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Conditions secondary to Asthma

If the VA already service-connected your asthma (also called asthma, reactive airway disease, chronic bronchitis, COPD), 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 asthma commonly leads to, why, and what evidence each one takes.

Secondary conditions to consider

A secondary claim only works if the primary condition (asthma) 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 →

Sleep apneamoderate link

Chronic airway disease and its treatments (including steroids and weight gain) are associated with sleep apnea; the VA will consider apnea secondary to a service-connected respiratory condition.

What you'd need: A sleep study confirming apnea and a nexus opinion linking it to the service-connected respiratory condition.

Typically rated under DC 6847 sleep apnea (38 CFR 4.97)

GERDmoderate link

There is a recognized two-way link between asthma and GERD; reflux can worsen asthma and asthma medications can worsen reflux.

What you'd need: A GERD diagnosis and a nexus opinion connecting it to the respiratory condition or its treatment.

Typically rated under DC 7206 (current) or historical DC 7346 (38 CFR 4.114)

Anxiety / depressionmoderate link

Chronic breathing difficulty and the fear of attacks can cause anxiety and depression.

What you'd need: A mental health diagnosis and a nexus opinion linking it to the respiratory condition.

Typically rated under DC 9434 depression / DC 9400 anxiety (38 CFR 4.130)
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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