Secondary Condition Claim · VASRD 5203
Impairment of the Clavicle or Scapula Secondary to Loss of Use of Wrist (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 Impairment of the Clavicle or Scapula when it develops after Loss of Use of Wrist (Major).
Why Impairment of the Clavicle or Scapula Is Linked to Loss of Use of Wrist (Major)
Overuse of compensating joints due to wrist immobility
Primary condition · VASRD 5216
Loss of Use of Wrist (Major)
A total inability to use the wrist joint, usually treated as equivalent to amputation for rating purposes.
Secondary condition · VASRD 5203
Impairment of the Clavicle or Scapula
Damage to the collarbone or shoulder blade that affects shoulder function and stability.
Impairment of the Clavicle or Scapula VA Rating Tiers
The VA rates Impairment of the Clavicle or Scapula the same way whether it's claimed directly or as secondary to Loss of Use of Wrist (Major) — severity of Impairment of the Clavicle or Scapula itself determines the percentage.
Example combined rating
70% Loss of Use of Wrist (Major) + 10% Impairment of the Clavicle or Scapula = 73%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 70% and 10% combine to 73%, not 80%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Evidence for a Impairment of the Clavicle or Scapula Secondary Claim
- •Imaging showing clavicle or scapula fracture/dislocation
- •VA exam showing joint instability or movement limits
- •Orthopedic specialist report
Common questions about Impairment of the Clavicle or Scapula secondary to Loss of Use of Wrist (Major)
- Can Impairment of the Clavicle or Scapula be service-connected as secondary to Loss of Use of Wrist (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. Overuse of compensating joints due to wrist immobility You'll need a current Impairment of the Clavicle or Scapula diagnosis and a medical nexus opinion linking it…
- What VA rating can I get for Impairment of the Clavicle or Scapula as a secondary condition?
- Impairment of the Clavicle or Scapula is rated under VASRD diagnostic code 5203 using the same criteria whether it's a direct or secondary claim: possible ratings are 20%, 10%. The rating depends on the severity of Impairment of the Clavicle or Scapula itself, not on the severity of Loss of Use of Wrist (Major).
- How does a secondary Impairment of the Clavicle or Scapula 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 Wrist (Major) combined with a 10% rating for Impairment of the Clavicle or Scapula (example figures) produces a combined rating of 73%, not 80%. Approving Impairment of the Clavicle or Scapul…
- What evidence do I need to service-connect Impairment of the Clavicle or Scapula as secondary to Loss of Use of Wrist (Major)?
- Strong evidence for the underlying Impairment of the Clavicle or Scapula diagnosis includes: Imaging showing clavicle or scapula fracture/dislocation; VA exam showing joint instability or movement limits; Orthopedic specialist report. For the secondary link itself, a nexus letter from a treating provider explaining ho…
Primary condition
Full Loss of Use of Wrist (Major) guide
Secondary condition
Full Impairment of the Clavicle or Scapula guide
Estimate your combined rating
See how Loss of Use of Wrist (Major) and Impairment of the Clavicle or Scapula combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
Open the calculator