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[[Template core/front/global/prefix is throwing an error. This theme may be out of date. Run the support tool in the AdminCP to restore the default theme.]] Back Conditions Rated Separately?
TexasVeteran posted a question in VA Disability Compensation Benefits Claims Research ForumHas anyone ever heard of any of these three codes being given separate ratings? I realize these are all rated by the range of motion, with the only exception being IDS, which can be rated by how many times you are placed on bed rest (incapacitating episodes). I'm getting a lot of conflicting information about this, as some people seem to think there are special circumstances which the VA will separate at least some of these out. But, no one can explain what those circumstances would be. 1. thoracolumbar strain (5237) http://www.militarydisabilitymadeeasy.com/thespine.html 2. intervertebral disc syndrome (5243) 3. ankylosing spondylitis (5243) 4. degenerative arthritis (5003) http://www.militarydisabilitymadeeasy.com/diseasesofthemusculoskeletalsystem.html#a ^^ This is in my spine but obviously not enough to be coded 5242, degenerative arthritis of the spine
I am serviced connected for ankylosing spondylitis back in 1985. I had a C&P exam on 7-7-19 since I am asking for an increase in my cervical, thoracic, and lumbosacral ratings. After speaking with the DAV to find out progress and info on my exam, the Rep. noted sort of what I expected. Radiculopathy was noted and ROM was 0-15 for cervical, and 0-25 for back. I am currently rated as Cervical 30%, Thoracic 10%, and Lumbosacral 40%. The main question that I have is relating to the thoracic 10% and lumbosacral 40%. I am confused on these two. Is Lumbosacral separate from the thoracic/others ? Since my back ROM is at 0-25, does this mean that my thoracic might increase from the 10% to a higher rating ? I am confused how they break down my ratings from cervical at 30%, Thoracic at 10%, and Lumbosacral at 40%. Did the VA make changes to the names of the spine regions after I was rated and how they would rate each one?....because I don't see Thoracic as a region now. I only see cervical and thoracolumbar. I'm not sure how they would rate/increase me...totally confused. Also, with the radiculopathy, is this something that they will rate also ? I am currently at 90% total combined for all my disabilities. I hope this helps for someone to give me advice/answers.
Nova22033 posted a question in VA Disability Compensation Benefits Claims Research ForumI filed for an increase recently to my 40% rating. In August 2009 my rating was increased from 20% (awarded in 1994) to 1) ankylosing spondylitis /spine thoracolumbar 20%, 2) ankylosing spondylitis/knee 10% 3) ankylosing spondylitis/cervical spine 10%. Since then my range of motion has gotten worse and I have been prescribed prednisone and two years ago Humira. They had rated me under arthritis and range of motion. I went for a C&P in May and saw my new rating on Eben: 1) NEW: (dated 4/27/18) ankylosing spondylitis /spine thoracolumbar spine 10%, 2) UNCHANGED ankylosing spondylitis/knee 10% 3) NEW (dated 5/21/17) ankylosing spondylitis/cervical spine 30%. I filed my intent to file in 4/2017. I haven't received the notification or documents in the mail yet but I am confused, my thoracolumbar spine is worse than in 2009 with worse range of motion. The VA has no way to determine it improved, from the arthritis aspect the joints do not get better and for ankylosing spondylitis I was prescribed Humira which is a step up from prednisone. There was nothing to indicate I improved. Also I have been told by some my rating is bad because they failed to rate the ankylosing spondylitis as an active disease in addition to the general range of motion for arthritis.