Secondary Condition Claim · VASRD 7530
Chronic renal disease Secondary to Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers)
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 Chronic renal disease when it develops after Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers).
Why Chronic renal disease Is Linked to Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers)
Chronic blood loss
Primary condition · VASRD 7304
Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers)
Peptic ulcer disease is an open sore in the lining of the stomach or the upper small intestine, causing abdominal pain, nausea, vomiting, and sometimes bleeding. DC 7304 is the schedule's peptic ulcer code — the index routes "Ulcer, peptic" here, and DC 7305 and DC 7306 are listed as removed. What sets the percentage is the pattern rather than the diagnosis: how long each episode of abdominal pain, nausea, or vomiting lasts, how many occurred in the past 12 months, whether daily prescribed medication is required, and whether bleeding, anemia, or surgery has been involved.
Secondary condition · VASRD 7530
Chronic renal disease
Chronic renal disease is long-term, progressive damage to the kidneys' ability to filter waste from the blood. DC 7530 carries no criteria of its own — the schedule directs "Rate as renal dysfunction" — so the evaluation comes from the § 4.115a table, which is graded by glomerular filtration rate. Each band has to hold for at least 3 consecutive months during the past 12 months, and requiring regular routine dialysis or being an eligible kidney transplant recipient reaches 100 percent on its own.
Chronic renal disease VA Rating Tiers
The VA rates Chronic renal disease the same way whether it's claimed directly or as secondary to Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) — severity of Chronic renal disease itself determines the percentage.
Example combined rating
20% Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) + 80% Chronic renal disease = 84%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 20% and 80% combine to 84%, not 100%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
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Evidence for a Chronic renal disease Secondary Claim
- •Serial GFR or eGFR results with dates, spanning at least 3 consecutive months within the past 12 months.
- •Dialysis records showing the treatment is regular and routine, or documentation of eligibility as a kidney transplant recipient — each reaches 100 percent independently.
- •An albumin/creatinine ratio result, urinalysis reporting red blood cell, white blood cell or granular casts, and imaging of any structural kidney abnormality, which are the findings named at the 0 percent level.
- •Nephrology records documenting the diagnosis and its course.
Common questions about Chronic renal disease secondary to Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers)
- Can Chronic renal disease be service-connected as secondary to Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers)?
- 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. Chronic blood loss You'll need a current Chronic renal disease diagnosis and a medical nexus opinion linking it to your service-connected Peptic Ulcer Disease (Gas…
- What VA rating can I get for Chronic renal disease as a secondary condition?
- Chronic renal disease is rated under VASRD diagnostic code 7530 using the same criteria whether it's a direct or secondary claim: possible ratings are 100%, 80%, 60%, 30%, 0%. The rating depends on the severity of Chronic renal disease itself, not on the severity of Peptic Ulcer Disease (Gastric, Duodenal, and Margina…
- How does a secondary Chronic renal disease 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 Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) combined with a 80% rating for Chronic renal disease (example figures) produces a combined rating of 84%, not 100%. Approving Chronic renal dise…
- What evidence do I need to service-connect Chronic renal disease as secondary to Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers)?
- Strong evidence for the underlying Chronic renal disease diagnosis includes: Serial GFR or eGFR results with dates, spanning at least 3 consecutive months within the past 12 months.; Dialysis records showing the treatment is regular and routine, or documentation of eligibility as a kidney transplant recipient — each r…
Primary condition
Full Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) guide
Secondary condition
Full Chronic renal disease guide
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See how Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) and Chronic renal disease combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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