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Can 5055 And 5257 Be Assigned Without Pyramiding?

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Louie

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I cautiously agree with you-and I say it that because of the many diagnostic codes that could be used and even be the wrong ones n some cases.

Maybe this case will help you:

http://www.va.gov/vetapp07/files4/0729892.txt

It seems to suggest these are separate DCs for separate disabilities so how could they pyramid?

hope others give opinions here.

I need to go over with my neighbor this part here-he has two SC knee placements.It was a long time ago but I wonder if his present rating is proper.

"38 C.F.R. § 4.71a, Diagnostic Code 5055 provides the rating

criteria for the prosthetic replacement of a knee joint. For

one year following implantation of the prosthesis, a 100

percent rating is warranted. A 60 percent evaluation will be

assigned for chronic residuals consisting of severe painful

motion or weakness in the affected extremity; intermediate

degrees of residual weakness, pain or limitation of motion,

are rated by analogy to Diagnostic Codes 5256, 5261, or 5262.

The minimum rating warranted is 30 percent. Diagnostic Code

5256 provides the rating criteria for ankylosis of the knee,

Diagnostic Code 5261 provides the rating criteria for

limitation of extension of the leg, and Diagnostic Code 5262

provides the criteria for impairment of the tibia and fibula.

In pertinent part, ratings in excess of 30 percent are

provided under Diagnostic Code 5261 for extension limited to

30 degrees or more (40 and 50 percent), and under Diagnostic

Code 5262 for nonunion of the tibia and fibula with loose

motion requiring a brace (40 percent)."

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

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  • 3 weeks later...

GREAT NEWS Louie-

Question

Did they pyramid your ratings and if so -do you feel comfortable with sharing the DCs and ratings with us?

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

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