Secondary Condition Claim · VASRD 6204
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 Peripheral Vestibular Disorders when it develops after Complete Amputation of the Lower Extremity (Hip Disarticulation or Trans-Pelvic).
Loss of entire leg affects gait and balance severely
Primary condition · VASRD 5160
Complete Amputation of the Lower Extremity (Hip Disarticulation or Trans-Pelvic)
Complete amputation of the leg at the hip. The schedule sets two levels: disarticulation, which removes the femur and the intrinsic pelvic musculature only, and trans-pelvic amputation, which also takes some portion of the pelvic bones.
Secondary condition · VASRD 6204
Peripheral Vestibular Disorders
Peripheral vestibular disorders affect the inner ear structures responsible for balance, causing dizziness, vertigo, and sometimes nausea that can range from occasional to disabling. Common causes include ear infections, head trauma, or chronic noise exposure, which makes this a frequent secondary claim alongside hearing loss or tinnitus.
The VA rates Peripheral Vestibular Disorders the same way whether it's claimed directly or as secondary to Complete Amputation of the Lower Extremity (Hip Disarticulation or Trans-Pelvic) — severity of Peripheral Vestibular Disorders itself determines the percentage.
Example combined rating
90% Complete Amputation of the Lower Extremity (Hip Disarticulation or Trans-Pelvic) + 10% Peripheral Vestibular Disorders = 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 Peripheral Vestibular Disorders, the evidence a secondary claim needs, and why it is linked to Complete Amputation of the Lower Extremity (Hip Disarticulation or Trans-Pelvic) — delivered to your inbox.
Primary condition
Full Complete Amputation of the Lower Extremity (Hip Disarticulation or Trans-Pelvic) guide
Secondary condition
Full Peripheral Vestibular Disorders guide
See how Complete Amputation of the Lower Extremity (Hip Disarticulation or Trans-Pelvic) and Peripheral Vestibular Disorders combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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