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Conditions secondary to Parkinson's disease

If the VA already service-connected your parkinson's disease (also called parkinson's, parkinsons, parkinson, parkinson disease), 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 parkinson's disease commonly leads to, why, and what evidence each one takes.

Secondary conditions to consider

A secondary claim only works if the primary condition (parkinson's 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 →

Depression / anxietyhigh link

Depression and anxiety are among the most common non-motor features of Parkinson's, and VA service-connects mental health conditions caused by a service-connected disease. Parkinson's itself is rated under DC 8004 with a 30 percent minimum (38 CFR 4.124a), and it is presumptive for Agent Orange and Camp Lejeune exposure (38 CFR 3.309).

What you'd need: A mental-health diagnosis and a nexus opinion linking it to the Parkinson's.

Typically rated under DC 9434 major depressive disorder / DC 9400 generalized anxiety disorder (38 CFR 4.130)

Erectile dysfunctionmoderate link

Parkinson's affects the autonomic nervous system and commonly causes erectile dysfunction, as do some of the medications used to treat it.

What you'd need: A diagnosis of erectile dysfunction and a nexus opinion tying it to the Parkinson's or its medication.

Typically rated under DC 7522 erectile dysfunction (38 CFR 4.115b) + SMC-K

Bladder problems (urgency, frequency, leakage)moderate link

Parkinson's often disrupts bladder control, causing urgency, frequent night-time urination, or leakage.

What you'd need: Urology records documenting the voiding problem and a nexus opinion linking it to the Parkinson's.

Typically rated under Voiding dysfunction, continual urine leakage, post surgical urinary diversion, urinary incontinence or stress incontinence under 38 CFR 4.115a

Memory and thinking problems (neurocognitive disorder)moderate link

Many people with Parkinson's develop memory and thinking problems over time, which is ratable as a neurocognitive disorder due to another medical condition.

What you'd need: Neuropsychological testing or a neurology diagnosis of a neurocognitive disorder, with a nexus opinion linking it to the Parkinson's.

Typically rated under DC 9326 major or mild neurocognitive disorder due to another medical condition or substance or medication-induced (38 CFR 4.130)
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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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