Secondary Condition Claim · VASRD 8045
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 Residuals of Traumatic Brain Injury (TBI) when it develops after Sensorineural Hearing Loss.
Untreated hearing loss strains memory and processing
Primary condition · VASRD 6100
Sensorineural Hearing Loss
Hearing loss caused by damage to the inner ear or auditory nerve, making it hard to hear clearly or distinguish words.
Secondary condition · VASRD 8045
Residuals of Traumatic Brain Injury (TBI)
TBI results from head trauma and can cause lasting issues with memory, mood, sleep, and decision-making.
The VA rates Residuals of Traumatic Brain Injury (TBI) the same way whether it's claimed directly or as secondary to Sensorineural Hearing Loss — severity of Residuals of Traumatic Brain Injury (TBI) itself determines the percentage.
Example combined rating
10% Sensorineural Hearing Loss + 40% Residuals of Traumatic Brain Injury (TBI) = 46%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 10% and 40% combine to 46%, not 50%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Sensorineural Hearing Loss guide
Secondary condition
Full Residuals of Traumatic Brain Injury (TBI) guide
See how Sensorineural Hearing Loss and Residuals of Traumatic Brain Injury (TBI) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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