Secondary Condition Claim · VASRD 6204
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 Peripheral Vestibular Disorders when it develops after Amputation of Foot at Forefoot Level.
Forefoot loss affects how you walk
Primary condition · VASRD 5112
Amputation of Foot at Forefoot Level
Partial foot amputation involving the metatarsal or toe regions, typically requiring supportive footwear.
Secondary condition · VASRD 6204
Peripheral Vestibular Disorders
Peripheral vestibular disorders affect the inner ear structures responsible for balance, causing dizziness, vertigo, and sometimes nausea that can range from occasional to disabling. Common causes include ear infections, head trauma, or chronic noise exposure, which makes this a frequent secondary claim alongside hearing loss or tinnitus.
The VA rates Peripheral Vestibular Disorders the same way whether it's claimed directly or as secondary to Amputation of Foot at Forefoot Level — severity of Peripheral Vestibular Disorders itself determines the percentage.
Example combined rating
40% Amputation of Foot at Forefoot Level + 10% Peripheral Vestibular Disorders = 46%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 40% and 10% combine to 46%, not 50%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Amputation of Foot at Forefoot Level guide
Secondary condition
Full Peripheral Vestibular Disorders guide
See how Amputation of Foot at Forefoot Level and Peripheral Vestibular Disorders combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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