A rating is a snapshot from the day of your exam. If that snapshot is years old, it may not describe you anymore. These are the routes we look at first:
A condition got worse
File a claim for increase with current treatment notes. The VA rates how you are now, so recent records and an honest account of bad days count for more than old ones.
Something new grew out of a rated condition
A bad knee can wreck the opposite hip. PTSD can bring on sleep apnea or high blood pressure. Those secondary conditions get their own ratings when a medical opinion makes the link.
You never claimed it in the first place
Ringing ears, a back you’ve “just lived with,” or a PACT Act condition that wasn’t presumptive when you separated. And if service-connected conditions keep you out of steady work, Individual Unemployability may apply.
The VA wants to lower your rating
A proposed reduction letter gives you 60 days to send evidence, and asking for a hearing within 30 days keeps your payments where they are while you respond. Ratings held five years or more carry extra protection.