My migraines seem to be triggered by my tinnitus, will VA consider that?

Yes, the VA can consider migraines as a secondary service-connected condition to your tinnitus — but you need medical evidence establishing that link, not just your personal observation. If you already have tinnitus rated by the VA, migraines could be rated separately and on top of it. How secondary service connection works: Secondary service connection means that Condition B (migraines) was caused or aggravated by Condition A (tinnitus), which is already service-connected. The VA requires a medical nexus — a clinician’s documented opinion stating that it is “at least as likely as not” that the tinnitus is causing or contributing to the migraines. What the medical literature supports: There is a recognised clinical relationship between chronic tinnitus and migraine. Both conditions involve central sensitisation — an abnormal amplification of pain and sensory signals in the nervous system. The constant auditory stress of tinnitus can trigger or worsen migraine attacks in susceptible individuals. This is a defensible connection that a qualified clinician can support in a Nexus Letter. What your rating could look like: Tinnitus is capped at 10% (Diagnostic Code 6260). Migraines, however, are rated separately under DC 8100 and can reach 50% if you have prostrating attacks occurring very frequently. If both are service-connected, they combine — meaning your total compensation increases significantly beyond the 10% tinnitus cap.