Secondary Condition Claim · VASRD 9400

Generalized Anxiety Disorder Secondary to Amputation of All Five Digits of One Hand

A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Generalized Anxiety Disorder when it develops after Amputation of All Five Digits of One Hand.

Why Generalized Anxiety Disorder Is Linked to Amputation of All Five Digits of One Hand

Loss of limb function

Primary condition · VASRD 5126

Amputation of All Five Digits of One Hand

This code covers amputation of all five digits of one hand. It pays 70 percent for the dominant (major) hand and 60 percent for the non-dominant (minor) hand - the two figures are the two hands, not two amputation levels.

Secondary condition · VASRD 9400

Generalized Anxiety Disorder

GAD is a mental health condition marked by persistent, excessive worry about daily activities.

Generalized Anxiety Disorder VA Rating Tiers

The VA rates Generalized Anxiety Disorder the same way whether it's claimed directly or as secondary to Amputation of All Five Digits of One Hand — severity of Generalized Anxiety Disorder itself determines the percentage.

RatingCriteria
100%You can't work or maintain relationships due to extreme anxiety symptoms.
70%Severe anxiety that disrupts your work and social life.
50%Frequent anxiety that affects your job and motivation.
30%Mild anxiety that causes some issues at work or home.
10%Anxiety that's under control or only shows up under pressure.

Example combined rating

70% Amputation of All Five Digits of One Hand + 50% Generalized Anxiety Disorder = 85%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 70% and 50% combine to 85%, not 120%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

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Evidence for a Generalized Anxiety Disorder Secondary Claim

  • DSM-5 diagnosis from VA or private psychiatrist
  • VA C&P exam with documentation of impairment
  • Personal statement outlining impact on life
  • Therapy or medication records

Common questions about Generalized Anxiety Disorder secondary to Amputation of All Five Digits of One Hand

Can Generalized Anxiety Disorder be service-connected as secondary to Amputation of All Five Digits of One Hand?
Yes. Under 38 CFR § 3.310, a condition that is caused or aggravated by an already service-connected disability can be granted secondary service connection. Loss of limb function You'll need a current Generalized Anxiety Disorder diagnosis and a medical nexus opinion linking it to your service-connected Amputation of A…
What VA rating can I get for Generalized Anxiety Disorder as a secondary condition?
Generalized Anxiety Disorder is rated under VASRD diagnostic code 9400 using the same criteria whether it's a direct or secondary claim: possible ratings are 100%, 70%, 50%, 30%, 10%. The rating depends on the severity of Generalized Anxiety Disorder itself, not on the severity of Amputation of All Five Digits of One…
How does a secondary Generalized Anxiety Disorder claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 70% rating for Amputation of All Five Digits of One Hand combined with a 50% rating for Generalized Anxiety Disorder (example figures) produces a combined rating of 85%, not 120%. Approving Generalized Anxiety Disorder as…
What evidence do I need to service-connect Generalized Anxiety Disorder as secondary to Amputation of All Five Digits of One Hand?
Strong evidence for the underlying Generalized Anxiety Disorder diagnosis includes: DSM-5 diagnosis from VA or private psychiatrist; VA C&P exam with documentation of impairment; Personal statement outlining impact on life; Therapy or medication records. For the secondary link itself, a nexus letter from a treating pr…

Primary condition

Full Amputation of All Five Digits of One Hand guide

Secondary condition

Full Generalized Anxiety Disorder guide

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See how Amputation of All Five Digits of One Hand and Generalized Anxiety Disorder combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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