Secondary Condition Claim · VASRD 7530
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 Chronic renal disease when it develops after Ulcerative Colitis.
Chronic blood loss
Primary condition · VASRD 7323
Ulcerative Colitis
Ulcerative colitis is a chronic inflammatory bowel disease that causes inflammation and ulcers in the lining of the colon, leading to recurring diarrhea, abdominal cramping, and often blood in the stool. It's rated on how frequently symptoms flare and how much systemic damage (like malnutrition or anemia) results over time.
Secondary condition · VASRD 7530
Chronic renal disease
Chronic renal disease is progressive, long-term kidney damage that impairs the kidneys' ability to filter waste from the blood, and it's presumptively connected to Gulf War and PACT Act toxin exposures like contaminated water and burn pits for qualifying veterans. The rating depends on how much kidney function has actually declined, measured through lab work.
The VA rates Chronic renal disease the same way whether it's claimed directly or as secondary to Ulcerative Colitis — severity of Chronic renal disease itself determines the percentage.
Example combined rating
30% Ulcerative Colitis + 80% Chronic renal disease = 86%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 30% and 80% combine to 86%, not 110%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Ulcerative Colitis guide
Secondary condition
Full Chronic renal disease guide
See how Ulcerative Colitis and Chronic renal disease combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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