When to File for an Increase
You can request an increased rating whenever a service-connected condition has worsened. There's no waiting period and no limit on how many times you can file.
Signs it's time to file for an increase:
- Your symptoms have measurably worsened
- You need more medication or treatment than before
- Your condition limits activities it didn't before
- You've had new diagnostic findings (new MRI, X-ray, test results)
- You've been hospitalized for a service-connected condition
- Your mental health condition has worsened (more frequent episodes, increased isolation)
How to File
- Submit an Intent to File to lock your effective date
- Get current medical documentation showing the worsened condition
- File a claim for increase on VA.gov — select "claim for increase" not "new claim"
- Attend the C&P exam — this is critical for increases
C&P Exam for Increases
The examiner will compare your current condition to your last rating. Key tips:
- Describe how the condition has changed since your last evaluation
- Bring documentation of the worsening (pharmacy records, ER visits, new imaging)
- Report your worst days — the rating should reflect the full picture including flare-ups
- Know the rating criteria for the next higher level and be prepared to describe symptoms that match
What the VA Looks At
The VA uses specific rating criteria from 38 CFR Part 4 for each condition. Your increase will be based on whether your symptoms now meet the criteria for a higher rating level. Use the Calculator tab to review the rating criteria for your conditions.
Temporary 100% Ratings
You may qualify for a temporary 100% rating if:
- You were hospitalized for 21+ days for a service-connected condition
- You had surgery requiring convalescence for a service-connected condition
- You have an unstable condition with severe residuals
File VA Form 21-526EZ and include hospital or surgical records.
Important Notes
- An increase claim can result in a decrease if the examiner finds improvement — this is rare but possible for conditions rated for less than 5 years
- Conditions rated for 20+ years are considered "protected" and generally cannot be reduced
- You can file for increase while other claims are pending
- Consider filing for secondary conditions at the same time if new symptoms have developed