Secondary Condition Claim · VASRD 7518
Urethra, stricture of Secondary to Penis, Removal of Half or More
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 Urethra, stricture of when it develops after Penis, Removal of Half or More.
Why Urethra, stricture of Is Linked to Penis, Removal of Half or More
Urethral rerouting or trauma
Primary condition · VASRD 7520
Penis, Removal of Half or More
This code covers surgical removal of half or more of the penis. The schedule provides a single evaluation for it — 30 percent — with no higher or lower step inside the code. What the evaluation rests on is whether the record establishes that half or more was removed.
Secondary condition · VASRD 7518
Urethra, stricture of
A urethral stricture is a narrowing of the urethra that obstructs the flow of urine. DC 7518 carries no criteria of its own; the schedule directs "Rate as voiding dysfunction", and § 4.115a in turn directs that the particular condition be rated as urine leakage, frequency, or obstructed voiding. The ladder published for this code is the obstructed voiding table, which is built on retention requiring catheterization and on objective measures of obstruction such as post-void residual volume and peak flow rate.
Urethra, stricture of VA Rating Tiers
The VA rates Urethra, stricture of the same way whether it's claimed directly or as secondary to Penis, Removal of Half or More — severity of Urethra, stricture of itself determines the percentage.
Example combined rating
30% Penis, Removal of Half or More + 30% Urethra, stricture of = 51%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 30% and 30% combine to 51%, not 60%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
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Evidence for a Urethra, stricture of Secondary Claim
- •Urology records stating the dilatation schedule — 1 to 2 times per year, or every 2 to 3 months — since that interval separates the 0 and 10 percent levels.
- •A post-void residual measurement in cc and a uroflowmetry report giving peak flow in cc/sec, both named in the 10 percent criteria.
- •Documentation of intermittent or continuous catheterization for urinary retention, which is the 30 percent criterion.
- •Urinalysis and treatment records for recurrent urinary tract infections attributed to the obstruction, which is another of the 10 percent alternatives.
Common questions about Urethra, stricture of secondary to Penis, Removal of Half or More
- Can Urethra, stricture of be service-connected as secondary to Penis, Removal of Half or More?
- 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. Urethral rerouting or trauma You'll need a current Urethra, stricture of diagnosis and a medical nexus opinion linking it to your service-connected Penis, Removal…
- What VA rating can I get for Urethra, stricture of as a secondary condition?
- Urethra, stricture of is rated under VASRD diagnostic code 7518 using the same criteria whether it's a direct or secondary claim: possible ratings are 30%, 10%, 0%. The rating depends on the severity of Urethra, stricture of itself, not on the severity of Penis, Removal of Half or More.
- How does a secondary Urethra, stricture of 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 Penis, Removal of Half or More combined with a 30% rating for Urethra, stricture of (example figures) produces a combined rating of 51%, not 60%. Approving Urethra, stricture of as secondary still typically…
- What evidence do I need to service-connect Urethra, stricture of as secondary to Penis, Removal of Half or More?
- Strong evidence for the underlying Urethra, stricture of diagnosis includes: Urology records stating the dilatation schedule — 1 to 2 times per year, or every 2 to 3 months — since that interval separates the 0 and 10 percent levels.; A post-void residual measurement in cc and a uroflowmetry report giving peak flow in…
Primary condition
Full Penis, Removal of Half or More guide
Secondary condition
Full Urethra, stricture of guide
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