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6200
§ 4.87 Schedule of ratings—ear.

Chronic ear infection with drainage

A long-lasting middle ear infection with drainage that can damage hearing and cause muffled hearing or hearing loss.

What the rating means

VA rates chronic suppurative otitis media, mastoiditis, cholesteatoma, or any combination of these conditions under diagnostic code 6200. There is one rating level for this condition: 10%. You receive that 10% rating when your ear is actively draining (suppurating) or when you have aural polyps present.

If you also have hearing loss, labyrinthitis, tinnitus, facial nerve paralysis, or bone loss of the skull related to this condition, VA evaluates each of those complications separately under their own diagnostic codes. Your rating for the ear infection itself does not cover those problems, so each one that qualifies can add to your overall combined rating.

Evidence that helps

To support a 10% rating, evidence needs to show that your ear is actively suppurating or that aural polyps are present. Medical records documenting episodes of ear drainage, discharge cultures, or clinical notes describing active infection are directly relevant. A VA or private examination that finds ongoing suppuration or visible polyps at the time of the exam also supports this level.

For the separately rated complications, different evidence applies to each one. Records showing measured hearing loss support a hearing impairment rating. Documented diagnosis of labyrinthitis, tinnitus, facial nerve paralysis, or skull bone loss, along with clinical findings or imaging such as CT scans, would support ratings for those conditions. Statements from you or people who know you describing how drainage, polyps, or related symptoms affect your daily life and work can also help show the severity and continuity of your condition.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.