Secondary Condition Claim · VASRD 6354
Chronic Fatigue Syndrome (CFS) Secondary to Loss of use of both hands
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 Chronic Fatigue Syndrome (CFS) when it develops after Loss of use of both hands.
Primary condition · VASRD 5125
Loss of use of both hands
Complete inability to use both hands due to injury or neurological damage.
Secondary condition · VASRD 6354
Chronic Fatigue Syndrome (CFS)
CFS causes persistent fatigue not improved by rest and worsened by physical or mental activity.
Chronic Fatigue Syndrome (CFS) VA Rating Tiers
The VA rates Chronic Fatigue Syndrome (CFS) the same way whether it's claimed directly or as secondary to Loss of use of both hands — severity of Chronic Fatigue Syndrome (CFS) itself determines the percentage.
| Rating | Criteria |
|---|---|
| 100% | You can’t perform any regular activity due to extreme fatigue. |
| 60% | You're only able to function about half the time due to fatigue. |
| 40% | Significant exhaustion that limits what you can do most days. |
| 20% | Chronic tiredness that limits your lifestyle and function. |
| 10% | Occasional fatigue that interferes with daily tasks. |
Example combined rating
100% Loss of use of both hands + 40% Chronic Fatigue Syndrome (CFS) = 100%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 100% and 40% combine to 100%, not 140%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Evidence for a Chronic Fatigue Syndrome (CFS) Secondary Claim
- •VA physician diagnosis of CFS
- •Labs ruling out other causes
- •Personal logs of fatigue patterns
- •C&P exam documenting activity limits
Common questions about Chronic Fatigue Syndrome (CFS) secondary to Loss of use of both hands
- Can Chronic Fatigue Syndrome (CFS) be service-connected as secondary to Loss of use of both hands?
- 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. You'll need a current Chronic Fatigue Syndrome (CFS) diagnosis and a medical nexus opinion linking it to your service-connected Loss of use of both hands — the sam…
- What VA rating can I get for Chronic Fatigue Syndrome (CFS) as a secondary condition?
- Chronic Fatigue Syndrome (CFS) is rated under VASRD diagnostic code 6354 using the same criteria whether it's a direct or secondary claim: possible ratings are 100%, 60%, 40%, 20%, 10%. The rating depends on the severity of Chronic Fatigue Syndrome (CFS) itself, not on the severity of Loss of use of both hands.
- How does a secondary Chronic Fatigue Syndrome (CFS) claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 100% rating for Loss of use of both hands combined with a 40% rating for Chronic Fatigue Syndrome (CFS) (example figures) produces a combined rating of 100%, not 140%. Approving Chronic Fatigue Syndrome (CFS) as secondary…
- What evidence do I need to service-connect Chronic Fatigue Syndrome (CFS) as secondary to Loss of use of both hands?
- Strong evidence for the underlying Chronic Fatigue Syndrome (CFS) diagnosis includes: VA physician diagnosis of CFS; Labs ruling out other causes; Personal logs of fatigue patterns; C&P exam documenting activity limits. For the secondary link itself, a nexus letter from a treating provider explaining how Loss of use o…
Primary condition
Full Loss of use of both hands guide
Secondary condition
Full Chronic Fatigue Syndrome (CFS) guide
Estimate your combined rating
See how Loss of use of both hands and Chronic Fatigue Syndrome (CFS) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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