Complete loss of voice due to physical damage or disease of the vocal structures.
To support a 100% rating, evidence would need to show that you are constantly unable to communicate by speech at all. Relevant records include laryngoscopy or other diagnostic findings confirming a complete organic cause, physician notes documenting total loss of voice across multiple visits, and statements from you or people who know you describing that you cannot speak under any circumstances.
To support a 60% rating, evidence would need to show that you are constantly unable to speak above a whisper. Medical records noting persistent severe voice limitation, exam findings showing significantly reduced or absent vocal cord function, and statements describing your day-to-day inability to raise your voice would all bear on this level. Records showing how the whispering-only communication affects your work, relationships, or daily activities can help illustrate the constant nature of the limitation.
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.
