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Secondary Condition Claim · VASRD 7206

Gastroesophageal Reflux Disease (GERD) Secondary to Post-Traumatic Stress Disorder (PTSD)

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 Gastroesophageal Reflux Disease (GERD) when it develops after Post-Traumatic Stress Disorder (PTSD).

Why Gastroesophageal Reflux Disease (GERD) Is Linked to Post-Traumatic Stress Disorder (PTSD)

Can result from chronic stress

Primary condition · VASRD 9411

Post-Traumatic Stress Disorder (PTSD)

PTSD is a mental health issue caused by a traumatic event, leading to flashbacks, anxiety, or nightmares.

Secondary condition · VASRD 7206

Gastroesophageal Reflux Disease (GERD)

GERD causes acid from the stomach to leak into the esophagus, leading to heartburn and discomfort.

Gastroesophageal Reflux Disease (GERD) VA Rating Tiers

The VA rates Gastroesophageal Reflux Disease (GERD) the same way whether it's claimed directly or as secondary to Post-Traumatic Stress Disorder (PTSD) — severity of Gastroesophageal Reflux Disease (GERD) itself determines the percentage.

RatingCriteria
60%Severe GERD with bleeding, anemia, and overall health problems.
30%Frequent heartburn and regurgitation causing serious discomfort and health issues.
10%Occasional reflux or mild symptoms that flare up regularly.

Example combined rating

70% Post-Traumatic Stress Disorder (PTSD) + 30% Gastroesophageal Reflux Disease (GERD) = 79%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 70% and 30% combine to 79%, not 100%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

Evidence for a Gastroesophageal Reflux Disease (GERD) Secondary Claim

  • GI specialist diagnosis and treatment notes
  • Upper endoscopy or pH monitoring test results
  • Consistent prescription history for proton pump inhibitors (e.g., omeprazole)

Common questions about Gastroesophageal Reflux Disease (GERD) secondary to Post-Traumatic Stress Disorder (PTSD)

Can Gastroesophageal Reflux Disease (GERD) be service-connected as secondary to Post-Traumatic Stress Disorder (PTSD)?
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. Can result from chronic stress You'll need a current Gastroesophageal Reflux Disease (GERD) diagnosis and a medical nexus opinion linking it to your service-connec…
What VA rating can I get for Gastroesophageal Reflux Disease (GERD) as a secondary condition?
Gastroesophageal Reflux Disease (GERD) is rated under VASRD diagnostic code 7206 using the same criteria whether it's a direct or secondary claim: possible ratings are 60%, 30%, 10%. The rating depends on the severity of Gastroesophageal Reflux Disease (GERD) itself, not on the severity of Post-Traumatic Stress Disord…
How does a secondary Gastroesophageal Reflux Disease (GERD) claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 70% rating for Post-Traumatic Stress Disorder (PTSD) combined with a 30% rating for Gastroesophageal Reflux Disease (GERD) (example figures) produces a combined rating of 79%, not 100%. Approving Gastroesophageal Reflux D…
What evidence do I need to service-connect Gastroesophageal Reflux Disease (GERD) as secondary to Post-Traumatic Stress Disorder (PTSD)?
Strong evidence for the underlying Gastroesophageal Reflux Disease (GERD) diagnosis includes: GI specialist diagnosis and treatment notes; Upper endoscopy or pH monitoring test results; Consistent prescription history for proton pump inhibitors (e.g., omeprazole). For the secondary link itself, a nexus letter from a t…

Primary condition

Full Post-Traumatic Stress Disorder (PTSD) guide

Secondary condition

Full Gastroesophageal Reflux Disease (GERD) guide

Estimate your combined rating

See how Post-Traumatic Stress Disorder (PTSD) and Gastroesophageal Reflux Disease (GERD) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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