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Rating guide · SMC

Erectile Dysfunction: The 0% Rating That Pays

Plenty of veterans never claim erectile dysfunction because it’s rated 0%. But it opens up Special Monthly Compensation (K), a separate $139.87 a month on top of everything else.

  • How SMC-K works
  • 2026 payment
  • Medication & condition links
  • Same rule for women

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How it pays

A Separate Payment, Not a Percentage

The rating schedule assigns erectile dysfunction (DC 7522) a 0% rating and flags it for special monthly compensation. Loss of use of a creative organ qualifies for SMC-K:

  • $139.87 a month in 2026 (about $1,678.44 a year)
  • Paid on top of your regular compensation, even at 100%
  • It doesn’t change your combined rating percentage

Check the SMC-K box in our VA disability calculator to see your total.

Service connection

It’s Usually Connected Through Something Else

Most ED claims are secondary to a service-connected condition or its treatment:

  • Antidepressants and other medications for PTSD, depression or anxiety
  • High blood pressure and some of its medications
  • Diabetes and prostate cancer treatment, both presumptive for Agent Orange exposure
  • Spine conditions with nerve involvement, and TBI

A medical opinion naming the cause, for example a specific medication and its known side effects, is usually what wins the claim.

Women veterans

The Same Benefit for Women Veterans

Female sexual arousal disorder (DC 7632) is also rated 0% and reviewed for SMC-K, so women veterans with a service-connected condition, including one caused by medications or another service-connected condition, may qualify for the same monthly payment.

FAQ

Erectile Dysfunction & SMC-K: Common Questions

Is it worth claiming something rated 0%?

Yes. ED qualifies for SMC-K, worth $139.87 a month in 2026, paid in addition to your regular compensation.

I’m already at 100%. Can I still get SMC-K?

Yes. SMC-K is paid on top of compensation at any rating, including 100%.

Do I need a urologist?

Not necessarily. A diagnosis from your regular provider can work. The most important piece is a medical opinion linking ED to service or a service-connected condition.

Is there a limit on SMC-K?

SMC-K is generally paid once per qualifying loss of use, and there are limits on combining multiple SMC-K awards with other compensation.

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