Secondary Condition Claim · VASRD 5203
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 Impairment of the Clavicle or Scapula when it develops after Arm, Amputation Above Insertion of Deltoid.
Overuse of residual muscles
Primary condition · VASRD 5121
Arm, Amputation Above Insertion of Deltoid
This code covers amputation of the arm above the point where the deltoid inserts. The amputation level fixes which code applies; the code's two percentages are not two heights but the two sides - 90 percent for the dominant (major) upper extremity and 80 percent for the non-dominant (minor) one. An amputation below the deltoid insertion is rated under DC 5122 at 80/70 instead.
Secondary condition · VASRD 5203
Impairment of the Clavicle or Scapula
Damage to the collarbone or shoulder blade that affects shoulder function and stability.
The VA rates Impairment of the Clavicle or Scapula the same way whether it's claimed directly or as secondary to Arm, Amputation Above Insertion of Deltoid — severity of Impairment of the Clavicle or Scapula itself determines the percentage.
Example combined rating
90% Arm, Amputation Above Insertion of Deltoid + 10% Impairment of the Clavicle or Scapula = 91%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 90% and 10% combine to 91%, not 100%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Get the rating criteria for Impairment of the Clavicle or Scapula, the evidence a secondary claim needs, and why it is linked to Arm, Amputation Above Insertion of Deltoid — delivered to your inbox.
Primary condition
Full Arm, Amputation Above Insertion of Deltoid guide
Secondary condition
Full Impairment of the Clavicle or Scapula guide
See how Arm, Amputation Above Insertion of Deltoid and Impairment of the Clavicle or Scapula combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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