Secondary Condition Claim · VASRD 7508
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 Nephrolithiasis (kidney stones) when it develops after Gout.
High uric acid levels can lead to stone formation
Primary condition · VASRD 5015
Gout
Gout causes painful joint inflammation due to uric acid buildup.
Secondary condition · VASRD 7508
Nephrolithiasis (kidney stones)
Formation of stones in the kidney causing pain and urinary problems.
The VA rates Nephrolithiasis (kidney stones) the same way whether it's claimed directly or as secondary to Gout — severity of Nephrolithiasis (kidney stones) itself determines the percentage.
Example combined rating
20% Gout + 30% Nephrolithiasis (kidney stones) = 44%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 20% and 30% combine to 44%, not 50%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Gout guide
Secondary condition
Full Nephrolithiasis (kidney stones) guide
See how Gout and Nephrolithiasis (kidney stones) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
Open the calculator