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Veterans Affairs
Secondary issue rating higher than the primary?
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[QUOTE="dVet, post: 84, member: 2"] The Veterans Affairs evaluates every disability following the unique guidelines detailed in [URL='https://www.ecfr.gov/current/title-38/part-4/subpart-B']38 CFR Part 4 Subpart B[/URL]. This assessment isn't strictly about whether the condition is primary or secondary. Thus, if a secondary condition issue causes more intense symptoms or bigger hurdles than the primary, it could be assigned a higher rating. About [USER=3]@CalVet[/USER]'s point on pyramiding, the gist is you can't have separate ratings on the same disability or symptom. For instance, you can't have a 30% primary rating for depression and insomnia with a 70% secondary rating for PTSD (higher secondary to apply to your question). Chances are, they'll combine this into a single 70% mental health rating, or the rater might consider the larger picture and assign 100% instead. [/QUOTE]
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Secondary issue rating higher than the primary?
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