How the VA Rates PTSD
The plain-English version of the 38 CFR Part 4, DC 9411 / 9434 criteria a VA rater evaluates PTSD against, with the 2026 monthly rate at each level. A reference to what the regulation describes — never a prediction of any rating.
38 CFR Part 4, DC 9411 / 9434
PTSD · 6 levels
- 100%$3,938.58a month
- 70%$1,808.45a month
- 50%$1,132.90a month
- 30%$552.47a month
- 10%$180.42a month
- 0%$0 · still service-connected
2026 VA rates (effective December 1, 2025), veteran alone, as the only rated condition. VA decides the level.
Key facts
- Regulation
- 38 CFR Part 4, DC 9411 / 9434
- Diagnostic codes
- 9411, 9400, 9403, 9404, 9410, 9412, 9413, 9416, 9417, 9421, 9431, 9432, 9433, 9434, 9435, 9440
- Levels in the schedule
- 0% · 10% · 30% · 50% · 70% · 100%
- Top level (100%) pays
- $3,938.58/month2026, veteran alone
The rating levels
Criteria paraphrased from 38 CFR Part 4, DC 9411 / 9434 for readability. Monthly amounts are the 2026 rate (effective December 1, 2025) for a veteran with no dependents if this were the only rated condition — dependents add more, and multiple conditions combine under the VA’s own math.
- 100%
$3,938.58/month
Total occupational and social impairment due to symptoms such as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living; disorientation to time or place; memory loss for names of close relatives, own occupation, or own name.
Examples from this level’s criteria
- Unable to hold any job — complete occupational impairment
- Persistent hallucinations or delusions
- Danger to self (active suicidal ideation with plan or attempt)
- Inability to perform basic ADLs without help
- Gross thought disorganization
- Disorientation to time or place
- Memory loss for close relatives' names or own name
- 70%
$1,808.45/month
Occupational and social impairment with deficiencies in most areas such as work, school, family relations, judgment, thinking, or mood due to symptoms such as: suicidal ideation; obsessional rituals interfering with routine activities; intermittently illogical, obscure, or irrelevant speech; near-continuous panic or depression affecting ability to function independently; impaired impulse control; spatial disorientation; neglect of personal appearance and hygiene; difficulty adapting to stressful circumstances; inability to establish and maintain effective relationships.
Examples from this level’s criteria
- Suicidal ideation (passive or active)
- Near-constant depression or anxiety
- Impulsive or self-destructive behavior
- Inability to maintain relationships — estrangement from family
- Difficulty functioning independently (needs reminders, supervision)
- Obsessive rituals interfering with daily tasks
- Poor personal hygiene or appearance on bad days
- Spatial disorientation
- Unemployed or on the verge of termination due to symptoms
- 50%
$1,132.90/month
Occupational and social impairment with reduced reliability and productivity due to symptoms such as flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty understanding complex commands; impairment of short- and long-term memory; impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships.
Examples from this level’s criteria
- Flat affect, emotional numbing
- Panic attacks more than weekly
- Short- and long-term memory problems
- Difficulty following complex instructions
- Impaired judgment or abstract thinking
- Significant difficulty in work relationships — write-ups, conflicts, reduced output
- Isolation from family and friends
- 30%
$552.47/month
Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events).
Examples from this level’s criteria
- Depressed mood, anxiety, suspiciousness
- Panic attacks weekly or less often
- Chronic sleep impairment
- Mild memory loss (e.g., forgetting names, directions, recent events)
- 10%
$180.42/month
Occupational and social impairment due to mild or transient symptoms that decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication.
Examples from this level’s criteria
- Mild anxiety or depressed mood
- Occasional sleep disturbance
- Symptoms worsen noticeably under stress
- Needs medication to function
- 0%
$0/month (0% is still service-connected)
A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.
Examples from this level’s criteria
- Confirmed diagnosis in medical records
- Symptoms do not interfere with work or social functioning
- Symptoms do not require continuous medication
The listed symptoms are examples that appear in each level’s criteria — not a checklist that earns a percentage. Raters apply the criteria as a whole.
The evidence that matters most
The picture on your WORST days, in specific scenes — how often the panic hits, what a week of sleep looks like, what it has cost at work and at home; a statement that minimizes gets the lower level
C&P exam tips for PTSD
- 1Describe your worst days, not your average days. The C&P examiner sees you at your best — be honest about the full range.
- 2Describe specific events: 'Last week I could not leave my house for 3 days' is stronger than 'I have bad days.'
- 3Tell the examiner about occupational impact: disciplinary actions, missed work, inability to stay employed.
- 4Mention relationship strain: divorces, estrangement from children, loss of friendships.
- 5If you have suicidal thoughts (even passive), disclose them — this is medically relevant and can support a higher rating.
- 6Bring a list of current medications and who prescribed them.
- 7Do not minimize your symptoms to appear 'okay.' The exam determines your rating, not whether you get treatment.
Common mistakes on PTSD claims
- Acting 'fine' during the exam because you're trying to hold it together in public.
- Not mentioning occupational impact (job losses, conflicts with supervisors).
- Failing to describe sleep impairment — insomnia, nightmares, hypersomnia are all ratable.
- Not reporting relationship problems (divorce, isolation, family conflict).
- Saying 'I manage' instead of describing how hard management is.
- Omitting passive suicidal ideation ('I don't want to be here') — this supports 70%.
Frequently asked questions
What diagnostic code does the VA use for PTSD?
PTSD is rated under 38 CFR Part 4, DC 9411 / 9434 — diagnostic codes 9411, 9400, 9403, 9404, 9410, 9412, 9413, 9416, 9417, 9421, 9431, 9432, 9433, 9434, 9435, 9440.
What is the highest schedular VA rating for PTSD?
100% is the highest level in the rating schedule for PTSD. The criteria at that level describe: Total occupational and social impairment due to symptoms such as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living; disorientation to time or place; memory loss for names of close relatives, own occupation, or own name.
How much does a 100% VA rating for PTSD pay in 2026?
$3,938.58 per month, tax-free, for a veteran with no dependents (rates effective December 1, 2025) — more with a spouse, children, or dependent parents. If you have other rated conditions, the VA combines ratings using its own math rather than adding them.
Related tools & guides
- Free toolCheck your symptoms against the PTSD criteria
- GuideThe nexus letter for PTSD — what it must say
- Free tool2026 pay rates & combined-rating calculator
- ResearchPTSD — the research & law behind the claim
- GuideDiabetes Mellitus, Type 2 (Secondary to PTSD) secondary to PTSD
- GuideSleep Apnea (Obstructive) secondary to PTSD
- GuideMajor Depressive Disorder (MDD) secondary to PTSD
- GuideGeneralized Anxiety Disorder secondary to PTSD
Build your PTSD claim documentation
Your first claim builds free, on screen — a personal statement mapped to these criteria and a cited draft medical opinion. No card to sign up.
Educational information about the rating schedule — not legal or medical advice, never a prediction or promise of any rating, and not affiliated with the VA.