Secondary Condition Claim · VASRD 9400
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 Thigh at Upper Third.
Amputation can severely affect mental health and self-image
Primary condition · VASRD 5100
Amputation of Thigh at Upper Third
This is an amputation at the top portion of the thigh (femur), either with or without the ability to use a prosthetic.
Secondary condition · VASRD 9400
Generalized Anxiety Disorder
GAD is a mental health condition marked by persistent, excessive worry about daily activities.
The VA rates Generalized Anxiety Disorder the same way whether it's claimed directly or as secondary to Amputation of Thigh at Upper Third — severity of Generalized Anxiety Disorder itself determines the percentage.
| Rating | Criteria |
|---|---|
| 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
90% Amputation of Thigh at Upper Third + 50% Generalized Anxiety Disorder = 100%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 90% and 50% combine to 100%, not 140%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Amputation of Thigh at Upper Third guide
Secondary condition
Full Generalized Anxiety Disorder guide
See how Amputation of Thigh at Upper Third and Generalized Anxiety Disorder combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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