Secondary Condition Claim · VASRD 5112
Amputation of Foot at Forefoot Level Secondary to Loss of use of hand
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 Amputation of Foot at Forefoot Level when it develops after Loss of use of hand.
Primary condition · VASRD 5124
Loss of use of hand
Inability to use hand for normal function due to injury or disease.
Secondary condition · VASRD 5112
Amputation of Foot at Forefoot Level
Partial foot amputation involving the metatarsal or toe regions, typically requiring supportive footwear.
Amputation of Foot at Forefoot Level VA Rating Tiers
The VA rates Amputation of Foot at Forefoot Level the same way whether it's claimed directly or as secondary to Loss of use of hand — severity of Amputation of Foot at Forefoot Level itself determines the percentage.
Example combined rating
70% Loss of use of hand + 40% Amputation of Foot at Forefoot Level = 82%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 70% and 40% combine to 82%, not 110%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Evidence for a Amputation of Foot at Forefoot Level Secondary Claim
- •Operative notes of foot amputation
- •Podiatry reports and orthotic prescriptions
- •VA gait analysis or walking tests
Common questions about Amputation of Foot at Forefoot Level secondary to Loss of use of hand
- Can Amputation of Foot at Forefoot Level be service-connected as secondary to Loss of use of hand?
- 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 Amputation of Foot at Forefoot Level diagnosis and a medical nexus opinion linking it to your service-connected Loss of use of hand — the sam…
- What VA rating can I get for Amputation of Foot at Forefoot Level as a secondary condition?
- Amputation of Foot at Forefoot Level is rated under VASRD diagnostic code 5112 using the same criteria whether it's a direct or secondary claim: possible ratings are 40%, 30%. The rating depends on the severity of Amputation of Foot at Forefoot Level itself, not on the severity of Loss of use of hand.
- How does a secondary Amputation of Foot at Forefoot Level claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 70% rating for Loss of use of hand combined with a 40% rating for Amputation of Foot at Forefoot Level (example figures) produces a combined rating of 82%, not 110%. Approving Amputation of Foot at Forefoot Level as secon…
- What evidence do I need to service-connect Amputation of Foot at Forefoot Level as secondary to Loss of use of hand?
- Strong evidence for the underlying Amputation of Foot at Forefoot Level diagnosis includes: Operative notes of foot amputation; Podiatry reports and orthotic prescriptions; VA gait analysis or walking tests. For the secondary link itself, a nexus letter from a treating provider explaining how Loss of use of hand cause…
Primary condition
Full Loss of use of hand guide
Secondary condition
Full Amputation of Foot at Forefoot Level guide
Estimate your combined rating
See how Loss of use of hand and Amputation of Foot at Forefoot Level combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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