Secondary Condition Claim · VASRD 9400
Generalized Anxiety Disorder Secondary to Complete Amputation of the Upper Extremity
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 Generalized Anxiety Disorder when it develops after Complete Amputation of the Upper Extremity.
Why Generalized Anxiety Disorder Is Linked to Complete Amputation of the Upper Extremity
Loss of limb function
Primary condition · VASRD 5120
Complete Amputation of the Upper Extremity
This code covers complete amputation of the upper extremity at its two highest levels: forequarter amputation, which takes the humerus together with part of the shoulder girdle, and disarticulation, which removes the humerus only. Both rows pay the same on either side - this code has no dominant versus non-dominant difference - so the evaluation turns entirely on which of the two levels the operative record documents.
Secondary condition · VASRD 9400
Generalized Anxiety Disorder
GAD is a mental health condition marked by persistent, excessive worry about daily activities.
Generalized Anxiety Disorder VA Rating Tiers
The VA rates Generalized Anxiety Disorder the same way whether it's claimed directly or as secondary to Complete Amputation of the Upper Extremity — severity of Generalized Anxiety Disorder itself determines the percentage.
| Rating | Criteria |
|---|---|
| 100% | You can't work or maintain relationships due to extreme anxiety symptoms. |
| 70% | Severe anxiety that disrupts your work and social life. |
| 50% | Frequent anxiety that affects your job and motivation. |
| 30% | Mild anxiety that causes some issues at work or home. |
| 10% | Anxiety that's under control or only shows up under pressure. |
Example combined rating
90% Complete Amputation of the Upper Extremity + 50% Generalized Anxiety Disorder = 100%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 90% and 50% combine to 100%, not 140%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
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Evidence for a Generalized Anxiety Disorder Secondary Claim
- •DSM-5 diagnosis from VA or private psychiatrist
- •VA C&P exam with documentation of impairment
- •Personal statement outlining impact on life
- •Therapy or medication records
Common questions about Generalized Anxiety Disorder secondary to Complete Amputation of the Upper Extremity
- Can Generalized Anxiety Disorder be service-connected as secondary to Complete Amputation of the Upper Extremity?
- 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. Loss of limb function You'll need a current Generalized Anxiety Disorder diagnosis and a medical nexus opinion linking it to your service-connected Complete Amputa…
- What VA rating can I get for Generalized Anxiety Disorder as a secondary condition?
- Generalized Anxiety Disorder is rated under VASRD diagnostic code 9400 using the same criteria whether it's a direct or secondary claim: possible ratings are 100%, 70%, 50%, 30%, 10%. The rating depends on the severity of Generalized Anxiety Disorder itself, not on the severity of Complete Amputation of the Upper Extr…
- How does a secondary Generalized Anxiety Disorder 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 Complete Amputation of the Upper Extremity combined with a 50% rating for Generalized Anxiety Disorder (example figures) produces a combined rating of 100%, not 140%. Approving Generalized Anxiety Disorder…
- What evidence do I need to service-connect Generalized Anxiety Disorder as secondary to Complete Amputation of the Upper Extremity?
- Strong evidence for the underlying Generalized Anxiety Disorder diagnosis includes: DSM-5 diagnosis from VA or private psychiatrist; VA C&P exam with documentation of impairment; Personal statement outlining impact on life; Therapy or medication records. For the secondary link itself, a nexus letter from a treating pr…
Primary condition
Full Complete Amputation of the Upper Extremity guide
Secondary condition
Full Generalized Anxiety Disorder guide
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See how Complete Amputation of the Upper Extremity and Generalized Anxiety Disorder combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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