vlb-all-products

vlb-c-file-manual


  • Topics

  • Member Statistics

    • Total Members
      16,031
    • Most Online
      3,604

    Newest Member
    75HotelCalifornia
    Joined
  • Forum Statistics

    • Total Topics
      61,392
    • Total Posts
      396,001
  • Posts

    • Sorry for not picking up on this topic but Dr Bash has had a death in the family and is getting the Estate's affairs in order. Keep trying to contact him and you folks facing deadlines, contact me via PM or Send a message to benefitsagent@comcast.net.
    • We are doing a show about the latest numbers from the VA concerning the Claims backlog, Appeals backlog, Veteran deaths while waiting for appointments, Deaths waiting for claims to be decided. Join us.   To listen, here is the link,: http://www.blogtalkradio.com/haditcom/2016/09/01/haditcom-blog-talk-veterns-radio-presents-the-basser-hour-special-show
    • I'm planning on starting a mental-health claim, so I've been going through my medical records. However, I noticed that it is missing an entire meeting I had with the Mental Health Nurse last month. I talked to her for over an hour in her office & she typed a lot of things up about me...I bonded with her (as it turned out that she is from the same tiny culture that I'm from), but nothing "self-incriminating" was said. Also everything I told her was the same thing that I've been telling my doctor's since day 1, so there is no reason for me to believe they flagged me as a malingerer.   However, where are these "notes" that she typed up? Is there some kind of "hidden" system that the VA uses? Thanks.  
    • John, No, and no. Iraq vet, FWIW, I went to Irag when I was 42 in 03.  Age 55 now. Waiting for this round of claims to finalize, let it ferment for a while, then look at my med record and c-file, and see where I'm at. Hamslice  
    • I was notified by my DAV rep back on July 5, 2016 that a decision had been made on my claim on June 16, 2016 and was pending final review and authorization, I haven't hear a word from the VA or seen any changes in ebenifits so I email IRIS/VA for a update since no one at the call center knew any thing and the stories changed each time I called. Below is their response.

      If you wish to reopen this issue, you may do so within the next 14 days.

      Thank you for allowing us to be of service to you. Response By Email (Department of Veterans Affairs) (08/29/2016 11:38 AM) Thank you for your inquiry to the Department of Veteran Affairs. The Rating Decision has been completed as of 8/19/2016. A Notification letter will be mailed in the near future to inform you of the rating decision and when to expect your first payment.     Now I'm confused, I thought a decision had been made back on June 16th? maybe there were errors and a new decision had to be made? So my question is its been over 80 days since I was informed of a decision and now another decisions has been made will I have to sit through the approval process all over again ? or does this sound like I'm finally going to get that big beautiful yellow envelope? thank you all for being here to help.   





Sign in to follow this  
Followers 0
vaf

Disability Code For Carpal Tunnel?

13 posts in this topic

Where in 38 CFR should I look for the four-digit code for carpal tunnel? I'm not finding it.

Thanks!

Share this post


Link to post
Share on other sites



Vicki: I don't know if any of these are what you are looking for, but they all have something concerning the wrist. Evidently their isn't just one code to us in rating for Carpal Tunnel.

http://ecfr.gpoaccess.gov/cgi/t/text/text-...idno=38;cc=ecfr

http://frwebgate.access.gpo.gov/cgi-bin/ge...ON=45&TYPE=TEXT

http://www.vba.va.gov/bln/21/Benefits/exams/disexm27.htm

http://www.vba.va.gov/bln/21/Benefits/exams/disexm34.htm

Jim S. :P

Edited by Jim S.

Share this post


Link to post
Share on other sites

Vicki

This is probably what you want:

5307 Group VII. Function: Flexion of wrist and

fingers. Muscles arising from internal condyle

of humerus: Flexors of the carpus and long

flexors of fingers and thumb; pronator..........

Severe....................................... 40 30

Moderately Severe............................ 30 20

Moderate..................................... 10 10

Slight....................................... 0 0

5308 Group VIII. Function: Extension of wrist,

fingers, and thumb; abduction of thumb. Muscles

arising mainly from external condyle of humerus:

Extensors of carpus, fingers, and thumb;

supinator.......................................

Severe....................................... 30 20

Moderately Severe............................ 20 20

Moderate..................................... 10 10

Slight....................................... 0 0

Share this post


Link to post
Share on other sites

Carpal Tunnel is caused by a nerve dysfynction.

The median nerve

8515 Paralysis of:

Complete; the hand inclined to the ulnar side, the 70 60

index and middle fingers more extended than

normally, considerable atrophy of the muscles of

the thenar eminence, the thumb in the plane of the

hand (ape hand); pronation incomplete and

defective, absence of flexion of index finger and

feeble flexion of middle finger, cannot make a

fist, index and middle fingers remain extended;

cannot flex distal phalanx of thumb, defective

opposition and abduction of the thumb, at right

angles to palm; flexion of wrist weakened; pain

with trophic disturbances..........................

Incomplete:

Severe............................................ 50 40

Moderate.......................................... 30 20

Mild.............................................. 10 10

8615 Neuritis.

8715 Neuralgia.

Share this post


Link to post
Share on other sites

This is extracted from Chap 61 Common Hand Disorders,of the Merck Manual, under Section 5, Musculoskeletal & Connective Tissue Disorders.

CARPAL TUNNEL SYNDROME

Compression of the median nerve as it passes through the carpal tunnel in the wrist.

Carpal tunnel syndrome is very common and most commonly occurs in women aged 30 to 50 yr. Causes include RA (sometimes the presenting manifestation), diabetes mellitus, hypothyroidism, acromegaly, amyloidosis, and pregnancy (producing edema in the carpal tunnel). Activities or jobs that require repetitive flexion and extension of the wrist (eg, keyboard use) may pose an occupational risk. Often, no underlying cause is found.

Symptoms and Diagnosis

Symptoms include pain of the hand and wrist associated with tingling and numbness, classically distributed along the median nerve (the palmar side of the thumb, the index and middle fingers, and the radial half of the ring finger) but possibly involving the entire hand. Typically, the patient wakes at night with burning or aching pain and with numbness and tingling and shakes the hand to obtain relief and restore sensation.

Diagnosis is indicated by a positive Tinel's sign, in which the tingling (paresthesia) is reproduced by tapping with a reflex hammer at the volar surface of the wrist over the site of the median nerve and carpal tunnel. Additional tests include wrist flexion maneuvers (eg, Phalen's sign). Thenar atrophy and weakness on thumb elevation may develop late. Diagnosis is confirmed by electrodiagnostic testing of median nerve conduction velocity, which provides an accurate index of motor and sensory nerve conduction.

Treatment

Treatment includes a lightweight wrist splint, especially at night; possibly pyridoxine (vitamin B6) 50 mg bid; and mild analgesics (eg, acetaminophen, NSAIDs). Some persons find relief by changing the position of computer keyboards and making other ergonomic corrections. If these measures fail to control symptoms, a corticosteroid should be locally injected into the carpal tunnel at a site just ulnar to the palmaris longus tendon and proximal to the distal crease at the wrist. If bothersome symptoms persist or recur or if hand weakness and thenar wasting progress, surgical decompression of the carpal tunnel using an open technique or endoscopy is recommended.

Share this post


Link to post
Share on other sites

Does anyon know if there is a code for pain from the shoulder to elbow to wrist. The doc said I have nerve & muscle damage. But he didn't do a nerve conduction test???

Share this post


Link to post
Share on other sites
Guest
This topic is now closed to further replies.
Sign in to follow this  
Followers 0