in the published table. A bilateral value such as 21 isn't a column in the table; VA's own examples combine it with the same rule.
Using the calculator
- Add a row for each service-connected rating, and choose its percentage: 0% to 100%, in steps of 10. Names are optional and only label the working.
- For each condition, choose the body area. This matters only for the bilateral factor: pick the arm or leg it affects, or a paired muscle group, and leave everything else as Other.
- Read the estimated combined rating, the combined value before rounding, and the step-by-step working.
Rows left without a rating are ignored, so a spare empty row never changes the result.
The Combined Ratings Table
To use Table I, VA lists the ratings in exact order of severity, highest first. The first two are found where their row and column meet; that value, exactly as found in the table, is then combined with the third rating, and so on. Values are carried forward as whole numbers from the table, not rounded to the nearest 10 along the way.
For three ratings of 60%, 40% and 20%, the working is:
- 60 combined with 40: 60 + 40 × (100 − 60) ÷ 100 = 76
- 76 combined with 20: 76 + 20 × (100 − 76) ÷ 100 = 80.8, rounded to 81
The combined value is 81, and the combined rating is 80%. Even the smallest combination isn't a simple sum: two 10% ratings combine to 19, which rounds to 20%.
How rounding works
Rounding happens once, after every rating has been combined. VA converts the final combined value to the nearest number divisible by 10, and values ending in 5 are rounded up. VA.gov puts it simply: values ending in 1 to 4 round down, and values ending in 5 to 9 round up.
- 40% and 20% combine to 52, which rounds down to 50%.
- 50% and 30% combine to 65, which rounds up to 70%.
Because only the final value is rounded, a single point can matter: a combined value of 64 becomes 60%, while 65 becomes 70%.
The bilateral factor
The bilateral factor in 38 CFR §4.26 applies when disabilities affect both arms, both legs, or paired skeletal muscles. VA counts an "arm" as the whole upper extremity and a "leg" as the whole lower extremity. A disability of the left knee and one of the right ankle are therefore a bilateral pair, even though they are different joints.
When the factor applies:
- The ratings of the paired disabilities are combined with Table I as usual.
- 10% of that combined value is added, not combined.
- The result, as a whole number, counts as one disability: it takes its place in the order of severity and is combined with the remaining ratings.
The factor needs a compensable rating, 10% or more, on each side of the pair. A 0% rating on one side doesn't create a pair. When both arms and both legs are affected, §4.26(b) combines the disabilities of all four extremities together and applies the factor once.
The bilateral factor is about paired extremities and paired skeletal muscles. It doesn't apply to paired organs such as the eyes or ears, which are evaluated under their own rules, so the calculator treats those as Other.
The most favorable bilateral calculation
Since 16 April 2023, §4.26(d) adds an exception. If the combined evaluation would be lower than it could be by leaving one or more bilateral disabilities out of the bilateral factor, VA removes them from the bilateral calculation and combines them separately, "to achieve the combined evaluation most favorable to the veteran."
The bilateral factor almost always raises the combined value, so the exception matters only in uncommon cases where whole-number rounding works against the veteran, such as VA's own example at the boundary between 90% and 100%. VA's own example in the 2023 rule had disabilities combining to 93, plus two bilateral 10% ratings. The calculator tries every way of leaving bilateral ratings out of the factor and uses the most favorable result. When that changes the answer, it says so and shows both calculations.
VA disability rating combined examples
Each example below was calculated with this calculator. Three of them are the published examples from VA.gov and 38 CFR §4.25, 38 CFR §4.26 and the 2023 Federal Register rule.
Two ratings: 50% and 30%
- 50 combined with 30: 50 + 30 × (100 − 50) ÷ 100 = 65
The combined value 65 rounds up to a combined rating of 70%.
Bilateral factor with other ratings
Ratings of 60% and 20%, plus 10% for the left knee and 10% for the right ankle. The knee and ankle are on opposite legs, so they form a bilateral pair.
- The pair combines to 19. Adding 10% of 19 gives 20.9, which counts as 21.
- The order of severity becomes 60, bilateral group 21, 20.
- 60 combined with 21: 60 + 21 × (100 − 60) ÷ 100 = 68.4, rounded to 68
- 68 combined with 20: 68 + 20 × (100 − 68) ÷ 100 = 74.4, rounded to 74
The combined value 74 rounds to 70%. This is the example given in §4.26 itself.
Bilateral factor on both legs
Radiculopathy rated 20% in each leg: 20 and 20 combine to 36, and adding 10% of 36 gives 39.6, which rounds to 40. With no other ratings, the combined rating is 40%.
When leaving out the bilateral factor is more favorable
Ratings of 90% and 30%, which combine to 93, plus 10% for each knee. With the bilateral factor, the knees count as 21:
- 90 combined with 30: 90 + 30 × (100 − 90) ÷ 100 = 93
- 93 combined with 21: 93 + 21 × (100 − 93) ÷ 100 = 94.47, rounded to 94
That combined value rounds down to 90%. Combining the two knee ratings separately instead:
- 90 combined with 30: 90 + 30 × (100 − 90) ÷ 100 = 93
- 93 combined with 10: 93 + 10 × (100 − 93) ÷ 100 = 93.7, rounded to 94
- 94 combined with 10: 94 + 10 × (100 − 94) ÷ 100 = 94.6, rounded to 95
The combined value 95 rounds up to 100%, so under §4.26(d) the more favorable 100% applies. This is the example VA used in the 2023 rule.
What the calculator doesn't cover
The calculator combines ratings you already have. It doesn't decide whether a condition is service connected, what it should be rated, or the effective date of a rating. It also doesn't apply other rules that can affect a rating decision, such as the limit on the combined rating for a single extremity (the amputation rule), special monthly compensation, total disability based on individual unemployability, temporary total ratings, or rules for paired organs.
It doesn't estimate payments. VA compensation depends on your combined rating and other factors, such as dependents, and VA publishes its own rate tables.
An estimate is not a VA decision
Only VA decides your combined disability rating, and the rating on your VA rating decision is the one that counts. You can view your VA disability rating on VA.gov. If your own calculation differs from your decision, the difference may come from ratings, body areas or rules not entered here. An accredited representative, such as one from a Veterans Service Organization, can review a decision with you.
Sources and methodology
The calculator uses whole-number arithmetic for every Table I step, so it reproduces the table exactly, and rounds only at the end. Our methodology explains how calculators are built and tested, and the calculator disclaimer explains their limits.
- Combined ratings, the whole-person method and rounding: VA.gov, "About VA disability ratings"
- Combined Ratings Table and rounding rules: 38 CFR §4.25, Combined ratings table (eCFR)
- Bilateral factor, including the §4.26(d) exception: 38 CFR §4.26, Bilateral factor (eCFR)
- The 2023 exception and VA's 93% example: Federal Register, "Exceptions to Applying the Bilateral Factor in VA Disability Calculations," 88 FR 22917 (14 April 2023)
