Secondary Condition Claim · VASRD 5031
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).
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.
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.
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.
Primary condition
Full Osteitis Deformans (Paget's Disease) guide
Secondary condition
Full Malunion of Bone Fracture guide
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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