The “Bilateral Factor” in VA Ratings

When you receive a disability rating from VA, you need to make sure the rating has been calculated correctly.  One of the oldest tricks in VA’s book is to give a veteran a rating that is not as high as it should be.

Many times, the veteran is so happy to finally have some good news on his long-delayed claim.  This causes many veterans not to look at the VA rating closely enough.  Because of that, they do not receive all the VA benefits they should.

You especially need to consider the possibility of an incorrect low rating if you have disabilities that affect either both arm or both legs.  If you do have disabilities on the right and left side, you may be entitled to a “bump” in your rating based on what is known as the “bilateral factor.”

What is the Bilateral Factor?

In the context of your VA disability claim, the bilateral factor is an increase in the standard rating.  The law recognizes that a disability that affects both arms or both legs limits someone more than each of those disabilities considered alone.  In other words, if you already have a disability to your right arm, a disability to the left arm causes even more limitations than it otherwise would since you need the second arm to compensate for the first bad arm.

So How Much Is the Additional Rating for the Bilateral Factor?

Regardless of the body part in question, the bilateral factor is an additional 10% of the combined rating for the disability to each side.  To be clear, it is not a straight 10% additional rating.

To best illustrate, let’s look at an example.  Let’s say you have a left knee condition that VA rated at 30%, a right knee condition rated at 10%, and another 10% rating for tinnitus.  VA should consider the left and right knee conditions together for a combined rating.  A 30% left knee rating and a 10% right knee rating equal a 37% combined rating.  (If you don’t understand how 30% + 10% = 37%, you can read our previous article to learn how VA math is not like regular math since disabilities ratings are combined together).

Because both the right and left sides are affected, the veteran should receive an additional 10% of the 37%, which is an additional 3.7%.  What is the big deal about an extra 3.7%?

Why Does The Bilateral Factor Matter?

When added to the 37%, that gives a new combined rating of 41% (40.7% rounded up to 41%).  The 41% for the left and right knees is then combined with the 10% for tinnitus.  This gives an overall combined rating of 47%.  VA should round that 47% up to 50%.

In this particular example, that extra 3.7% was just enough to push the overall combined rating increased to 50%.   Without the additional benefit for the bilateral factor calculation, the veteran would have been stuck at 40%.  For a single veteran with no dependents, that is about a $245 per month difference.

Sometimes though, the bilateral factor may not push you to the next combined rating level.  But, it may come into play if you later have additional service-connected disabilities or get increased ratings on the ones you already have.

How Do I Know if VA Gave Me Credit for the Bilateral Factor?

The ratings decision should lay out how VA calculated the ratings.  It should also acknowledge the additional 10% for the bilateral factor.

Of course, there is a (small) chance that they gave you this additional 10% but did not explicitly state that they were doing so.  In that case, you have to be able to do “VA math” accurately to check their combined rating.

Bilateral factor ratings and combined ratings are not easy to understand. It may be difficult to comprehend VA’s math since it is not like regular math.  That is why we suggest having one of our knowledgeable veterans disability attorneys look over your ratings decision to make sure you get the full benefits you deserve.

We will check to make sure you got credit for the bilateral factor.  We will also look to see if the VA shorted you on the appropriate rating for any of your disabilities.

Travis Studdard is an attorney who focuses on representing veterans in VA disability compensation claims.  He regularly writes about issues that are important to veterans and their families.

You can subscribe to his Veterans Disability channel on YouTube.

Travis, Jessica and the team were amazing. I’ve been working for the benefits I’ve deserved for years and should have worked with Perkins Studdard initially. They were always great answering questions and helped me more than I ever could have imagined. I highly recommended them as a VA disability law team to help anyone. I’d give more stars if I could.Theodore Tarbush
I highly recommend Travis and his team. From start to finish, the communication and professionalism were outstanding. Jessica was absolutely amazing — responsive, knowledgeable, patient, and always willing to help answer questions and keep me informed throughout the process. Travis was also excellent and made me feel confident that I was in good hands. Their entire office treated me with respect and care, and I truly appreciate everything they did for me. If you’re looking for an attorney and legal team that genuinely cares about their clients, I would definitely recommend them.Carlos Thornton
Travis Studdard and his team were always professional and from intake to case resolution, they were extremely pleasant to work with. After working closely with them for roughly six years, they successfully appealed my sleep apnea claim with the VA. At times I thought about giving up, but it was their diligence and confidence in their approach that gave me the ability sustain. There were no surprises, they led me by hand every step of the way. My family and I are truly appreciative for their great work. His team truly cares and it shows. They will fight to the end for veterans. I couldn't be happier with the results.James
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Jason Perkins and his team are so kind, knowledgable and helpful. They were thorough with all my legal needs and made sure my medical needs were taken care of financially. What I most appreciate is that he was always very clear about what was best for my case, but he also always told me I needed to do what was best for me, both mentally and physically. He was always available to answer questions, made sure I understood, and was willing to let me make decisions regarding my case. His ethics are beyond reproach. He would not take a percentage of a payment he did not help me receive. You can trust him. He always made it clear that my mental and physical well-being were more important than any part of my case. Then he would explain what would be best for the case and why, and allow me time to decide. Being in the Worker's Compensation system was an incredibly demeaning experience. I am a strong, educated woman, but when everyone in a system tells you that you are not worthy of the care you have received your entire life, and you instantly become less than to many of those who are suppose to be caring for you, it would weigh on anyone. I am so thankful I had Jason and his team fighting for me, getting me things I never would have imagined would be denied, like a second opinion before surgery, or physical therapy instead of opioids. I cannot imagine trying to handle this experience by myself.Andri Pilgrim
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Perkins Studdard LLC has been wonderful to work with from the first day through the final journey. They were prompt in requesting the information from me so they could appeal my claim with the VA. I had exhausted all means trying but they were able to get me to 100%. I would "HIGHLY" recommend using them if you are having difficulty getting anywhere with the VA.Mike Black
When i found this law firm I was going through a hard time not just with the VA but mentally as well. And after i hard denial i reached out to Travis and let me just say that was the best decision of my life. From the first call i knew i had made the right decision they are nothing short of amazing. Shoutout to Jessica and Chandler they both helped ease my stress and make the process so smooth it felt really good to be heard. My only mistake was not reaching out to them sooner. Thank you all so very muchRilesia Singleton
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