Cross & York Editorial

How to Increase Your Disability Rating VA Claim: A Step-by-Step Guide

By Rick Gregory, Legal Specialist

TL;DR

  • You can file for a VA disability rating increase at any time if your service-connected condition has gotten worse.
  • Secondary conditions caused by a service-connected disability can be added as new claims, which raises your combined rating.
  • TDIU (Total Disability based on Individual Unemployability) may allow you to receive 100% pay even if your combined disability rating is below 100%.
  • The back pay clock starts on the date you file your claim for an increase, not the date the VA decides it.
  • A VA-accredited attorney can help you build the evidence and navigate the process at no upfront cost.

Many veterans receive an initial disability rating VA raters assign based on a snapshot of your condition at a specific point in time. Injuries get worse over time. New conditions develop as a direct result of service-connected ones. Work becomes harder or impossible. If any of this sounds familiar, you may be eligible to raise your disability rating and receive higher monthly compensation.

This guide explains exactly how to file for a disability rating increase, what evidence you need, and what options like TDIU and secondary conditions can do for your benefits.

Can you increase your VA disability rating?

Yes. You can file a claim for a disability rating increase any time your service-connected condition has worsened since the VA last evaluated it. There is no limit on how many times you can file for an increase, and filing does not put your existing rating at risk as long as you follow the right process.

The VA uses VA Form 21-526EZ for both initial disability claims and rating increase requests. You submit the same form, but you indicate that you are requesting an increase for an already service-connected condition.

To understand how ratings work in the first place, see the VA's explanation of disability ratings on the FAQ page.

Reasons your disability rating VA assigned may be too low

Several common situations lead to a disability rating that no longer reflects reality.

Your condition has worsened. The VA assigns a rating based on how severe your condition was at the time of the exam. If your symptoms have progressed, the original rating will not account for that change. You need to file a new claim to get a new evaluation.

Secondary conditions were not claimed. A secondary condition is a new disability caused or aggravated by an already service-connected condition. For example, chronic pain from a service-connected back injury may lead to depression or sleep apnea. Those conditions can be service-connected in their own right, which adds to your combined rating.

The C&P exam did not capture the full picture. A Compensation and Pension (C&P) exam is the VA medical exam used to evaluate your condition. If the examiner spent only a few minutes with you, if symptoms flare unpredictably, or if the examiner's report was incomplete, the resulting rating may be too low. A strong Disability Benefits Questionnaire (DBQ) from your own treating physician can correct this.

Combined rating math reduces your total. The VA does not add percentages together. It uses a formula based on remaining capacity. Two 50% ratings do not equal 100%; they produce 75%, which rounds to 80%. Many veterans are surprised to learn their combined rating is lower than the sum of their individual ratings.

How to file for a disability rating VA increase

Step 1: Gather your evidence before you file

The most important work happens before you submit anything. Collect the following:

  • Current medical records from your VA providers and any private doctors documenting your condition today.
  • A completed DBQ (Disability Benefits Questionnaire). Ask your treating physician to complete this form. A DBQ is a standardized VA form that documents symptom severity in the exact format the VA rater uses. You can download the relevant DBQ at va.gov.
  • A nexus letter if you are adding a secondary condition. This is a written medical opinion from a doctor explaining the connection between your service-connected condition and the new one.
  • Buddy statements. Written statements from family members, coworkers, or friends who can describe how your condition affects your daily life carry real weight in a rating decision.
  • Your service records if there is any question about whether a condition is service-connected.

The VA will consider any evidence you provide, and it may also schedule a C&P exam. Coming in with a well-documented DBQ gives the examiner less room to understate your condition.

Step 2: Submit VA Form 21-526EZ

File online at va.gov, by mail to the VA claims intake center in Janesville, WI, in person at a VA regional office, or by fax. Online filing is generally the fastest option and sets your effective date automatically on the day you submit.

When completing the form:

  • Select that you are filing a claim for an increase on an already service-connected condition.
  • List each condition you want reviewed separately.
  • If you are adding a secondary condition, list it as a new claim and include the nexus letter.

Once the VA receives your claim, you have up to one year to submit additional evidence. Use that window to gather anything you did not have on hand at filing.

Step 3: Attend your C&P exam and follow up

The VA will likely schedule a C&P exam with a VA or contract examiner. This exam is mandatory. Missing it can result in a denial.

Tips for the C&P exam:

  • Describe your worst days, not your average days. Raters evaluate how severely your condition affects your functioning.
  • Bring a copy of your DBQ so the examiner can see the full clinical picture.
  • Do not minimize symptoms to be polite. Be specific about pain levels, limitations, and how often symptoms occur.
  • Request a copy of the exam report afterward. If the examiner's findings are inaccurate or incomplete, that report can be challenged.

After the exam, the VA will issue a rating decision. If the decision denies the increase or does not reflect the evidence, you can appeal. The ratings and appeals page covers your appeal options in detail.

What evidence do you need to increase your VA rating?

The VA evaluates your claim based on three main inputs: the evidence you provide, the results of your C&P exam, and information from other federal agencies.

The strongest evidence package typically includes:

  • Medical records showing a current diagnosis and documented progression of your condition.
  • A DBQ completed by a treating physician who knows your history and can rate symptom severity using the VA's own criteria.
  • A nexus letter for any secondary conditions, connecting the new disability to the service-connected one.
  • Buddy statements from people who observe your limitations day to day.
  • Personal statement in your own words describing how the condition affects your ability to work, sleep, and carry out daily activities.

The VA is required to assist you in developing your claim, but that assistance has limits. A thorough evidence package you build yourself is far more reliable than relying on the VA to gather it on your behalf.

What is TDIU and how can it help?

TDIU stands for Total Disability based on Individual Unemployability. It allows veterans to receive compensation at the 100% rate even when their schedular combined rating is below 100%, if the disability prevents them from maintaining substantially gainful employment.

To qualify for TDIU, you generally need:

  • A single service-connected disability rated at 60% or more, or
  • A combined rating of 70% or more with at least one condition rated at 40% or more.

In some cases, VA may grant TDIU outside those thresholds on an extraschedular basis if the evidence is compelling.

TDIU does not change your actual disability rating on paper. It changes how you are paid. A veteran with a 70% combined rating who qualifies for TDIU receives the same monthly payment as a veteran rated at 100%.

If you are unable to work because of your service-connected conditions and your combined rating is near those thresholds, filing for TDIU at the same time as your rating increase claim may significantly raise your monthly benefit.

Can the VA automatically increase your disability rating?

In limited circumstances, yes. The VA conducts routine reevaluations on some disability ratings, particularly those assigned as temporary or that were explicitly designated as subject to future review. If a reevaluation finds the condition has worsened, the VA may increase the rating without a veteran filing a new claim.

However, automatic increases are not common and cannot be relied upon. Most veterans need to take action themselves.

There are also statutory rate increases. Each year, Congress adjusts VA disability compensation amounts for cost of living. This is an automatic payment adjustment, not a rating change. Your percentage stays the same; the dollar amount tied to each percentage goes up.

If your condition has genuinely worsened, the only reliable path to a higher disability rating is filing a claim for increase yourself.

How much back pay do you get for a rating increase?

Back pay for a disability rating increase is calculated from the effective date of your claim, which is the date the VA received your Form 21-526EZ requesting the increase. The VA does not pay retroactively to the date your condition worsened. It pays from the date you filed.

This is why filing promptly matters. Every month you wait before filing is a month of back pay you cannot recover.

Example: If you file for an increase in January and the VA takes nine months to issue a decision, your back pay covers those nine months at the new, higher rate. If your monthly payment increases by $400, you would receive approximately $3,600 in back pay.

If you filed a previous claim that was wrongly denied, an appeal with a favorable outcome can set the effective date back to the date of that original filing, potentially resulting in years of back pay.

Cross & York charges no fee on initial claims. On appeals and rating increases, our fee is capped at 20% of past-due benefits only. You owe nothing unless we recover past-due compensation for you.

Frequently asked questions

How long does a VA disability rating increase take?

Processing times vary. As of early 2026, the VA reports an average decision time of around 72 days for disability claims, but complex cases with multiple conditions or appeals can take significantly longer. Submitting a complete evidence package at the time of filing reduces the chance of delays caused by the VA requesting additional information.

Will filing for an increase put my current rating at risk?

Filing a claim for an increase on an existing service-connected condition generally does not put your current rating at risk. The VA is not supposed to reduce a rating without first scheduling a new exam and following a formal reduction process. However, if your condition has improved, a new C&P exam could potentially document that. For this reason, it is worth consulting with a VA-accredited attorney before filing if you have any concerns about your current rating.

What is a DBQ and do I need one?

A DBQ (Disability Benefits Questionnaire) is a standardized form VA raters use to evaluate the severity of a specific condition. Having your own treating physician complete a DBQ before your C&P exam gives you a strong piece of evidence that speaks directly to the rating criteria. It is not required, but it is one of the most effective tools for supporting a rating increase.

Can I file for multiple conditions at the same time?

Yes. You can file for an increase on multiple existing conditions and add new secondary conditions all in the same submission. Each condition is evaluated separately. Listing every affected condition at once ensures the earliest possible effective date across all of them.

What if my rating increase claim is denied?

A denial is not the end of the road. You can appeal through three lanes: a Supplemental Claim (new and relevant evidence), a Higher-Level Review (senior rater review), or a Board of Veterans' Appeals hearing. Many veterans successfully appeal denials by submitting additional medical evidence or correcting errors in the original exam. Cross & York handles ratings and appeals for veterans at every stage of that process.


Get a free case evaluation

If your VA disability rating no longer reflects how your condition has progressed, you may be eligible for a higher rating and back pay going back to the date you file.

Cross & York is a VA-accredited law firm based in Washington, DC. We handle rating increase claims and appeals with no upfront fee. You pay nothing unless we recover past-due benefits for you, and our fee is capped at 20% of any past-due amount.

Call us at (202) 934-2954 or visit our free case evaluation page to get started. You can also learn more about how we handle ratings and appeals.

There is no risk to reaching out. Free VSO (Veterans Service Organization) help is also available at no cost through organizations like the DAV, VFW, and American Legion if you prefer to start there.


Cross & York is a VA-accredited law firm authorized to represent veterans before the Department of Veterans Affairs under 38 CFR § 14.629. Contingent fees apply only to past-due benefits awarded on appeal and are capped at 20% in accordance with 38 CFR § 14.636. No fee is charged for representing veterans on initial claims. Address: 1050 Connecticut Ave NW, Washington, DC 20008.