Secondary Condition Claim · VASRD 5112
Amputation of Foot at Forefoot Level Secondary to Amputation of Hand (Below Metacarpal)
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 Amputation of Foot at Forefoot Level when it develops after Amputation of Hand (Below Metacarpal).
Why Amputation of Foot at Forefoot Level Is Linked to Amputation of Hand (Below Metacarpal)
Nerve impact
Primary condition · VASRD 5122
Amputation of Hand (Below Metacarpal)
Partial amputation of the hand below the base of fingers.
Secondary condition · VASRD 5112
Amputation of Foot at Forefoot Level
Partial foot amputation involving the metatarsal or toe regions, typically requiring supportive footwear.
Amputation of Foot at Forefoot Level VA Rating Tiers
The VA rates Amputation of Foot at Forefoot Level the same way whether it's claimed directly or as secondary to Amputation of Hand (Below Metacarpal) — severity of Amputation of Foot at Forefoot Level itself determines the percentage.
Example combined rating
65% Amputation of Hand (Below Metacarpal) + 40% Amputation of Foot at Forefoot Level = 79%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 65% and 40% combine to 79%, not 105%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Evidence for a Amputation of Foot at Forefoot Level Secondary Claim
- •Operative notes of foot amputation
- •Podiatry reports and orthotic prescriptions
- •VA gait analysis or walking tests
Common questions about Amputation of Foot at Forefoot Level secondary to Amputation of Hand (Below Metacarpal)
- Can Amputation of Foot at Forefoot Level be service-connected as secondary to Amputation of Hand (Below Metacarpal)?
- 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. Nerve impact You'll need a current Amputation of Foot at Forefoot Level diagnosis and a medical nexus opinion linking it to your service-connected Amputation of Ha…
- What VA rating can I get for Amputation of Foot at Forefoot Level as a secondary condition?
- Amputation of Foot at Forefoot Level is rated under VASRD diagnostic code 5112 using the same criteria whether it's a direct or secondary claim: possible ratings are 40%, 30%. The rating depends on the severity of Amputation of Foot at Forefoot Level itself, not on the severity of Amputation of Hand (Below Metacarpal).
- How does a secondary Amputation of Foot at Forefoot Level claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 65% rating for Amputation of Hand (Below Metacarpal) combined with a 40% rating for Amputation of Foot at Forefoot Level (example figures) produces a combined rating of 79%, not 105%. Approving Amputation of Foot at Foref…
- What evidence do I need to service-connect Amputation of Foot at Forefoot Level as secondary to Amputation of Hand (Below Metacarpal)?
- Strong evidence for the underlying Amputation of Foot at Forefoot Level diagnosis includes: Operative notes of foot amputation; Podiatry reports and orthotic prescriptions; VA gait analysis or walking tests. For the secondary link itself, a nexus letter from a treating provider explaining how Amputation of Hand (Below…
Primary condition
Full Amputation of Hand (Below Metacarpal) guide
Secondary condition
Full Amputation of Foot at Forefoot Level guide
Estimate your combined rating
See how Amputation of Hand (Below Metacarpal) and Amputation of Foot at Forefoot Level combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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