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Secondary Condition Claim · VASRD 7119

Peripheral Vascular Disease Secondary to Diabetes Mellitus

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 Vascular Disease when it develops after Diabetes Mellitus.

Why Peripheral Vascular Disease Is Linked to Diabetes Mellitus

High blood sugar damages nerves

Primary condition · VASRD 7913

Diabetes Mellitus

A metabolic condition where blood sugar is chronically high due to poor insulin production or use.

Secondary condition · VASRD 7119

Peripheral Vascular Disease

A circulation disorder causing reduced blood flow, especially in the legs.

Peripheral Vascular Disease VA Rating Tiers

The VA rates Peripheral Vascular Disease the same way whether it's claimed directly or as secondary to Diabetes Mellitus — severity of Peripheral Vascular Disease itself determines the percentage.

RatingCriteria
20%Intermittent claudication with ankle/brachial index of 0.9 or less.
40%Ankle/brachial index of 0.7 or less or symptoms after walking 25-100 meters.
60%Ankle/brachial index of 0.5 or less or symptoms after walking less than 25 meters.
100%Ischemic limb pain at rest or tissue loss.

Example combined rating

40% Diabetes Mellitus + 40% Peripheral Vascular Disease = 64%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 40% and 40% combine to 64%, not 80%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

Evidence for a Peripheral Vascular Disease Secondary Claim

  • Vascular imaging showing arterial narrowing or blockage.
  • Ankle-brachial index test results, the specific measurement this rating depends on.
  • Doppler ultrasound studies of blood flow in the legs.

Common questions about Peripheral Vascular Disease secondary to Diabetes Mellitus

Can Peripheral Vascular Disease be service-connected as secondary to Diabetes Mellitus?
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. High blood sugar damages nerves You'll need a current Peripheral Vascular Disease diagnosis and a medical nexus opinion linking it to your service-connected Diabet…
What VA rating can I get for Peripheral Vascular Disease as a secondary condition?
Peripheral Vascular Disease is rated under VASRD diagnostic code 7119 using the same criteria whether it's a direct or secondary claim: possible ratings are 20%, 40%, 60%, 100%. The rating depends on the severity of Peripheral Vascular Disease itself, not on the severity of Diabetes Mellitus.
How does a secondary Peripheral Vascular Disease claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 40% rating for Diabetes Mellitus combined with a 40% rating for Peripheral Vascular Disease (example figures) produces a combined rating of 64%, not 80%. Approving Peripheral Vascular Disease as secondary still typically…
What evidence do I need to service-connect Peripheral Vascular Disease as secondary to Diabetes Mellitus?
Strong evidence for the underlying Peripheral Vascular Disease diagnosis includes: Vascular imaging showing arterial narrowing or blockage.; Ankle-brachial index test results, the specific measurement this rating depends on.; Doppler ultrasound studies of blood flow in the legs.. For the secondary link itself, a nexus…

Primary condition

Full Diabetes Mellitus guide

Secondary condition

Full Peripheral Vascular Disease guide

Estimate your combined rating

See how Diabetes Mellitus and Peripheral Vascular Disease combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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