Secondary Condition Claim · VASRD 9400
Generalized Anxiety Disorder Secondary to Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer)
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 Generalized Anxiety Disorder when it develops after Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer).
Primary condition · VASRD 7528
Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer)
This code covers malignant neoplasms of the genitourinary system — cancer of the urinary and reproductive organs rated in § 4.115b, prostate cancer among them. An active malignancy under this code is evaluated at 100 percent. Under the code's note, that 100 percent continues after surgical, X-ray, antineoplastic chemotherapy, or other therapeutic treatment ends, with a mandatory VA examination at the expiration of six months. If there has been no local recurrence or metastasis at that point, the evaluation is based on the residuals that remain, rated as voiding dysfunction or renal dysfunction, whichever is predominant.
Secondary condition · VASRD 9400
Generalized Anxiety Disorder
GAD is a mental health condition marked by persistent, excessive worry about daily activities.
Generalized Anxiety Disorder VA Rating Tiers
The VA rates Generalized Anxiety Disorder the same way whether it's claimed directly or as secondary to Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer) — severity of Generalized Anxiety Disorder itself determines the percentage.
| Rating | Criteria |
|---|---|
| 100% | You can't work or maintain relationships due to extreme anxiety symptoms. |
| 70% | Severe anxiety that disrupts your work and social life. |
| 50% | Frequent anxiety that affects your job and motivation. |
| 30% | Mild anxiety that causes some issues at work or home. |
| 10% | Anxiety that's under control or only shows up under pressure. |
Example combined rating
60% Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer) + 50% Generalized Anxiety Disorder = 80%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 60% and 50% combine to 80%, not 110%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
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Evidence for a Generalized Anxiety Disorder Secondary Claim
- •DSM-5 diagnosis from VA or private psychiatrist
- •VA C&P exam with documentation of impairment
- •Personal statement outlining impact on life
- •Therapy or medication records
Common questions about Generalized Anxiety Disorder secondary to Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer)
- Can Generalized Anxiety Disorder be service-connected as secondary to Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer)?
- 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 Generalized Anxiety Disorder diagnosis and a medical nexus opinion linking it to your service-connected Malignant Neoplasms of the Genitourin…
- What VA rating can I get for Generalized Anxiety Disorder as a secondary condition?
- Generalized Anxiety Disorder is rated under VASRD diagnostic code 9400 using the same criteria whether it's a direct or secondary claim: possible ratings are 100%, 70%, 50%, 30%, 10%. The rating depends on the severity of Generalized Anxiety Disorder itself, not on the severity of Malignant Neoplasms of the Genitourin…
- How does a secondary Generalized Anxiety Disorder claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 60% rating for Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer) combined with a 50% rating for Generalized Anxiety Disorder (example figures) produces a combined rating of 80%, not 110%. Approvi…
- What evidence do I need to service-connect Generalized Anxiety Disorder as secondary to Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer)?
- Strong evidence for the underlying Generalized Anxiety Disorder diagnosis includes: DSM-5 diagnosis from VA or private psychiatrist; VA C&P exam with documentation of impairment; Personal statement outlining impact on life; Therapy or medication records. For the secondary link itself, a nexus letter from a treating pr…
Primary condition
Full Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer) guide
Secondary condition
Full Generalized Anxiety Disorder guide
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See how Malignant Neoplasms of the Genitourinary System (Including Prostate Cancer) and Generalized Anxiety Disorder combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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