Secondary Condition Claim · VASRD 7304
Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) Secondary to Tuberculous Peritonitis (Abdominal Tuberculosis)
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 Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) when it develops after Tuberculous Peritonitis (Abdominal Tuberculosis).
Why Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) Is Linked to Tuberculous Peritonitis (Abdominal Tuberculosis)
Ulceration
Primary condition · VASRD 7331
Tuberculous Peritonitis (Abdominal Tuberculosis)
Tuberculous peritonitis is tuberculosis infection of the peritoneum, the membrane lining the abdominal cavity. DC 7331 prints a single evaluation: active tuberculous peritonitis is rated 100 percent. The code's title covers the condition "active or inactive", but inactive disease carries no percentage here — the entry reads "Inactive: See §§ 4.88b and 4.89", sending that part of the evaluation outside DC 7331.
Secondary condition · VASRD 7304
Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers)
Peptic ulcer disease is an open sore in the lining of the stomach or the upper small intestine, causing abdominal pain, nausea, vomiting, and sometimes bleeding. DC 7304 is the schedule's peptic ulcer code — the index routes "Ulcer, peptic" here, and DC 7305 and DC 7306 are listed as removed. What sets the percentage is the pattern rather than the diagnosis: how long each episode of abdominal pain, nausea, or vomiting lasts, how many occurred in the past 12 months, whether daily prescribed medication is required, and whether bleeding, anemia, or surgery has been involved.
Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) VA Rating Tiers
The VA rates Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) the same way whether it's claimed directly or as secondary to Tuberculous Peritonitis (Abdominal Tuberculosis) — severity of Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) itself determines the percentage.
| Rating | Criteria |
|---|---|
| 100% | The first three months after surgery for a perforated or bleeding ulcer |
| 60% | Constant pain with vomiting or bleeding, plus anemia needing hospital care |
| 40% | Three-day flare-ups four or more times a year on daily prescribed medicine |
| 20% | Three-day flare-ups up to three times a year on daily prescribed medicine |
| 0% | Ulcer confirmed by endoscopy or imaging without the symptoms above |
Example combined rating
100% Tuberculous Peritonitis (Abdominal Tuberculosis) + 20% Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) = 100%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 100% and 20% combine to 100%, not 120%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
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Evidence for a Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) Secondary Claim
- •Endoscopy or diagnostic imaging studies confirming peptic ulcer disease, which is how the schedule's own 0 percent row says the history is documented.
- •Treatment notes that date each episode of abdominal pain, nausea, or vomiting and record how many consecutive days it lasted.
- •A pharmacy or prescription record showing daily prescribed medication.
- •Hospital admission records and laboratory results documenting anemia for any episode involving hematemesis or melena.
- •Operative reports for any surgery for perforation or hemorrhage.
Common questions about Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) secondary to Tuberculous Peritonitis (Abdominal Tuberculosis)
- Can Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) be service-connected as secondary to Tuberculous Peritonitis (Abdominal Tuberculosis)?
- 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. Ulceration You'll need a current Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) diagnosis and a medical nexus opinion linking it to your service-con…
- What VA rating can I get for Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) as a secondary condition?
- Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) is rated under VASRD diagnostic code 7304 using the same criteria whether it's a direct or secondary claim: possible ratings are 100%, 60%, 40%, 20%, 0%. The rating depends on the severity of Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) its…
- How does a secondary Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 100% rating for Tuberculous Peritonitis (Abdominal Tuberculosis) combined with a 20% rating for Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) (example figures) produces a combined rating of 100%, not 120%.…
- What evidence do I need to service-connect Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) as secondary to Tuberculous Peritonitis (Abdominal Tuberculosis)?
- Strong evidence for the underlying Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) diagnosis includes: Endoscopy or diagnostic imaging studies confirming peptic ulcer disease, which is how the schedule's own 0 percent row says the history is documented.; Treatment notes that date each episode of abdomina…
Primary condition
Full Tuberculous Peritonitis (Abdominal Tuberculosis) guide
Secondary condition
Full Peptic Ulcer Disease (Gastric, Duodenal, and Marginal Ulcers) guide
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