What can I claim secondary to carotid artery disease?
1 condition in the Repatriation Medical Authority's Statements of Principles list carotid artery disease as a factor. If DVA has accepted your carotid artery disease, each of these has a documented pathway to a further claim.
At a glance
- Accepted conditionCarotid artery disease
- Conditions it may open1
- SourceRMA SoPs
- Chart Review$600 + GST
How a secondary claim works
Some Statement of Principles factors are not about service at all — they name another condition. Where DVA has already accepted your carotid artery disease, and another condition's SoP lists carotid artery disease as a factor, that part of the next claim is already established on your file. How a secondary claim works, in full →
Conditions that list carotid artery disease as a factor
Quoted from the instrument. A pathway existing is not the same as a claim succeeding — each factor carries thresholds your record has to satisfy.
Vascular neurocognitive disorder
RH No. 9 of 2023 · BoP No. 10 of 2023
Reasonable Hypothesis — factor (7): “having carotid artery disease, ischaemic heart disease or heart failure before the clinical onset of vascular neurocognitive disorder” [clinical onset] — factor (26): “having carotid artery disease, ischaemic heart disease or heart failure before the clinical worsening of vascular neurocognitive disorder” [worsening]
Balance of Probabilities — factor (5): “having carotid artery disease, ischaemic heart disease or heart failure before the clinical onset of vascular neurocognitive disorder” [clinical onset] — factor (18): “having carotid artery disease, ischaemic heart disease or heart failure before the clinical worsening of vascular neurocognitive disorder” [worsening]
Other accepted conditions that also open vascular neurocognitive disorder
If any of these is also on your file, it reaches some of the same conditions carotid artery disease does.
What DVA means by carotid artery disease
A claim is tested against the definition first. If the diagnosis on your file does not meet this wording, the factors below never get reached — so it is worth checking that what your doctor wrote matches what the instrument requires.
Carotid artery disease, for the purposes of the Statement of Principles, for the purposes of this Statement of Principles, carotid artery disease: (a) means an occlusion, stenosis, aneurysm, dissection or arteriovenous fistula of the common, internal or external carotid artery that warrants medical treatment; and (b) includes carotid atherosclerosis and non-atherosclerotic carotid artery disease. (3) While carotid artery disease attracts ICD-10-AM code I65.2, I70.8, I72.0 or I77.0, in applying this Statement of Principles the meaning of carotid artery disease is that given in subsection (2). (4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
Aggravation-only factors. In this instrument, subsections 9(26) to 9(51) apply only to material contribution to, or aggravation of, carotid artery disease where it was already present before or during service. If service caused carotid artery disease outright, those factors are not available to you.
RH No. 54 of 2020 · BoP No. 55 of 2020 · 39 factors
What could support a claim for carotid artery disease?
The Statement of Principles for carotid artery disease names 5 other conditions among its own factors. If any of these is already accepted on your file, it may be the factor that carries a carotid artery disease claim — quoted here from the instrument.
Hypertension
Reasonable Hypothesis — factor (1): “having hypertension before the clinical onset of carotid artery disease” [clinical onset]
Reasonable Hypothesis — factor (26): “having hypertension before the clinical worsening of carotid artery disease” [worsening]
Diabetes mellitus
Reasonable Hypothesis — factor (2): “having diabetes mellitus before the clinical onset of carotid artery disease” [clinical onset]
Reasonable Hypothesis — factor (27): “having diabetes mellitus before the clinical worsening of carotid artery disease” [worsening]
Hepatitis C
Reasonable Hypothesis — factor (15): “having infection with human immunodeficiency virus or hepatitis C virus before the clinical onset of carotid artery disease” [clinical onset]
Reasonable Hypothesis — factor (40): “having infection with human immunodeficiency virus or hepatitis C virus before the clinical worsening of carotid artery disease” [worsening]
Periodontitis
Reasonable Hypothesis — factor (16): “having periodontitis for at least the two years before the clinical onset of carotid artery disease” [clinical onset]
Reasonable Hypothesis — factor (41): “having periodontitis for at least the two years before the clinical worsening of carotid artery disease” [worsening]
Sleep apnoea
Reasonable Hypothesis — factor (21): “having obstructive sleep apnoea for at least the one year before the clinical onset of carotid artery disease” [clinical onset]
Reasonable Hypothesis — factor (46): “having obstructive sleep apnoea for at least the one year before the clinical worsening of carotid artery disease” [worsening]
Reviewed by Dr Thomas Perkins
Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →
Carotid artery disease accepted?
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