Secondary Condition Claim · VASRD 5252
Limitation of Flexion of the Thigh (Hip) Secondary to External Cutaneous Nerve of Thigh, Paralysis
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.
Why Limitation of Flexion of the Thigh (Hip) Is Linked to External Cutaneous Nerve of Thigh, Paralysis
Caused by altered gait
Primary condition · VASRD 8529
External Cutaneous Nerve of Thigh, Paralysis
This code covers the lateral femoral cutaneous nerve (the external cutaneous nerve of the thigh), which provides sensation to the outer thigh but doesn't control muscle movement, so this condition causes numbness, tingling, or burning pain rather than weakness. Because it's a purely sensory nerve, the rating is capped at a lower level than motor nerve conditions.
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.
Limitation of Flexion of the Thigh (Hip) VA Rating Tiers
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.
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Evidence for a Limitation of Flexion of the Thigh (Hip) Secondary Claim
- •VA C&P ROM measurements
- •Physical therapy notes showing mobility issues
- •X-rays if degenerative disease suspected
Common questions about Limitation of Flexion of the Thigh (Hip) secondary to External Cutaneous Nerve of Thigh, Paralysis
- Can Limitation of Flexion of the Thigh (Hip) be service-connected as secondary to External Cutaneous Nerve of Thigh, Paralysis?
- 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. Caused by altered gait You'll need a current Limitation of Flexion of the Thigh (Hip) diagnosis and a medical nexus opinion linking it to your service-connected Ex…
- What VA rating can I get for Limitation of Flexion of the Thigh (Hip) as a secondary condition?
- Limitation of Flexion of the Thigh (Hip) is rated under VASRD diagnostic code 5252 using the same criteria whether it's a direct or secondary claim: possible ratings are 40%, 30%, 20%, 10%. The rating depends on the severity of Limitation of Flexion of the Thigh (Hip) itself, not on the severity of External Cutaneous…
- How does a secondary Limitation of Flexion of the Thigh (Hip) claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 10% rating for External Cutaneous Nerve of Thigh, Paralysis combined with a 10% rating for Limitation of Flexion of the Thigh (Hip) (example figures) produces a combined rating of 19%, not 20%. Approving Limitation of Fle…
- What evidence do I need to service-connect Limitation of Flexion of the Thigh (Hip) as secondary to External Cutaneous Nerve of Thigh, Paralysis?
- Strong evidence for the underlying Limitation of Flexion of the Thigh (Hip) diagnosis includes: VA C&P ROM measurements; Physical therapy notes showing mobility issues; X-rays if degenerative disease suspected. For the secondary link itself, a nexus letter from a treating provider explaining how External Cutaneous Ner…
Primary condition
Full External Cutaneous Nerve of Thigh, Paralysis guide
Secondary condition
Full Limitation of Flexion of the Thigh (Hip) guide
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