Secondary Condition Claim · VASRD 5276
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 Flatfoot, Acquired when it develops after Scars, Unstable or Painful.
If located on joints
Primary condition · VASRD 7804
Scars, Unstable or Painful
DC 7804 evaluates scars that are unstable, painful, or both, and it rates them by count — how many scars qualify, not their size, location, or appearance. Note (1) defines an unstable scar as one where, for any reason, there is frequent loss of covering of skin over the scar. A painful scar and an unstable scar count the same toward the tier, and where a single scar is both, Note (2) adds 10 percent on top.
Secondary condition · VASRD 5276
Flatfoot, Acquired
Fallen arches causing foot pain, imbalance, and difficulty walking.
The VA rates Flatfoot, Acquired the same way whether it's claimed directly or as secondary to Scars, Unstable or Painful — severity of Flatfoot, Acquired itself determines the percentage.
| Rating | Criteria |
|---|---|
| 50% | Both feet are severely collapsed and painful, the Achilles tendon spasms when the foot is moved, and orthopedic shoes or inserts do not help. |
| 30% | One foot is severely collapsed and unresponsive to orthopedic shoes, or both feet show marked deformity with accentuated pain, swelling on use and characteristic callouses. |
| 20% | One foot shows marked deformity with accentuated pain, swelling on use and characteristic callouses. |
| 10% | The arch has dropped enough that the weight line falls over or inside the big toe and the Achilles tendon bows inward, with pain on use — in one foot or both. |
| 0% | The symptoms go away with a built-up shoe or an arch support, which the schedule rates at 0 percent. |
Example combined rating
10% Scars, Unstable or Painful + 20% Flatfoot, Acquired = 28%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 10% and 20% combine to 28%, not 30%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Get the rating criteria for Flatfoot, Acquired, the evidence a secondary claim needs, and why it is linked to Scars, Unstable or Painful — delivered to your inbox.
Primary condition
Full Scars, Unstable or Painful guide
Secondary condition
Full Flatfoot, Acquired guide
See how Scars, Unstable or Painful and Flatfoot, Acquired combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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