👂 HearingEarDC 6202

Otosclerosis

An abnormal bone remodeling disorder of the stapes (stirrup bone) in the middle ear, causing progressive conductive hearing loss. Can be exacerbated by noise exposure. Rated under DC 6202; hearing loss rated under DC 6100.

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VA Rating Tiers

0%
Meets minimum criteria

Rating Notes

  • 0%: Otosclerosis — rated on hearing loss under DC 6100; the underlying condition itself rates 0%.
  • DC 6202: Otosclerosis — rated on hearing loss under DC 6100.
  • File both DC 6202 (for the underlying condition) and DC 6100 (for the hearing loss).
  • Post-stapedectomy hearing outcome drives the DC 6100 rating — use the most current audiogram.
  • Mixed hearing loss (cochlear involvement) may result in a higher DC 6100 rating.
  • Use manual slider for DC 6202; the actual compensable rating comes from the associated DC 6100 hearing loss evaluation.
  • Tinnitus (DC 6260) is commonly associated — file separately if present.

Eligibility Basics

Current symptoms
In-service event
Diagnosis or lay evidence
  • DC 6202 — otosclerosis; the primary compensable disability is hearing loss, rated under DC 6100.
  • Service connection pathway: noise exposure during service can accelerate or worsen underlying otosclerosis.
  • If otosclerosis was first diagnosed during service, direct service connection may apply.
  • Post-surgical hearing outcome (stapedectomy) affects hearing loss rating — document current audiogram.
  • A nexus letter from an ENT specialist or audiologist linking noise exposure to progression is helpful.

Evidence to Gather

Service Records

  • audiograms from service showing progressive conductive hearing loss
  • sick call records noting hearing problems during service
  • records of ENT evaluation during service

Medical Evidence

  • ENT records confirming otosclerosis diagnosis
  • audiogram showing conductive or mixed hearing loss with air-bone gap
  • stapedectomy or stapedotomy operative reports (if surgery performed)
  • post-surgical audiogram

Lay Evidence (Buddy Statements)

  • personal statement describing progressive hearing loss that worsened during service
  • statement describing difficulty hearing in military occupational settings

Diagnostic Tests

  • audiogram with air-bone gap measurement
  • tympanometry — typically normal or stiffness pattern (As tympanogram)
  • CT scan of temporal bones (shows otosclerotic foci)
  • ENT evaluation

C&P Exam Preparation

Exam type: Audiology / ENT — Otosclerosis

Be ready to describe

  • when hearing loss first began and whether it has progressed
  • connection to service noise exposure
  • stapedectomy history and whether hearing improved after surgery
  • current hearing ability and daily functional impact

Prep notes

  • Bring your most recent audiogram and any pre- and post-surgical audiograms.
  • Bring the stapedectomy operative report if surgery was performed.
  • Bring ENT records confirming the otosclerosis diagnosis.
  • Also file separately for Hearing Loss (DC 6100) — that is where the rating value comes from.
  • Describe difficulty in noisy environments and how hearing loss affects daily life.

Quick Facts

Diagnostic Code
DC 6202
Category
Hearing
Subcategory
Ear
Typical Claim Type
direct
Rating Range
0% – 0%

Also Known As

otosclerosisstapes fixationotospongiosisstapes ankylosisprogressive conductive hearing losshereditary hearing loss fixation

Related Conditions

Commonly leads to

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