Secondary Condition Claim · VASRD 5243
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 Intervertebral Disc Syndrome (IVDS) when it develops after Degenerative Arthritis of the Spine.
Nerve pinching from spine damage
Primary condition · VASRD 5242
Degenerative Arthritis of the Spine
Wear and tear in the spine causing stiffness, pain, or nerve issues.
Secondary condition · VASRD 5243
Intervertebral Disc Syndrome (IVDS)
Intervertebral disc syndrome involves damage to the cushioning discs between spinal vertebrae, which can bulge or herniate and press on nearby nerves, causing back pain, stiffness, and sometimes pain radiating into the arms or legs. Unlike most spine ratings based on range of motion, this code can alternatively be rated by counting incapacitating episodes requiring physician-prescribed bed rest.
The VA rates Intervertebral Disc Syndrome (IVDS) the same way whether it's claimed directly or as secondary to Degenerative Arthritis of the Spine — severity of Intervertebral Disc Syndrome (IVDS) itself determines the percentage.
Example combined rating
20% Degenerative Arthritis of the Spine + 20% Intervertebral Disc Syndrome (IVDS) = 36%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 20% and 20% combine to 36%, not 40%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Degenerative Arthritis of the Spine guide
Secondary condition
Full Intervertebral Disc Syndrome (IVDS) guide
See how Degenerative Arthritis of the Spine and Intervertebral Disc Syndrome (IVDS) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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