Secondary Condition Claim · VASRD 5112
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 Thromboangiitis Obliterans (Buerger’s Disease).
Severe tissue damage
Primary condition · VASRD 7118
Thromboangiitis Obliterans (Buerger’s Disease)
A rare disease causing blood vessel inflammation, usually in the hands and feet, leading to pain and potential tissue damage.
Secondary condition · VASRD 5112
Amputation of Foot at Forefoot Level
Partial foot amputation involving the metatarsal or toe regions, typically requiring supportive footwear.
The VA rates Amputation of Foot at Forefoot Level the same way whether it's claimed directly or as secondary to Thromboangiitis Obliterans (Buerger’s Disease) — severity of Amputation of Foot at Forefoot Level itself determines the percentage.
Example combined rating
60% Thromboangiitis Obliterans (Buerger’s Disease) + 40% Amputation of Foot at Forefoot Level = 76%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 60% and 40% combine to 76%, not 100%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Thromboangiitis Obliterans (Buerger’s Disease) guide
Secondary condition
Full Amputation of Foot at Forefoot Level guide
See how Thromboangiitis Obliterans (Buerger’s 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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