Secondary?

Question:

Hi Jim, I am service-connected for both bilateral hearing loss and tinnitus. I will be filing a claim for Vertigo as secondary condition. Do I need a nexus letter from my ENT doctor or pay for independent opinion, if necessary? Thanks.

 

Jim's Reply:

Yes to both questions. Without a nexus statement that includes wording that the vertigo is more likely than not secondary to your hearing loss and tinnitus you aren't likely to prevail. The statement will need to contain the science to support that conclusion.
 

This guide contains the phrasing that VA must see to adjudicate your claim favorably. Good luck!