20% VA Disability Rating (2026): Pay, Benefits and Rules
Independently fact-checked against primary sources (last audited November 9, 2026). · Law checked current as of November 9, 2026. · 29 primary sources cited on this page. How we verify our legal content

A 20% VA disability rating pays $356.66 a month under VA's rates effective December 1, 2025, and the amount stays the same for a veteran with dependents. Under federal VA law (Title 38), 20% also changes the test for job-training benefits.
This page covers federal VA disability compensation under Title 38 of the U.S. Code and 38 CFR Part 4. State veteran benefits are separate and vary by state. For every rating level, see the VA disability ratings hub. To check how your own ratings combine, use the free VA disability calculator.
What 20% VA Disability Pays
VA pays a veteran rated 20% $356.66 a month, about $4,280 a year. That figure is from VA's compensation table effective December 1, 2025, the 2026 rates. VA adjusts compensation each December 1 with the cost-of-living increase; as of early November 2026, VA's rate page still showed the table effective December 1, 2025.
| Rating | Monthly payment, effective Dec. 1, 2025 |
|---|---|
| 10% | $180.42 |
| 20% | $356.66 |
| 30%, veteran alone | $552.47 |
| 30%, veteran with spouse | $617.47 |
The step from 20% to 30% is $195.81 a month for a veteran alone, and 30% is also where a spouse, children, or dependent parents start to add to the payment.
No Dependent Pay at 20%
A veteran rated 20% receives the same amount whether single or supporting a family. VA's rate page says: "If you have a 10% to 20% disability rating, you won't receive a higher rate even if you have a dependent spouse, child, or parent."
That line comes from 38 U.S.C. 1115, which grants additional compensation for dependents only to a veteran "whose disability is rated not less than 30 percent." Adding a dependent to your VA file at 20% does not change the monthly amount.
How a Combined Rating Reaches 20%
VA does not add percentages. Under 38 CFR 4.25, VA combines disabilities from most to least severe, applying each one to the capacity that remains, and rounds the final value to the nearest 10 only once, with values ending in 5 rounded up. A raw combined value from 15 through 24 becomes a final 20%.
That leaves two common paths to a combined 20%:
- One disability rated 20%, with any others rated 0%.
- Two disabilities rated 10%, which combine to 19% and round to 20%.
The bilateral factor in 38 CFR 4.26 adds 10% of the combined value when disabilities affect both arms or both legs, and the VA disability calculator applies it along with the rest of the combining sequence. For the full method, see how VA math works.
Why one more rating usually means 30%
A combined 20% sits close to the next step. Under the 4.25 table, a 20% rating plus a 10% rating combines to 28%, and three 10% ratings combine to 27%; both round to 30%. Because the smallest compensable rating is 10%, one additional compensable rating added to either path above lands at 30% or higher.
Conditions VA Commonly Rates at 20%
VA assigns each percentage by matching medical evidence to the criteria in the rating schedule, 38 CFR Part 4. The table quotes the 20% criteria for several diagnostic codes. It shows how the schedule reads, not what VA will decide for any veteran.
| Condition (diagnostic code) | 20% criterion in 38 CFR Part 4 |
|---|---|
| Back (DCs 5235-5243, 38 CFR 4.71a) | Thoracolumbar forward flexion greater than 30 but not greater than 60 degrees, or combined thoracolumbar range of motion not greater than 120 degrees, or muscle spasm or guarding severe enough to cause an abnormal gait or abnormal spinal contour, among other measures |
| Knee flexion (DC 5260, 38 CFR 4.71a) | Flexion limited to 30 degrees |
| Knee extension (DC 5261, 38 CFR 4.71a) | Extension limited to 15 degrees |
| Degenerative arthritis (DC 5003, 38 CFR 4.71a) | Where there is no limitation of motion (arthritis with limited motion is rated under the joint's own code): X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations |
| Hypertension (DC 7101, 38 CFR 4.104) | Diastolic pressure predominantly 110 or more, or systolic pressure predominantly 200 or more |
| Diabetes mellitus (DC 7913, 38 CFR 4.119) | One or more daily injections of insulin and restricted diet, or an oral hypoglycemic agent and restricted diet |
Where the schedule has no 20% step
Some common conditions cannot be rated 20% on their own. The General Rating Formula for Mental Disorders in 38 CFR 4.130, which covers PTSD, major depressive disorder, generalized anxiety disorder, and other listed conditions, has steps at 0, 10, 30, 50, 70, and 100 percent. Migraine under diagnostic code 8100 (38 CFR 4.124a) steps from 10% to 30% to 50%, and recurrent tinnitus under diagnostic code 6260 (38 CFR 4.87) has a single 10% rating.
Benefits at 20%
Most benefits at 20% match those at 10%. The exception is job training, where 20% is a threshold written into the statute.
Veteran Readiness and Employment: the 20% line
Under 38 U.S.C. 3102, a veteran with a service-connected disability rated 20% or more is entitled to Veteran Readiness and Employment (VR&E, Chapter 31) if VA determines a need for rehabilitation because of an employment handicap. A veteran rated exactly 10% must show a serious employment handicap instead, a finding that the disability "significantly limits your ability to prepare for, obtain, and maintain suitable employment," in VA's words.
A vocational rehabilitation counselor makes the entitlement decision after the veteran applies. VA's eligibility page also lets a servicemember apply with "a 20% or higher pre-discharge disability rating (memorandum rating)." For a veteran discharged on or after January 1, 2013, VA says the 12-year basic eligibility period doesn't apply.
VA health care: Priority Group 3
Under VA's priority group rules and 38 CFR 17.36(b)(3), a service-connected rating of 10% or 20% is one route into Priority Group 3. If a veteran qualifies for more than one group, VA assigns the highest. Priority Group 2 begins at 30% and Priority Group 1 at 50%.
VA's copay page says a veteran with a service-connected rating of 10% or higher won't pay a copay for outpatient or inpatient care, and care related to a rated service-connected disability is copay-exempt. In Priority Groups 2 through 8, medication copays can apply to prescriptions and over-the-counter medications for conditions that are not service-connected, up to $700 per calendar year. In Priority Groups 1 through 5, urgent care has no copay for the first 3 visits in each calendar year and a $30 copay for each visit after that. Comprehensive dental care (Class IV) requires a 100% schedular rating or TDIU paid at the 100% rate under 38 CFR 17.161(h).
Home loan, military retirees, and federal hiring
- VA home loan funding fee: VA does not charge the funding fee to a veteran receiving compensation for a service-connected disability (38 U.S.C. 3729(c)(1)), which includes a veteran rated 20%.
- Combat-Related Special Compensation: DFAS requires entitlement to military retired pay, a VA rating of at least 10%, a waiver of retired pay in the amount of VA disability compensation (the VA waiver), and a combat-related disability as 10 U.S.C. 1413a(e) defines it, with the application filed through the veteran's branch of service (DFAS CRSC). Concurrent Retirement and Disability Pay requires 50% or more under 10 U.S.C. 1414, so it is not available at 20%.
- Federal hiring preference: OPM's preference groups place a rating of at least 10% but less than 30% in the "CP" group, worth 10 points. The noncompetitive appointment authority in 5 U.S.C. 3112 applies only at a compensable rating of 30% or more.
What 20% Does Not Change
Some benefits turn on having a service-connected disability, not on its percentage. The clothing allowance in 38 U.S.C. 1162 depends on whether a service-connected condition requires a prosthetic or orthopedic appliance or prescribed skin medication that damages clothing. Commissary and exchange access under 10 U.S.C. 1065(d) extends to a veteran with a service-connected disability.
TDIU, which pays at the 100% rate, has schedular thresholds far above 20%: one disability at 60% or more, or a combined 70% with at least one disability at 40% or more, under 38 CFR 4.16(a). A veteran below those percentages who cannot work because of service-connected disabilities can still be considered under 4.16(b). See TDIU and individual unemployability.
If You Think 20% Is Too Low
If a rated condition has gotten worse, VA allows an increased claim backed by up-to-date medical evidence. A new condition linked to a service-connected disability can be filed as a secondary claim.
If you believe VA's decision was wrong when it was made, the review options are covered in how to appeal a VA rating. If a higher rating is granted, VA disability back pay explains how the effective date sets the retroactive amount.
Disagree with your VA rating or decision? Talk to a VA-accredited attorney
If VA denied your claim or rated you lower than you expected, a VA-accredited attorney can review the decision for free. By federal law, accredited representatives may only charge a fee after VA issues an initial decision, usually a percentage of back pay if you win; federal rules presume a fee of 20% or less of past-due benefits to be reasonable. Filing an initial claim yourself is always free at va.gov. Submitting this form is a referral to an independent, VA-accredited attorney or firm, not representation by RecordingLaw.com.
This article provides general information about federal VA disability compensation and is not legal advice. RecordingLaw.com is not affiliated with, endorsed by, or sponsored by the U.S. Department of Veterans Affairs. Filing a claim with VA is free, and VA says the services of an accredited Veterans Service Organization (VSO) representative are always free; accredited attorneys and claims agents may charge only for work after VA's initial decision (38 CFR 14.636(c)). Rates and rules were checked against VA.gov, the eCFR, and the U.S. Code in November 2026 and change over time.
Frequently Asked Questions
How much does a 20% VA disability rating pay?
VA pays $356.66 a month at 20%, under the rates effective December 1, 2025. That is about $4,280 a year. VA adjusts compensation rates each December 1 with the cost-of-living increase, so check VA's rate page for the current table.
Does 20% VA disability pay more with a spouse or kids?
No. VA states that a veteran rated 10% to 20% won't receive a higher rate even with a dependent spouse, child, or parent. Under 38 U.S.C. 1115, additional compensation for dependents starts at a 30% rating.
Do two 10% ratings make 20%?
Yes. Under the combined ratings table in 38 CFR 4.25, two 10% ratings combine to a value of 19%, which VA rounds to the nearest number divisible by 10, a final 20%.
How do I get from 20% to 30%?
Under 38 CFR 4.25, a 20% rating combined with a 10% rating produces 28%, which rounds to 30%, and three 10% ratings produce 27%, which also rounds to 30%. A new service-connected condition, a secondary condition, or a worsening that VA rates higher can each change the combined value. VA decides each rating from the medical evidence.
Can I get VR&E at 20%?
Under 38 U.S.C. 3102, a veteran with a service-connected rating of 20% or more is entitled to Veteran Readiness and Employment if VA determines a need for rehabilitation because of an employment handicap. A vocational rehabilitation counselor makes that determination. A servicemember can also apply with a pre-discharge (memorandum) rating of 20% or higher.
Is there a 20% rating for PTSD or depression?
No. The General Rating Formula for Mental Disorders in 38 CFR 4.130 has steps at 0, 10, 30, 50, 70, and 100 percent. A mental condition can be part of a combined 20% rating only as a 0% or 10% rating combined with other ratings.
Does a 20% rating get me VA health care with no copays?
VA's priority group rules list a service-connected rating of 10% or 20% as one way into Priority Group 3. VA's copay page says a veteran rated 10% or higher won't pay copays for outpatient or inpatient care. Medication copays may apply to prescriptions for conditions that are not service-connected, up to $700 per calendar year. Urgent care has no copay for the first 3 visits in each calendar year and a $30 copay for each visit after that.
Can I get TDIU at 20%?
Not under the schedular percentages in 38 CFR 4.16(a), which need one disability at 60% or more, or a combined 70% with one disability at 40% or more. Under 38 CFR 4.16(b), VA policy is that veterans unable to secure and follow substantially gainful work because of service-connected disabilities are rated totally disabled, so a case below the percentages can be sent for extra-schedular consideration.
Updates
Independently fact-checked against the cited primary sources; governing law re-checked for recent changes
Sources and References
- VA.gov, Current Veterans disability compensation rates (effective December 1, 2025)(va.gov).gov
- 38 U.S.C. 1115, Additional compensation for dependents (GovInfo, 2024 edition)(govinfo.gov).gov
- 38 CFR 4.25, Combined ratings table (eCFR)(ecfr.gov).gov
- 38 CFR 4.26, Bilateral factor (eCFR)(ecfr.gov).gov
- 38 CFR 4.71a, Schedule of ratings, musculoskeletal system (spine, knee, arthritis) (eCFR)(ecfr.gov).gov
- 38 CFR 4.104, Schedule of ratings, cardiovascular system (hypertension, DC 7101) (eCFR)(ecfr.gov).gov
- 38 CFR 4.119, Schedule of ratings, endocrine system (diabetes mellitus, DC 7913) (eCFR)(ecfr.gov).gov
- 38 CFR 4.130, Schedule of ratings, mental disorders (eCFR)(ecfr.gov).gov
- 38 CFR 4.124a, Schedule of ratings, neurological conditions (migraine, DC 8100) (eCFR)(ecfr.gov).gov
- 38 CFR 4.87, Schedule of ratings, ear (tinnitus, DC 6260) (eCFR)(ecfr.gov).gov
- 38 U.S.C. 3102, Basic entitlement to vocational rehabilitation (GovInfo, 2024 edition)(govinfo.gov).gov
- VA.gov, Eligibility for Veteran Readiness and Employment(va.gov).gov
- VA.gov, VA priority groups(va.gov).gov
- 38 CFR 17.36, Enrollment, provision of hospital and outpatient care to veterans (eCFR)(ecfr.gov).gov
- VA.gov, Current VA health care copay rates(va.gov).gov
- 38 CFR 17.161, Authorization of outpatient dental treatment (eCFR)(ecfr.gov).gov
- VA.gov, VA funding fee and loan closing costs(va.gov).gov
- 38 U.S.C. 3729, Loan fee (GovInfo, 2024 edition)(govinfo.gov).gov
- DFAS, Combat-Related Special Compensation (CRSC)(dfas.mil).gov
- 10 U.S.C. 1413a, Combat-related special compensation (GovInfo)(govinfo.gov).gov
- 10 U.S.C. 1414, Concurrent receipt of retired pay and veterans disability compensation (GovInfo)(govinfo.gov).gov
- OPM FedsHireVets, What are the different preference groups?(opm.gov).gov
- 5 U.S.C. 3112, Disabled veterans; noncompetitive appointment (GovInfo)(govinfo.gov).gov
- 38 U.S.C. 1162, Clothing allowance (GovInfo)(govinfo.gov).gov
- 10 U.S.C. 1065, Use of commissary stores and MWR facilities (GovInfo)(govinfo.gov).gov
- 38 CFR 4.16, Total disability ratings for compensation based on unemployability (eCFR)(ecfr.gov).gov
- VA.gov, Types of disability claims and when to file(va.gov).gov
- VA.gov, Get help filing your claim or appeal (accredited representatives)(va.gov).gov
- 38 CFR 14.636, Payment of fees for representation by agents and attorneys (eCFR)(ecfr.gov).gov