Jump to content
Ads Keep HadIt.com Online. Consider Turning Off Ad Blockers to Keep HadIt.com Online! ×
  • 0

Definition: Moderately Severe Versus Markedly Severe


imzdo

Question

  • Patron

:rolleyes: Got my latest rating a few months ago with a combined 90% rating (50% right hip replacement; 50% left hip replacement; and 20% right ankle fusion). The question that I have been wrestling with is whether or not to file a NOD on the Hip Replacement ratings (Diag Code 5054) and request an increase to the next higher increment (70% for each hip). The 50 rating is for Moderately Severe limitation of motion and pain and the 70 rating is for Markedly Severe limitation of motion and pain. I can find no where in any of the VA regs where Moderately severe or Markedly severe are defined or compared and would like to know if anyone is aware whether this is an arbitrary decision on the part of a RO in making the decision between Moderately and Markedly Severe.

I have pretty restrictive ROM in both my hips based on the C&P.

Hip ROM ROM Standard My Right Hip My LeftHip Variance %Flexion 0-125 degrees 80 degrees 75 degrees 36 - 40

Extension 0-30 degrees 15 degrees 10 degrees 50 - 67

Adduction 0-25 degrees 20 degrees 20 degrees 20 - 20

Abduction 0-45 degrees 45 degrees 45 degrees 0 - 0

Ext Rotation 0-60 degrees 30 degrees 30 degrees 50 - 50

Int Rotation 0-40 degrees 7 degrees 5 degrees 82.5 – 87.5

And in addition: the C&P Doctor commented "Mr McGinty has increased pain as well as obvious decreased ROM in the hips bilaterally". He also noted that I have difficulty sleeping and requires frequently changing position to deal with pain and discomfort. I also need a dressing stick, sock aid, elastic laces on my shoes and a long handled sponge to take care of my daily grooming. Also, My left hip has dislocated once post-operativerly.

If you have some experience with this type of thing I would welcome your feedback as to whether or not to rock the VA's boat on this as it mean the difference between 90 and 100% rating.

IMZDO

Link to comment
Share on other sites

  • Answers 2
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

2 answers to this question

Recommended Posts

  • HadIt.com Elder

Rock the boat! You might need A&A and you need a 100% schedular to get anything. There may be a standard rating for hip replacement, but depending on the outcome you should ask for as much as you can possibly get. Keep appealing. Are you getting TDIU now or are you retired military trying to get concurrent receipt? I take it you are not working?

Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • veterans-crisis-line.jpg
    The Veterans Crisis Line can help even if you’re not enrolled in VA benefits or health care.

    CHAT NOW

  • question-001.jpeg

    Have Questions? Get Answers.

    Tips on posting on the forums.

    1. Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery instead of ‘I have a question.
       
    2. Knowledgeable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title.
      I don’t read all posts every login and will gravitate towards those I have more info on.
       
    3. Use paragraphs instead of one massive, rambling introduction or story.
       
      Again – You want to make it easy for others to help. If your question is buried in a monster paragraph, there are fewer who will investigate to dig it out.
     
    Leading too:

    exclamation-point.pngPost straightforward questions and then post background information.
     
    Examples:
     
    • Question A. I was previously denied for apnea – Should I refile a claim?
      • Adding Background information in your post will help members understand what information you are looking for so they can assist you in finding it.
    Rephrase the question: I was diagnosed with apnea in service and received a CPAP machine, but the claim was denied in 2008. Should I refile?
     
    • Question B. I may have PTSD- how can I be sure?
      • See how the details below give us a better understanding of what you’re claiming.
    Rephrase the question: I was involved in a traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?
     
    This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial of your claim?”
     
    Note:
     
    • Your first posts on the board may be delayed before they appear as they are reviewed. This process does not take long.
    • Your first posts on the board may be delayed before they appear as they are reviewed. The review requirement will usually be removed by the 6th post. However, we reserve the right to keep anyone on moderator preview.
    • This process allows us to remove spam and other junk posts before hitting the board. We want to keep the focus on VA Claims, and this helps us do that.
  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • VA Watchdog

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

×
×
  • Create New...

Important Information

{terms] and Guidelines