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  1. Hi, I am hoping someone with a lot more knowledge than me can figure out if I am misinterpreting the rating descriptions or if someone made an error. I will copy and post from what I read at the end of this. I will omit just one section that is irrelevant.(actually I will include it, just in a small font. I have highlighted the areas I feel are important. I have cystitis with recurrent UTI's causing constant (pain, discomfort, urgency) I also have incontinence (aka voiding dysfunction) My claim I stated bladder urinary problem. I wasn't sure how to state it. Clear medical evidence and documents provided to be approved service connection at 40%. My question is that I felt it should be 2 separate ratings. #1 Chronic Cystitis causing frequency meeting 40% AND #2 Voiding Dysfunction meeting requirements for 60% (Or at minimum 1 rating at the higher of the 2 at 60%. I'm curious as to your take on my rating for the "Urinary System" Facts: I have a diagnosis of Cystitis 7512(Interstitial Cystitis) which causes pain, frequent urination, urgency, etc. also I have recurring and frequent UTI's I also have Urinary incontinence 7542(which is not technically a symptom of cystitis, I suppose unless due to urgency, which is different than mine.) On my claim I claimed "Bladder Condition" Note I was rated at 40% My question is looking at this couldn't I have two ratings? One for the Cystitis at 40% under frequency and also one for Voiding dysfunction at 60%. If not at least rating at the higher 60%????? What do you think? Please let me know if I'm mistaken or if I should submit in hopes of correcting and by what method. Thank You Urinary Rating Systems There are three different urinary rating systems. Urinary Frequency: A condition is rated under this system if it causes the body to urinate more often than normal. If you have to urinate 5 or more times during the night, or if you have to urinate more than every hour during the day, it is rated 40%. If you have to urinate 3 or 4 times during the night, or if you have to urinate every 1 to 2 hours during the day, it is rated 20%. If you have to urinate 2 times during the night, or if you have to urinate every 2 to 3 hours during the day, it is rated 10%. Obstructed Voiding: A condition is rated under this system if there is something in the way that makes it hard to urinate, like a kidney stone. If the condition makes it so you cannot urinate at all and must always use a catheter, then it is rated 30%. If there are obvious symptoms (slow or weak stream, hesitancy to start urinating, etc.) and if there is one or more of the following: 1) more than 150 cc (cubic centimeters) of urine left over in your bladder after you urinate, 2) less than 10 cc of urine per second are passed through the ureter, 3) there are regular urinary tract infections because of the obstruction, or 4) the urethra becomes narrow because of an infection and requires regular dilatation (stretching) treatments every 2 to 3 months—then it is rated 10%. If there are only obvious symptoms (slow or weak stream, hesitancy to start urinating, etc.) but none of the other 4 conditions listed above, then it is rated 0%. This 0% rating is still given even if there is narrowing of the urethra that requires regular dilatation (stretching) treatments only once or twice a year. Voiding Dysfunction: All urinary conditions that cannot be rated as urinary frequency or obstructed voiding are rated by this system. If the condition requires the use of a catheter to remove urine from the bladder, or if the condition requires the use of absorbent materials (like pads or Depends) that must be changed more than 4 times a day, then it is rated 60%. If it requires absorbent materials that must be changed 2 to 4 times a day, then it is rated 40%. If it requires absorbent materials that must be changed only once a day, then it is rated 20% Code 7512: Chronic Cystitis is the swelling of the bladder most often due to infections, but it can be caused by other things as well. If it is caused by a urinary tract infection, then it is rated as described for that condition. All other causes of this condition are rated under this code. Code 7542:A Neurogenic Bladder occurs when a person looses control over urination because of damage to the nerves or the brain.
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