Secondary Condition Claim · VASRD 5252
Limitation of Flexion of the Thigh (Hip) Secondary to Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus)
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 Limitation of Flexion of the Thigh (Hip) when it develops after Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus).
Primary condition · VASRD 5316
Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus)
Injury to the deep muscles that lift the thigh toward the chest — the psoas, iliacus and pectineus.
Secondary condition · VASRD 5252
Limitation of Flexion of the Thigh (Hip)
Hip flexion limitation makes it difficult to walk, sit, squat, or bend at the waist.
Limitation of Flexion of the Thigh (Hip) VA Rating Tiers
The VA rates Limitation of Flexion of the Thigh (Hip) the same way whether it's claimed directly or as secondary to Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus) — severity of Limitation of Flexion of the Thigh (Hip) itself determines the percentage.
Example combined rating
30% Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus) + 10% Limitation of Flexion of the Thigh (Hip) = 37%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 30% and 10% combine to 37%, not 40%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
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Evidence for a Limitation of Flexion of the Thigh (Hip) Secondary Claim
- •VA C&P ROM measurements
- •Physical therapy notes showing mobility issues
- •X-rays if degenerative disease suspected
Common questions about Limitation of Flexion of the Thigh (Hip) secondary to Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus)
- Can Limitation of Flexion of the Thigh (Hip) be service-connected as secondary to Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus)?
- 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 Limitation of Flexion of the Thigh (Hip) diagnosis and a medical nexus opinion linking it to your service-connected Muscle Group XVI - Hip Fl…
- What VA rating can I get for Limitation of Flexion of the Thigh (Hip) as a secondary condition?
- Limitation of Flexion of the Thigh (Hip) is rated under VASRD diagnostic code 5252 using the same criteria whether it's a direct or secondary claim: possible ratings are 40%, 30%, 20%, 10%. The rating depends on the severity of Limitation of Flexion of the Thigh (Hip) itself, not on the severity of Muscle Group XVI -…
- How does a secondary Limitation of Flexion of the Thigh (Hip) claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 30% rating for Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus) combined with a 10% rating for Limitation of Flexion of the Thigh (Hip) (example figures) produces a combined rating of 37%, not 40%. Approving Lim…
- What evidence do I need to service-connect Limitation of Flexion of the Thigh (Hip) as secondary to Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus)?
- Strong evidence for the underlying Limitation of Flexion of the Thigh (Hip) diagnosis includes: VA C&P ROM measurements; Physical therapy notes showing mobility issues; X-rays if degenerative disease suspected. For the secondary link itself, a nexus letter from a treating provider explaining how Muscle Group XVI - Hip…
Primary condition
Full Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus) guide
Secondary condition
Full Limitation of Flexion of the Thigh (Hip) guide
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See how Muscle Group XVI - Hip Flexors (Psoas, Iliacus, Pectineus) and Limitation of Flexion of the Thigh (Hip) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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