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Secondary Condition Claim · VASRD 5023

Tenosynovitis Secondary to Musculocutaneous Nerve, Paralysis

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 Tenosynovitis when it develops after Musculocutaneous Nerve, Paralysis.

Why Tenosynovitis Is Linked to Musculocutaneous Nerve, Paralysis

Altered movement mechanics

Primary condition · VASRD 8522

Musculocutaneous Nerve, Paralysis

Paralysis or weakness of the musculocutaneous nerve, affecting arm and elbow movement.

Secondary condition · VASRD 5023

Tenosynovitis

Inflammation of the sheath that surrounds a tendon, causing pain and stiffness.

Tenosynovitis VA Rating Tiers

The VA rates Tenosynovitis the same way whether it's claimed directly or as secondary to Musculocutaneous Nerve, Paralysis — severity of Tenosynovitis itself determines the percentage.

RatingCriteria
10%Inflamed tendon sheath makes movement painful.

Example combined rating

20% Musculocutaneous Nerve, Paralysis + 10% Tenosynovitis = 28%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 20% and 10% combine to 28%, not 30%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

Evidence for a Tenosynovitis Secondary Claim

  • Clinical findings of localized swelling
  • Imaging showing thickening of tendon sheath
  • Physical therapy or injection treatment records

Common questions about Tenosynovitis secondary to Musculocutaneous Nerve, Paralysis

Can Tenosynovitis be service-connected as secondary to Musculocutaneous Nerve, Paralysis?
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. Altered movement mechanics You'll need a current Tenosynovitis diagnosis and a medical nexus opinion linking it to your service-connected Musculocutaneous Nerve, P…
What VA rating can I get for Tenosynovitis as a secondary condition?
Tenosynovitis is rated under VASRD diagnostic code 5023 using the same criteria whether it's a direct or secondary claim: possible ratings are 10%. The rating depends on the severity of Tenosynovitis itself, not on the severity of Musculocutaneous Nerve, Paralysis.
How does a secondary Tenosynovitis claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 20% rating for Musculocutaneous Nerve, Paralysis combined with a 10% rating for Tenosynovitis (example figures) produces a combined rating of 28%, not 30%. Approving Tenosynovitis as secondary still typically raises your…
What evidence do I need to service-connect Tenosynovitis as secondary to Musculocutaneous Nerve, Paralysis?
Strong evidence for the underlying Tenosynovitis diagnosis includes: Clinical findings of localized swelling; Imaging showing thickening of tendon sheath; Physical therapy or injection treatment records. For the secondary link itself, a nexus letter from a treating provider explaining how Musculocutaneous Nerve, Paral…

Primary condition

Full Musculocutaneous Nerve, Paralysis guide

Secondary condition

Full Tenosynovitis guide

Estimate your combined rating

See how Musculocutaneous Nerve, Paralysis and Tenosynovitis combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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