The rating: DC 7522
Under 38 CFR § 4.115b, DC 7522, erectile dysfunction (with or without penile deformity) is rated at 0%. The schedule directs VA to consider special monthly compensation whenever ED is service-connected.
SMC-K: the real benefit
SMC-K is paid for loss, or loss of use, of a creative organ (38 CFR § 3.350). Effective December 1, 2025, SMC-K is $139.87 per month, added to your regular compensation at any rating from 0% to 100% (VA SMC rates). A veteran can receive up to three SMC-K awards for different qualifying losses.
Paths to service connection
- Secondary (most common): ED caused by service-connected diabetes, PTSD or depression (and their medications), spinal conditions, prostate cancer treatment, or hypertension medications
- Direct: an in-service injury or condition
Your treatment records should document the ED, its likely cause, and whether it persists despite treatment. A focused medical opinion helps when the link isn't obvious.
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Official sources
38 CFR 4.115b · 38 CFR 3.350 · VA: SMC rates
Rating criteria summarized for general information. Read the full regulation for details. Last reviewed October 2026.