What Is Speech Discrimination?

When veterans apply for service connection for hearing loss, the VA will send them to a state-licensed audiologist to get their hearing evaluated. This exam will include a puretone audiometry test and a controlled speech discrimination test. A pure tone audiometry test measures the least audible sound that a person can hear, whereas the speech discrimination test asseses the veteran’s ability to understand speech from background noise. If a veteran’s speech discrimination is poor, the speech may sound garbled. 

During a speech discrimination test, veterans will wear headphones and be asked to listen to a list of common words spoken via a recording. As the veteran is listening to this recorded test, the examining audiologist will ask him or her to repeat the words that are being spoken. The audiologist will then use the number of words the veteran is able to successfully repeat to determine his or her percentage of speech discrimination. This test measures the veteran’s ability to understand speech at a comfortable listening level. The more difficulty a veteran has with speech discrimination, the lower his or her assigned speech discrimination percentage will be.

Under 38 CFR § 4.85, VA rating evaluators use percent of speech discrimination, in addition to the veteran’s puretone threshold average, to determine the proper schedular disability rating to assign a veteran based on the severity of his or her hearing impairment:

Table VI: Numeric Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination

Puretone Threshold Avg. →0-4142-4950-5758-6566-7374-8182-8990-9798+
% of Discrimination ↓
92-100IIIIIIIIIIIIIIIIV
84-90IIIIIIIIIIIIIIIIVIVIV
76-82IIIIIIIVIVIVVVVV
68-74IVIVVVVIVIVIIVIIVII
60-66VVVIVIVIIVIIVIIIVIIIVIII
52-58VIVIVIIVIIVIIIVIIIVIIIVIIIIX
44-50VIIVIIVIIIVIIIVIIIIXIXIXX
36-42VIIIVIIIVIIIIXIXIXXXX
0-34IXXXIXIXIXIXIXIXI

The roman numeral designation determined from the first table is then used to determine the veteran’s schedular disability rating for hearing loss:

Table VII: Percentage Evaluations For Hearing Impairment

XI100
X9080
IX807060
VIII70605050
VII6060504040
VI505040403030
V40404030302020
IV3030302020201010
III20202020201010100
II10101010101010000
I1010000000000
XIXIXVIIIVIIVIVIVIIIIII

Horizontal (Poorer Ear) vs. Vertical (Better Ear) Hearing Impairment Determination Chart

Get Help With Your Hearing Loss Claim

If you are a veteran with hearing loss who is seeking assistance with your VA disability claim, please contact our office for a free claim evaluation. Our veterans disability attorneys are ready to help you get the compensation you are entitled to for your condition.