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Calculator10 min readJanuary 2026

VA Math Explained: How Combined Ratings Actually Work

One of the most confusing aspects of VA disability is how ratings combine. Many veterans are shocked to learn that 50% + 30% doesn't equal 80%—it equals 65% (rounded to 70%). This guide explains exactly how "VA math" works.

Why VA Doesn't Just Add Ratings

VA uses the "whole person theory" established in 38 CFR § 4.25. The idea is that you start as a "whole" (100%) person, and each disability takes away a percentage of your remaining health—not your total health.

Think of it this way: If you're already 50% disabled, you only have 50% "healthy" remaining. A second 30% disability takes 30% of that remaining 50%—which is 15%, not 30%.

The VA Math Formula

Here's how to calculate combined ratings step-by-step:

Step 1: Convert to Decimal and Calculate "Efficient" Percentage

For each rating, calculate what percentage of your "remaining efficiency" is lost:

  • Start at 100 (whole person)
  • Subtract first rating → this is your "remaining efficiency"
  • Apply next rating to remaining efficiency
  • Continue for all ratings

Example: 50% + 30% + 20%

RatingVA Criteria
Start100% (whole person)
First 50%100 - 50 = 50% remaining efficiency
Second 30%30% of 50 = 15. New total: 50 + 15 = 65% disabled
Third 20%20% of remaining 35% = 7. New total: 65 + 7 = 72% disabled
Final72% rounds to 70% (VA rounds to nearest 10)

Using regular math: 50 + 30 + 20 = 100%

Using VA math: 72%, rounded to 70%

VA Rounding Rules

After combining all ratings, VA rounds to the nearest 10%:

  • 0.5 or higher → rounds UP (e.g., 75% → 80%, 85% → 90%)
  • Below 0.5 → rounds DOWN (e.g., 74% → 70%, 84% → 80%)
One percentage point matters: The difference between 74% and 75% is the difference between a 70% payment and an 80% payment. In 2026, that's $404/month for a single veteran—nearly $5,000 per year.

Order of Calculation

VA always calculates ratings from highest to lowest. This is required by 38 CFR § 4.25 and actually benefits veterans because applying the highest rating first means you lose the largest percentage from 100%, not from a reduced number.

Example: Why Order Matters

Ratings: 70%, 20%, 10%

  • Start: 100%
  • Apply 70%: 100 - 70 = 30% remaining
  • Apply 20%: 20% of 30 = 6%. Total disabled: 76%
  • Apply 10%: 10% of 24 = 2.4%. Total disabled: 78.4%
  • Rounded: 80%

The Bilateral Factor

The bilateral factor is a 10% bonus applied when you have the same condition affecting both sides of your body (both knees, both arms, etc.).

How the Bilateral Factor Works:

  1. Identify all bilateral conditions (affecting paired extremities)
  2. Combine just the bilateral ratings using VA math
  3. Add 10% of that combined bilateral total
  4. Then combine with remaining non-bilateral ratings

Bilateral Factor Example:

Veteran has: Left knee 20%, Right knee 10%, PTSD 50%

RatingVA Criteria
Step 1Combine bilateral: 20% + 10% = 28% (VA math)
Step 2Add 10% bonus: 28 × 0.10 = 2.8. Total bilateral: 30.8%
Step 3Combine with PTSD 50%: 50 + (50 × 0.308) = 65.4%
Final65.4% rounds to 70%

Without bilateral factor, the same ratings would combine to only 64% (rounded to 60%).

Bilateral conditions include: Both knees, both hips, both shoulders, both elbows, both wrists, both ankles, both feet, both hands, both arms, both legs. Even 0% ratings can trigger the bilateral factor if you have conditions on both sides.

Reaching Key Thresholds

Certain combined ratings unlock additional benefits:

RatingVA Criteria
30%+Additional compensation for dependents (spouse, children)
40%+Qualifies for one TDIU pathway (with one 60%+ rating)
70%+Qualifies for TDIU (with at least one 40%+ rating)
100%Maximum compensation; may qualify for SMC benefits

Use Our Calculator

Don't do this math by hand—use our VA Disability Calculator. It automatically:

  • Applies VA math correctly
  • Orders ratings from highest to lowest
  • Detects and applies the bilateral factor
  • Shows 2026 compensation amounts
  • Calculates dependent add-ons

Why Understanding VA Math Matters

  1. Realistic expectations: Know what combined rating to expect before filing
  2. Strategic claims: Understand which additional claims will push you to next threshold
  3. Catch errors: If your rating letter math doesn't match, you can appeal
  4. Bilateral conditions: Don't miss the 10% bonus—claim both sides

Need More Help With Your Claim?

Get personalized guidance from our AI Assistant, calculate your combined rating, or follow our complete 10-step guide.