What happens during a C&P exam for Homonymous Hemianopia?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Homonymous Hemianopia

Q: What are the VA rating percentages for Homonymous Hemianopia?

Homonymous Hemianopia (DC 6080) is rated at 30% under 38 CFR § 4.77, DC 6080. DC 6080 verbatim — "Homonymous hemianopsia": 30 percent. Loss of either the right or left half of the visual field in both eyes due to a post-chiasmal lesion (occipital cortex, optic radiations, or optic tract). NOTE: unlike the temporal-half / nasal-half / inferior-half / superior-half rows in DC 6080, the homonymous hemianopsia row does NOT carry a "or evaluate each affected eye as " rate-as alternative — it is a flat 30%. Quadrantanopsia (loss of one quadrant) is rated separately under DC 6081 at 10% minimum.

Q: What rates 30% for Homonymous Hemianopia under 38 CFR § 4.77, DC 6080?

Under 38 CFR § 4.77, DC 6080 (DC 6080), a 30% rating for Homonymous Hemianopia requires: DC 6080 verbatim — "Homonymous hemianopsia": 30 percent. Loss of either the right or left half of the visual field in both eyes due to a post-chiasmal lesion (occipital cortex, optic radiations, or optic tract). NOTE: unlike the temporal-half / nasal-half / inferior-half / superior-half rows in DC 6080, the homonymous hemianopsia row does NOT carry a "or evaluate each affected eye as " rate-as alternative — it is a flat 30%. Quadrantanopsia (loss of one quadrant) is rated separately under DC 6081 at 10% minimum.

Q: What evidence do I need for a Homonymous Hemianopia VA claim?

Key evidence for a Homonymous Hemianopia claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 608038 C.F.R. § 4.77

Diagnostic Code

DC 6080

38 C.F.R. § 4.77

Rating Range

30–30%

1 severity tier

Source

Verified

38 C.F.R. § 4.79

Homonymous Hemianopia is rated by the U.S. Department of Veterans Affairs under DC 6080 of 38 CFR § 4.77, DC 6080 across 1 severity tier (30%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Loss of the same half of the visual field in both eyes (left or right), caused by damage to the optic tract, lateral geniculate nucleus, or visual cortex on one side of the brain. Common after stroke, TBI, or brain tumors. Significantly impacts reading, driving, and spatial awareness. Rated at a flat 30% under DC 6080 — unlike the temporal/nasal/inferior/superior half-field rows, homonymous hemianopsia has NO "or evaluate each affected eye as <Snellen>" rate-as alternative.

Rating Criteria

30%

DC 6080 verbatim — "Homonymous hemianopsia": 30 percent. Loss of either the right or left half of the visual field in both eyes due to a post-chiasmal lesion (occipital cortex, optic radiations, or optic tract). NOTE: unlike the temporal-half / nasal-half / inferior-half / superior-half rows in DC 6080, the homonymous hemianopsia row does NOT carry a "or evaluate each affected eye as <Snellen>" rate-as alternative — it is a flat 30%. Quadrantanopsia (loss of one quadrant) is rated separately under DC 6081 at 10% minimum.

03Key Evidence

—Service treatment records showing injury or complaints

—Imaging (X-ray, MRI, CT)

—Range of motion measurements

—Flare-up documentation per Sharp v. Shulkin

—Buddy statements describing limitations

—Prescription history

—Physical therapy records

—Employment impact documentation

04C&P Exam Tips

1Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5If you use assistive devices (brace, cane), bring them.

6Describe daily activity impact: work, sleep, household tasks.

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.79 (Eye). Source verified 2026-05-17 by ClaimRecon Editorial Team against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.79 on eCFR →Cornell Law mirror →Editorial Standards →Suggest a correction →

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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