Read Disability Claims Articles
View All Forums | Chats and Other Events | Donate | Blogs | New Users | Search | Rules
- 0
Medial Compartment Osteoarthropathy Claim
Rate this question
Read Disability Claims Articles
View All Forums | Chats and Other Events | Donate | Blogs | New Users | Search | Rules
Rate this question
Question
bolt_vet23
Hello,
I’m hoping that someone can shed some light on a potential claim for me. I have 10% service-connected disability for my torn ACL ligament, left knee to include pain and 0% for post-surgical scars. During a recent VA appointment, the radiologist noted “X-ray of the Knee : 1. ACL repair in the left knee with medial compartment osteoarthropathy. 2. Normal right knee. Your x-ray results are as above, Knee joint x-ray was normal.” Based on this information, I believe that the codes below would apply at the 10% level for each one.
5003 Arthritis, degenerative (hypertrophic or osteoarthritis):
Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pct is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. In the absence of limitation of motion, rate as below:
With X-ray evidence of involvement of 2 or more major joints
or 2 or more minor joint groups, with occasional incapacitating
exacerbations.............................................................................................. 20
With X-ray evidence of involvement of 2 or more major joints
or 2 or more minor joint groups................................................................... 10
Note (1): The 20 pct and 10 pct ratings based on X-ray findings, above, will not be combined with ratings based on limitation of motion.
Note(2): The 20 pct and 10 pct ratings based on X-ray findings, above, will not be utilized in rating conditions listed under diagnostic code 5013 to 5024, inclusive.
5257 Knee, other impairment of:
Recurrent subluxation or lateral instability:
Severe................................................................................................................ 30
Moderate........................................................................................................... 20
Slight ............................................................................................................... 10
Does this sound correct and is there anything else that I should add?
Thanks,
Bolt_Vet23
Link to comment
Share on other sites
Top Posters For This Question
2
1
Popular Days
Jul 31
2
Jul 26
1
Top Posters For This Question
bolt_vet23 2 posts
broncovet 1 post
Popular Days
Jul 31 2017
2 posts
Jul 26 2017
1 post
2 answers to this question
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now