Perforated or ruptured eardrum

Because the only rating under this code is 0%, the evidence needed focuses on confirming that the perforation exists and is connected to your service, rather than on showing a level of severity. Medical records documenting a diagnosed tympanic membrane perforation are central, such as notes from an otolaryngologist or primary care provider describing the location, size, and duration of the perforation. Audiological exam records or imaging that identifies the defect can also support the diagnosis. A service treatment record, deployment history, or other documentation linking a noise event, blast, or injury to the onset of the perforation helps establish the service connection. Statements from you or others describing when and how the eardrum was perforated can fill gaps in the medical record.