Secondary Condition Claim · VASRD 5019
Bursitis Secondary to Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major)
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 Bursitis when it develops after Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major).
Why Bursitis Is Linked to Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major)
Altered arm mechanics and strain
Primary condition · VASRD 5213
Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major)
A condition where the bones in the forearm lose the ability to rotate, affecting daily arm use.
Secondary condition · VASRD 5019
Bursitis
Inflammation of fluid-filled sacs (bursae) that cushion bones and joints, causing pain or limited motion.
Bursitis VA Rating Tiers
The VA rates Bursitis the same way whether it's claimed directly or as secondary to Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major) — severity of Bursitis itself determines the percentage.
Example combined rating
10% Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major) + 10% Bursitis = 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.
Evidence for a Bursitis Secondary Claim
- •Orthopedic exam reports documenting the diagnosis and its severity.
- •Range-of-motion testing showing how much the affected joint's movement is limited.
Common questions about Bursitis secondary to Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major)
- Can Bursitis be service-connected as secondary to Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major)?
- 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. Altered arm mechanics and strain You'll need a current Bursitis diagnosis and a medical nexus opinion linking it to your service-connected Limitation of Pronation…
- What VA rating can I get for Bursitis as a secondary condition?
- Bursitis is rated under VASRD diagnostic code 5019 using the same criteria whether it's a direct or secondary claim: possible ratings are 20%, 10%. The rating depends on the severity of Bursitis itself, not on the severity of Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major).
- How does a secondary Bursitis 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 Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major) combined with a 10% rating for Bursitis (example figures) produces a combined rating of 19%, not 20%. Approving Bursitis a…
- What evidence do I need to service-connect Bursitis as secondary to Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major)?
- Strong evidence for the underlying Bursitis diagnosis includes: Orthopedic exam reports documenting the diagnosis and its severity.; Range-of-motion testing showing how much the affected joint's movement is limited.. For the secondary link itself, a nexus letter from a treating provider explaining how Limitation of Pr…
Primary condition
Full Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major) guide
Secondary condition
Full Bursitis guide
Estimate your combined rating
See how Limitation of Pronation and Supination (Ankylosis - Radioulnar articulation, major) and Bursitis combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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