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Secondary Condition Claim · VASRD 5031

Malunion of Bone Fracture Secondary to Osteitis Deformans (Paget's Disease)

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 Malunion of Bone Fracture when it develops after Osteitis Deformans (Paget's Disease).

Why Malunion of Bone Fracture Is Linked to Osteitis Deformans (Paget's Disease)

Deformed bones are weaker and prone to breaking

Primary condition · VASRD 5027

Osteitis Deformans (Paget's Disease)

A chronic disorder that disrupts normal bone remodeling, leading to deformity and pain.

Secondary condition · VASRD 5031

Malunion of Bone Fracture

A fracture that healed incorrectly, leading to pain, deformity, or impaired function.

Malunion of Bone Fracture VA Rating Tiers

The VA rates Malunion of Bone Fracture the same way whether it's claimed directly or as secondary to Osteitis Deformans (Paget's Disease) — severity of Malunion of Bone Fracture itself determines the percentage.

RatingCriteria
30%Badly healed bone causes major mobility or function issues.
10%Healed bone didn’t set right and causes mild pain or stiffness.

Example combined rating

30% Osteitis Deformans (Paget's Disease) + 10% Malunion of Bone Fracture = 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.

Evidence for a Malunion of Bone Fracture Secondary Claim

  • X-rays clearly showing the malunion and its degree.
  • An orthopedic evaluation with range-of-motion testing.
  • VA exam notes confirming any resulting joint dysfunction.

Common questions about Malunion of Bone Fracture secondary to Osteitis Deformans (Paget's Disease)

Can Malunion of Bone Fracture be service-connected as secondary to Osteitis Deformans (Paget's Disease)?
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. Deformed bones are weaker and prone to breaking You'll need a current Malunion of Bone Fracture diagnosis and a medical nexus opinion linking it to your service-co…
What VA rating can I get for Malunion of Bone Fracture as a secondary condition?
Malunion of Bone Fracture is rated under VASRD diagnostic code 5031 using the same criteria whether it's a direct or secondary claim: possible ratings are 30%, 10%. The rating depends on the severity of Malunion of Bone Fracture itself, not on the severity of Osteitis Deformans (Paget's Disease).
How does a secondary Malunion of Bone Fracture 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 Osteitis Deformans (Paget's Disease) combined with a 10% rating for Malunion of Bone Fracture (example figures) produces a combined rating of 37%, not 40%. Approving Malunion of Bone Fracture as secondary s…
What evidence do I need to service-connect Malunion of Bone Fracture as secondary to Osteitis Deformans (Paget's Disease)?
Strong evidence for the underlying Malunion of Bone Fracture diagnosis includes: X-rays clearly showing the malunion and its degree.; An orthopedic evaluation with range-of-motion testing.; VA exam notes confirming any resulting joint dysfunction.. For the secondary link itself, a nexus letter from a treating provider…

Primary condition

Full Osteitis Deformans (Paget's Disease) guide

Secondary condition

Full Malunion of Bone Fracture guide

Estimate your combined rating

See how Osteitis Deformans (Paget's Disease) and Malunion of Bone Fracture combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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