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6066
§ 4.79 Schedule of ratings—eye.

Vision 20/40 in other eye

Vision measurement indicating impairment in one eye while the other eye has 20/40 vision.

What the rating means

Diagnostic Code 6066 covers reduced visual acuity when both eyes are affected. VA looks at the best-corrected vision in each eye separately, then uses a combined table to assign one rating. The rating reflects how both eyes together limit your sight.

When the other eye sees 20/40, the rating depends on how poor vision is in the more affected eye. If that eye sees 10/200, the rating is 30%. If it sees 15/200 or 20/200, the rating is 20%. If it sees 20/100 or 20/70, the rating is 10%. If both eyes see 20/50, the rating is also 10%. If both eyes see 20/40, the rating is 0%.

The key dividing line at each level is the visual acuity measurement in the worse eye. A small change in that measurement, for example moving from 20/100 to 20/70, can shift the combined rating. VA uses the best corrected acuity, meaning vision with glasses or contact lenses.

Evidence that helps

The most important evidence for this condition is a formal visual acuity measurement for each eye taken by an eye care provider. Results should reflect best-corrected vision, meaning the test was done with the best possible glasses or contact lenses in place. Records should clearly state the acuity in each eye separately, such as 20/40 in the right eye and 20/100 in the left eye, so VA can place both values on the rating table.

Exam reports from an ophthalmologist or optometrist carry the most weight because they document standardized testing conditions. If your vision fluctuates, records showing measurements at different times can reflect the full picture. VA may also schedule its own examination to verify current acuity.

Statements from you, family members, or caregivers about how your reduced vision affects daily tasks, such as reading, driving, or recognizing faces, can help VA understand the functional impact, even though the percentage itself is determined by the acuity numbers on the chart.

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.