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I've also posted this over at PEB forums and I'd really like to get a clear answer because I think understanding what they mean in how this is written will be very helpful. So this is reproduced verbatim in text and format from a 2012 decision letter based on only my service records. In the heading, it says "(to include claim of neck condition...)," does that mean the neck condition could be rated at some % but they combined it or subsumed it with fibromyalgia to raise that rating to 40% and avoid pyramiding? What about the things listed under "Additional symptom(s) include:"? Were the combined somehow or are they just noting other symptoms? Thank you in advance!
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ake sure to check to see if a higher rating can be given under limited motion of the hip, code 5251-5253, limited motion of the knee, code 5260, or limited motion of the ankle, code 5271. If the condition is best rated as limitation of motion, then the final code will look like this: 8620-5251. The first four-digit number is whichever of the three nerve codes the condition best fits under (paralysis, neuritis, or neuralgia), and the second is the limited motion code where it is rated.