Berta & halos2 - when someone is hospitalized for 22 days or more they are awarded the 100% rating, for the period they are hospitalized, as w/ptsd programs. Also, back prior to 11/96, a person rated 70%, solely for PTSD, and unable to work was automatically raised to the 100% rate, thereby not needing 4.16a. I believe this changed on or about 11/8/96 and 4.16c was dropped. I believe the extra-schedular rating (4.16b), at least for PTSD, came about around then. Extra-schedular ratings are determined by the Central Office (CO), generally at the recommendation of the RO. Hope this helps. My claim was pending during the 11/96 change and therefore, whichever regulation, was more favorable to me, was used.
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