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Conditions secondary to Chronic kidney disease

If the VA already service-connected your chronic kidney disease (also called kidney disease, chronic kidney disease, CKD, nephropathy), it can cause or worsen other conditions that are ratable on their own. These "secondary" claims are where many veterans leave money on the table. Below is what a service-connected chronic kidney disease commonly leads to, why, and what evidence each one takes.

Secondary conditions to consider

A secondary claim only works if the primary condition (chronic kidney disease) is already service-connected, and you have a nexus — a doctor's opinion that it is "at least as likely as not" the cause. More on nexus letters →

Hypertensionhigh link

Kidney disease and high blood pressure drive each other; VA recognizes hypertension caused or aggravated by renal disease as secondary.

What you'd need: Blood-pressure readings (multiple, over time), labs (creatinine/GFR), and a nexus opinion linking the hypertension to the kidney disease.

Typically rated under DC 7101 hypertensive vascular disease (38 CFR 4.104)

Anemiamoderate link

Damaged kidneys make less erythropoietin, so chronic kidney disease commonly causes anemia — a distinct, ratable condition.

What you'd need: A complete blood count showing anemia and a nexus opinion tying it to the kidney disease.

Typically rated under DC 7700 anemia (38 CFR 4.117)

Erectile dysfunctionmoderate link

Chronic kidney disease impairs the vascular and hormonal pathways behind erections. ED is usually 0% but opens tax-free SMC-K.

What you'd need: An ED diagnosis and a nexus opinion linking it to the renal disease.

Typically rated under DC 7522 erectile dysfunction (38 CFR 4.115b) + SMC-K
Find the ones you may be missing
Wingman's free Secondary-Condition Finder maps your rated conditions to what they can cause — privately, in your browser.
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Related guides:
How a VA claim worksWhat is a nexus letter?All secondary conditions
Education only. Wingman is a free, veteran-built self-help tool. It is not legal advice, not VA-accredited, and it never files anything for you. Every claim turns on your own facts and current VA rules — always confirm anything important with a free accredited VSO (find one at va.gov).
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