Secondary Condition Claim · VASRD 5252
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 Limitation of Flexion of the Thigh (Hip) when it develops after External Cutaneous Nerve of Thigh, Paralysis.
Caused by altered gait
Primary condition · VASRD 8529
External Cutaneous Nerve of Thigh, Paralysis
Nerve damage causing numbness, tingling, or pain in the outer thigh.
Secondary condition · VASRD 5252
Limitation of Flexion of the Thigh (Hip)
Hip flexion limitation makes it difficult to walk, sit, squat, or bend at the waist.
The VA rates Limitation of Flexion of the Thigh (Hip) the same way whether it's claimed directly or as secondary to External Cutaneous Nerve of Thigh, Paralysis — severity of Limitation of Flexion of the Thigh (Hip) itself determines the percentage.
Example combined rating
10% External Cutaneous Nerve of Thigh, Paralysis + 10% Limitation of Flexion of the Thigh (Hip) = 19%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 10% and 10% combine to 19%, not 20%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full External Cutaneous Nerve of Thigh, Paralysis guide
Secondary condition
Full Limitation of Flexion of the Thigh (Hip) guide
See how External Cutaneous Nerve of Thigh, Paralysis and Limitation of Flexion of the Thigh (Hip) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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