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Secondary Condition Claim · VASRD 5112

Amputation of Foot at Forefoot Level Secondary to Peripheral Vascular 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 Amputation of Foot at Forefoot Level when it develops after Peripheral Vascular Disease.

Primary condition · VASRD 7119

Peripheral Vascular Disease

A circulation disorder causing reduced blood flow, especially in the legs.

Secondary condition · VASRD 5112

Amputation of Foot at Forefoot Level

Partial foot amputation involving the metatarsal or toe regions, typically requiring supportive footwear.

Amputation of Foot at Forefoot Level VA Rating Tiers

The VA rates Amputation of Foot at Forefoot Level the same way whether it's claimed directly or as secondary to Peripheral Vascular Disease — severity of Amputation of Foot at Forefoot Level itself determines the percentage.

RatingCriteria
40%Your front foot was amputated, but you can still walk with special footwear.
30%Partial foot loss with complications that limit walking or healing.

Example combined rating

40% Peripheral Vascular Disease + 40% Amputation of Foot at Forefoot Level = 64%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 40% and 40% combine to 64%, not 80%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

Evidence for a Amputation of Foot at Forefoot Level Secondary Claim

  • Operative notes of foot amputation
  • Podiatry reports and orthotic prescriptions
  • VA gait analysis or walking tests

Common questions about Amputation of Foot at Forefoot Level secondary to Peripheral Vascular Disease

Can Amputation of Foot at Forefoot Level be service-connected as secondary to Peripheral Vascular 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. You'll need a current Amputation of Foot at Forefoot Level diagnosis and a medical nexus opinion linking it to your service-connected Peripheral Vascular Disease —…
What VA rating can I get for Amputation of Foot at Forefoot Level as a secondary condition?
Amputation of Foot at Forefoot Level is rated under VASRD diagnostic code 5112 using the same criteria whether it's a direct or secondary claim: possible ratings are 40%, 30%. The rating depends on the severity of Amputation of Foot at Forefoot Level itself, not on the severity of Peripheral Vascular Disease.
How does a secondary Amputation of Foot at Forefoot Level claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 40% rating for Peripheral Vascular Disease combined with a 40% rating for Amputation of Foot at Forefoot Level (example figures) produces a combined rating of 64%, not 80%. Approving Amputation of Foot at Forefoot Level a…
What evidence do I need to service-connect Amputation of Foot at Forefoot Level as secondary to Peripheral Vascular Disease?
Strong evidence for the underlying Amputation of Foot at Forefoot Level diagnosis includes: Operative notes of foot amputation; Podiatry reports and orthotic prescriptions; VA gait analysis or walking tests. For the secondary link itself, a nexus letter from a treating provider explaining how Peripheral Vascular Disea…

Primary condition

Full Peripheral Vascular Disease guide

Secondary condition

Full Amputation of Foot at Forefoot Level guide

Estimate your combined rating

See how Peripheral Vascular Disease and Amputation of Foot at Forefoot Level combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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