Secondary Condition Claim · VASRD 7338
Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional Secondary to Impairment of the Thigh (Adduction/Rotation)
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 Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional when it develops after Impairment of the Thigh (Adduction/Rotation).
Why Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional Is Linked to Impairment of the Thigh (Adduction/Rotation)
Compensatory movement can strain nearby muscles.
Primary condition · VASRD 5253
Impairment of the Thigh (Adduction/Rotation)
This code rates impairment of the thigh through three specific hip motions — abduction (moving the leg out to the side), adduction (bringing it across the body) and rotation (turning the foot outward). Abduction is the motion that carries the higher evaluation, so it is the one most often left unmeasured.
Secondary condition · VASRD 7338
Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional
A hernia is a bulge that forms where the abdominal wall gives way and tissue pushes through. DC 7338 is a single code for hernias "including femoral, inguinal, umbilical, ventral, incisional, and other (but not including hiatal)" — hiatal and paraesophageal hernia is DC 7346. Every compensable evaluation here starts from the same footing: an irreparable hernia, new or recurrent, present for 12 months or more. From there the percentage is set by the hernia's size in one dimension and by how many named activities — bending over, activities of daily living, walking, climbing stairs — bring on pain.
Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional VA Rating Tiers
The VA rates Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional the same way whether it's claimed directly or as secondary to Impairment of the Thigh (Adduction/Rotation) — severity of Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional itself determines the percentage.
| Rating | Criteria |
|---|---|
| 100% | Hernia that can't be repaired, 15 cm or bigger, with pain in 3 or more daily activities |
| 60% | Hernia that can't be repaired, 15 cm or bigger, with pain in 2 daily activities |
| 30% | Hernia that can't be repaired, 3 to 15 cm, with pain in 2 or more daily activities |
| 20% | Hernia that can't be repaired, 3 to 15 cm, with pain in 1 daily activity |
| 10% | Hernia that can't be repaired, smaller than 3 cm, for a year or more |
| 0% | Hernia with no symptoms - repaired, or still repairable |
Example combined rating
10% Impairment of the Thigh (Adduction/Rotation) + 10% Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional = 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 Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional Secondary Claim
- •A clinical or imaging measurement giving the hernia's size in centimeters in one dimension.
- •A statement in the record that the hernia is irreparable, together with the date it was first documented, since the criteria require 12 months or more.
- •Examination or treatment notes addressing pain with bending over, activities of daily living, walking, and climbing stairs.
- •Operative reports for any repair, and for any recurrence after one.
- •Separate documentation for each hernia where there is more than one, which Note (1)'s add-on for a second compensable inguinal hernia depends on.
Common questions about Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional secondary to Impairment of the Thigh (Adduction/Rotation)
- Can Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional be service-connected as secondary to Impairment of the Thigh (Adduction/Rotation)?
- 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. Compensatory movement can strain nearby muscles. You'll need a current Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional diagnosis and a medi…
- What VA rating can I get for Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional as a secondary condition?
- Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional is rated under VASRD diagnostic code 7338 using the same criteria whether it's a direct or secondary claim: possible ratings are 100%, 60%, 30%, 20%, 10%, 0%. The rating depends on the severity of Hernia, Including Inguinal, Femoral, Umbilical, Ve…
- How does a secondary Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional 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 Impairment of the Thigh (Adduction/Rotation) combined with a 10% rating for Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional (example figures) produces a combined rating of 19%, not 2…
- What evidence do I need to service-connect Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional as secondary to Impairment of the Thigh (Adduction/Rotation)?
- Strong evidence for the underlying Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional diagnosis includes: A clinical or imaging measurement giving the hernia's size in centimeters in one dimension.; A statement in the record that the hernia is irreparable, together with the date it was first docum…
Primary condition
Full Impairment of the Thigh (Adduction/Rotation) guide
Secondary condition
Full Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional guide
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