Secondary Condition Claim · VASRD 7530
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 Chronic renal disease when it develops after Chronic Gastritis (Including H. pylori and Drug-Induced Gastritis).
Chronic internal bleeding
Primary condition · VASRD 7307
Chronic Gastritis (Including H. pylori and Drug-Induced Gastritis)
Chronic gastritis is long-standing inflammation of the stomach lining, which can cause abdominal pain, nausea, vomiting, and bleeding. The schedule's Note puts several conditions under this one code: Helicobacter pylori infection, drug-induced gastritis, Zollinger-Ellison syndrome, and portal-hypertensive gastropathy with varix-related complications. DC 7307 carries no percentages of its own; the entry reads "Rate as peptic ulcer disease (DC 7304)", so the evaluation is built from that code's criteria.
Secondary condition · VASRD 7530
Chronic renal disease
Chronic renal disease is long-term, progressive damage to the kidneys' ability to filter waste from the blood. DC 7530 carries no criteria of its own — the schedule directs "Rate as renal dysfunction" — so the evaluation comes from the § 4.115a table, which is graded by glomerular filtration rate. Each band has to hold for at least 3 consecutive months during the past 12 months, and requiring regular routine dialysis or being an eligible kidney transplant recipient reaches 100 percent on its own.
The VA rates Chronic renal disease the same way whether it's claimed directly or as secondary to Chronic Gastritis (Including H. pylori and Drug-Induced Gastritis) — severity of Chronic renal disease itself determines the percentage.
Example combined rating
60% Chronic Gastritis (Including H. pylori and Drug-Induced Gastritis) + 80% Chronic renal disease = 92%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 60% and 80% combine to 92%, not 140%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Get the rating criteria for Chronic renal disease, the evidence a secondary claim needs, and why it is linked to Chronic Gastritis (Including H. pylori and Drug-Induced Gastritis) — delivered to your inbox.
Primary condition
Full Chronic Gastritis (Including H. pylori and Drug-Induced Gastritis) guide
Secondary condition
Full Chronic renal disease guide
See how Chronic Gastritis (Including H. pylori and Drug-Induced Gastritis) and Chronic renal disease combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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