Secondary Condition Claim · VASRD 9411
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 Post-Traumatic Stress Disorder (PTSD) when it develops after Amputation of Arm, Below Insertion of Deltoid.
Trauma from injury
Primary condition · VASRD 5122
Amputation of Arm, Below Insertion of Deltoid
This code covers amputation of the arm below the insertion of the deltoid. It pays 80 percent for the dominant (major) upper extremity and 70 percent for the non-dominant (minor) one - the two figures are the two sides, not two amputation heights. An amputation above the deltoid insertion is a different, higher-paying code (DC 5121).
Secondary condition · VASRD 9411
Post-Traumatic Stress Disorder (PTSD)
PTSD is a mental health issue caused by a traumatic event, leading to flashbacks, anxiety, or nightmares.
The VA rates Post-Traumatic Stress Disorder (PTSD) the same way whether it's claimed directly or as secondary to Amputation of Arm, Below Insertion of Deltoid — severity of Post-Traumatic Stress Disorder (PTSD) itself determines the percentage.
| Rating | Criteria |
|---|---|
| 100% | You can't work or function in daily life due to PTSD symptoms. |
| 70% | Severe PTSD that makes it hard to keep a job or relationships. |
| 50% | Moderate PTSD that causes regular issues at work or home. |
| 30% | Mild to moderate PTSD symptoms that sometimes affect your work. |
| 10% | PTSD symptoms show up during stress or are managed by meds. |
Example combined rating
80% Amputation of Arm, Below Insertion of Deltoid + 70% Post-Traumatic Stress Disorder (PTSD) = 94%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 80% and 70% combine to 94%, not 150%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Get the rating criteria for Post-Traumatic Stress Disorder (PTSD), the evidence a secondary claim needs, and why it is linked to Amputation of Arm, Below Insertion of Deltoid — delivered to your inbox.
Primary condition
Full Amputation of Arm, Below Insertion of Deltoid guide
Secondary condition
Full Post-Traumatic Stress Disorder (PTSD) guide
See how Amputation of Arm, Below Insertion of Deltoid and Post-Traumatic Stress Disorder (PTSD) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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