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Secondary Condition Claim · VASRD 5203

Impairment of the Clavicle or Scapula Secondary to Arm, Amputation Below Insertion of Deltoid

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 Below Insertion of Deltoid.

Why Impairment of the Clavicle or Scapula Is Linked to Arm, Amputation Below Insertion of Deltoid

Overuse of residual muscles

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 5203

Impairment of the Clavicle or Scapula

Damage to the collarbone or shoulder blade that affects shoulder function and stability.

Impairment of the Clavicle or Scapula VA Rating Tiers

The VA rates Impairment of the Clavicle or Scapula the same way whether it's claimed directly or as secondary to Arm, Amputation Below Insertion of Deltoid — severity of Impairment of the Clavicle or Scapula itself determines the percentage.

RatingCriteria
20%Your shoulder joint is unstable and moves abnormally.
10%Your collarbone healed wrong or is misaligned, but the joint is mostly stable.

Example combined rating

90% Arm, Amputation Below 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.

Evidence for a Impairment of the Clavicle or Scapula Secondary Claim

  • Imaging showing clavicle or scapula fracture/dislocation
  • VA exam showing joint instability or movement limits
  • Orthopedic specialist report

Common questions about Impairment of the Clavicle or Scapula secondary to Arm, Amputation Below Insertion of Deltoid

Can Impairment of the Clavicle or Scapula be service-connected as secondary to Arm, Amputation Below Insertion of Deltoid?
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. Overuse of residual muscles You'll need a current Impairment of the Clavicle or Scapula diagnosis and a medical nexus opinion linking it to your service-connected…
What VA rating can I get for Impairment of the Clavicle or Scapula as a secondary condition?
Impairment of the Clavicle or Scapula is rated under VASRD diagnostic code 5203 using the same criteria whether it's a direct or secondary claim: possible ratings are 20%, 10%. The rating depends on the severity of Impairment of the Clavicle or Scapula itself, not on the severity of Arm, Amputation Below Insertion of…
How does a secondary Impairment of the Clavicle or Scapula claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 90% rating for Arm, Amputation Below Insertion of Deltoid combined with a 10% rating for Impairment of the Clavicle or Scapula (example figures) produces a combined rating of 91%, not 100%. Approving Impairment of the Cla…
What evidence do I need to service-connect Impairment of the Clavicle or Scapula as secondary to Arm, Amputation Below Insertion of Deltoid?
Strong evidence for the underlying Impairment of the Clavicle or Scapula diagnosis includes: Imaging showing clavicle or scapula fracture/dislocation; VA exam showing joint instability or movement limits; Orthopedic specialist report. For the secondary link itself, a nexus letter from a treating provider explaining ho…

Primary condition

Full Arm, Amputation Below Insertion of Deltoid guide

Secondary condition

Full Impairment of the Clavicle or Scapula guide

Estimate your combined rating

See how Arm, Amputation Below 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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