Primary service-connected condition

DC 6260 — Tinnitus, recurrent

Also known as: ringing in ears, tinnitus, Tinnitus, recurrent, buzzing in ears, ear ringing, hearing ringing, hearing loss, deaf, deafness, hard of hearing, hearing aids

Mapped secondary conditions
5

These are commonly claimed secondary connections linked to this primary disability. Use them as a screening tool for conversations with your doctor, VSO, or VA-accredited attorney.

Primary Secondary

Tinnitus, recurrent Generalized anxiety disorder

9400
Strong

How the connection is commonly explained

Persistent tinnitus is a well-documented cause of anxiety.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how tinnitus, recurrent led to or worsened generalized anxiety disorder.

Relationship type: Caused by
View condition detail
Primary Secondary

Tinnitus, recurrent Major depressive disorder

9434
Strong

How the connection is commonly explained

Constant ringing disrupts daily life, sleep, and concentration, leading to depression.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how tinnitus, recurrent led to or worsened major depressive disorder.

Relationship type: Caused by
View condition detail
Primary Secondary

Tinnitus, recurrent Migraine

8100
Moderate

How the connection is commonly explained

Tinnitus can trigger or worsen migraines through sensory overload.

Filing tip

A nexus letter and treatment records explaining the progression from the primary condition to the secondary condition can make a big difference. For this pairing, ask the provider to explain how tinnitus, recurrent led to or worsened migraine.

Relationship type: Aggravated by
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Primary Secondary

Tinnitus, recurrent Insomnia

NO-DC-INSOMNIA
Moderate

How the connection is commonly explained

The constant noise of tinnitus makes falling and staying asleep difficult.

Filing tip

A nexus letter and treatment records explaining the progression from the primary condition to the secondary condition can make a big difference. For this pairing, ask the provider to explain how tinnitus, recurrent led to or worsened insomnia.

Relationship type: Caused by
No standalone condition detail page is available for this mapped item.
No standalone diagnostic code entry exists in the conditions table, so treat this as an informational claim lead and confirm the best code with a VSO or medical provider.
Primary Secondary

Tinnitus, recurrent Meniere's syndrome

6205
Emerging

How the connection is commonly explained

Tinnitus can be an early symptom of or co-occur with Meniere's disease.

Filing tip

Because this connection can be more case-specific, detailed medical rationale and symptom history are especially important. For this pairing, ask the provider to explain how tinnitus, recurrent led to or worsened meniere's syndrome.

Relationship type: Caused by
View condition detail

This condition may also be secondary to

Meniere's syndrome
DC 6205
Strong

Tinnitus is a hallmark symptom that can worsen independently

Generalized anxiety disorder
DC 9400
Moderate

Anxiety heightens awareness of tinnitus symptoms

Lumbosacral or cervical strain
DC 5237
Moderate

Cervical conditions can cause or worsen somatic tinnitus through nerve pathways

Posttraumatic stress disorder
DC 9411
Moderate

PTSD hypervigilance can worsen perception of tinnitus. Often co-occurs from shared combat noise exposure.

Residuals of traumatic brain injury (TBI)
DC 8045
Moderate

Blast injuries that cause TBI also frequently damage hearing and worsen tinnitus.

How to File a Secondary Claim

1. Have your primary condition already service-connected.
2. Get diagnosed with the secondary condition.
3. Get a nexus letter from a doctor linking them.
4. File VA Form 21-526EZ and select the claim as a secondary claim.
5. Attend the C&P exam if one is scheduled.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.