Secondary Condition Claim · VASRD 5112
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 Arm, Amputation Below Insertion of Deltoid.
Nerve signal mismatch
Primary condition · VASRD 5121
Arm, Amputation Below Insertion of Deltoid
Loss of arm below the shoulder joint, above or at the mid-arm.
Secondary condition · VASRD 5112
Amputation of Foot at Forefoot Level
Partial foot amputation involving the metatarsal or toe regions, typically requiring supportive footwear.
The VA rates Amputation of Foot at Forefoot Level the same way whether it's claimed directly or as secondary to Arm, Amputation Below Insertion of Deltoid — severity of Amputation of Foot at Forefoot Level itself determines the percentage.
Example combined rating
90% Arm, Amputation Below Insertion of Deltoid + 40% Amputation of Foot at Forefoot Level = 94%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 90% and 40% combine to 94%, not 130%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Arm, Amputation Below Insertion of Deltoid guide
Secondary condition
Full Amputation of Foot at Forefoot Level guide
See how Arm, Amputation Below Insertion of Deltoid 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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