VA assigns Roman numerals I through XI from authorized audiometric testing, then combines the better and poorer ear designations in Table VII. These are the possible Table VII percentage outputs, not an automatic result.
Plain-language summaries explain the text; they do not decide whether any level applies.
100%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 100 percent evaluation
Plain-language summary
Table VII can produce 100% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
90%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 90 percent evaluation
Plain-language summary
Table VII can produce 90% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
80%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 80 percent evaluation
Plain-language summary
Table VII can produce 80% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
70%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 70 percent evaluation
Plain-language summary
Table VII can produce 70% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
60%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 60 percent evaluation
Plain-language summary
Table VII can produce 60% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
50%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 50 percent evaluation
Plain-language summary
Table VII can produce 50% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
40%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 40 percent evaluation
Plain-language summary
Table VII can produce 40% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
30%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 30 percent evaluation
Plain-language summary
Table VII can produce 30% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
20%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 20 percent evaluation
Plain-language summary
Table VII can produce 20% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
10%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 10 percent evaluation
Plain-language summary
Table VII can produce 10% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
0%
Official criteria
A Table VII intersection of the better-ear and poorer-ear Roman numeral designations that produces a 0 percent evaluation
Plain-language summary
Table VII can produce 0% after each ear is assigned a Roman numeral under Table VI or VIa and exceptional patterns under § 4.86 are applied when required.
A state-licensed audiologist must conduct the examination using the Maryland CNC speech-discrimination test and puretone audiometry. The app does not calculate the Roman numerals.
Source record
38 CFR § 4.85—Evaluation of hearing impairment
38 CFR § 4.85, DC 6100 · Effective Jun 10, 1999 · Reviewed Jul 24, 2026