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Secondary Condition Claim · VASRD 7203

Ankylosis of the Cervical Spine Secondary to Ankylosis of the Scapulohumeral Articulation (Shoulder Joint)

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 Ankylosis of the Cervical Spine when it develops after Ankylosis of the Scapulohumeral Articulation (Shoulder Joint).

Why Ankylosis of the Cervical Spine Is Linked to Ankylosis of the Scapulohumeral Articulation (Shoulder Joint)

Compensating for shoulder immobility

Primary condition · VASRD 5200

Ankylosis of the Scapulohumeral Articulation (Shoulder Joint)

Shoulder ankylosis means your joint is stiff or frozen, severely limiting arm motion.

Secondary condition · VASRD 7203

Ankylosis of the Cervical Spine

Severe stiffness or immobility of the neck due to spinal fusion or disease.

Ankylosis of the Cervical Spine VA Rating Tiers

The VA rates Ankylosis of the Cervical Spine the same way whether it's claimed directly or as secondary to Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) — severity of Ankylosis of the Cervical Spine itself determines the percentage.

RatingCriteria
40%Neck stuck in poor position
30%Neck stuck in neutral position

Example combined rating

30% Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) + 35% Ankylosis of the Cervical Spine = 55%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 30% and 35% combine to 55%, not 65%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

Evidence for a Ankylosis of the Cervical Spine Secondary Claim

  • X-rays, MRI of cervical spine
  • Orthopedic or neurology exam

Common questions about Ankylosis of the Cervical Spine secondary to Ankylosis of the Scapulohumeral Articulation (Shoulder Joint)

Can Ankylosis of the Cervical Spine be service-connected as secondary to Ankylosis of the Scapulohumeral Articulation (Shoulder Joint)?
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. Compensating for shoulder immobility You'll need a current Ankylosis of the Cervical Spine diagnosis and a medical nexus opinion linking it to your service-connect…
What VA rating can I get for Ankylosis of the Cervical Spine as a secondary condition?
Ankylosis of the Cervical Spine is rated under VASRD diagnostic code 7203 using the same criteria whether it's a direct or secondary claim: possible ratings are 40%, 30%. The rating depends on the severity of Ankylosis of the Cervical Spine itself, not on the severity of Ankylosis of the Scapulohumeral Articulation (S…
How does a secondary Ankylosis of the Cervical Spine claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 30% rating for Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) combined with a 35% rating for Ankylosis of the Cervical Spine (example figures) produces a combined rating of 55%, not 65%. Approving Ankylosis…
What evidence do I need to service-connect Ankylosis of the Cervical Spine as secondary to Ankylosis of the Scapulohumeral Articulation (Shoulder Joint)?
Strong evidence for the underlying Ankylosis of the Cervical Spine diagnosis includes: X-rays, MRI of cervical spine; Orthopedic or neurology exam. For the secondary link itself, a nexus letter from a treating provider explaining how Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) caused or aggravated An…

Primary condition

Full Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) guide

Secondary condition

Full Ankylosis of the Cervical Spine guide

Estimate your combined rating

See how Ankylosis of the Scapulohumeral Articulation (Shoulder Joint) and Ankylosis of the Cervical Spine combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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