Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

C & P For Several Sc Diabilities

Rate this question


Sgt Will Dove USMC

Question

I have several SC Disabilities and I am filing VBA-21-4138 for an increase to my SCD.... I am looking for the actual codes I need to put in the 21-4138.

1. I have Migrane / Chronic Headaches that were rated as SC - 0%, since I got out they are occuring all most daily, and they are getting worse.

2. I have a shoulder injury on my left should that was rated at 10% when I got out but it was listed as temp.... It has gotten worse and I want the them to re-evaluate it.... I have limited ROM, and Painful movement. They have taken the 10% away 2 yrs ago.... This is my Dominate Arm.

3. I have a severe injury to my left ankle - Triple fracture and had 9 pins and a 4.5 inch plate.... I have had 3 surgeries on this ankle alone.... The VA gave me 10% when I got out in 2005, but the ankle is getting worse and more painful.

4. I have a right ankle injury that required 2 surgeries. The VA gave me 10% on it when I got out, but this ankle is getting worse as well. I have lost ROM and have painful movment in both ankles.

5. My Left wirst had a Cyst removed and I have pain that shots up my left arm all the time. This is my Dominate Hand

6. The TBI folks wanted me to come in for a followup a few months ago, but I never made it in, and I am thinking I should go back in for a the followup as my headaches are really getting bad, and are starting to affect my sight (Blurred vision in my right eye).

I am really tired of playing with these fouls up at the VA, and would like to go in fully armed..... Thanks in advance.

Link to comment
Share on other sites

  • Answers 20
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

I have several SC Disabilities and I am filing VBA-21-4138 for an increase to my SCD.... I am looking for the actual codes I need to put in the 21-4138.

6. The TBI folks wanted me to come in for a followup a few months ago, but I never made it in, and I am thinking I should go back in for a the followup as my headaches are really getting bad, and are starting to affect my sight (Blurred vision in my right eye).

I am really tired of playing with these fouls up at the VA, and would like to go in fully armed..... Thanks in advance.

Sgt Will,

Welcome to Hadit.

If you want to know the Diagnostic Codes that VBA has rated your current

SC'd disabilities under, you can call the 1-800 number and usually get

correct answers for this question.

If you want to know all diagnostic codes VBA rates under, this is found

in 38 CFR - Part 4 - Schedule for rating disabilities.

Scroll down to the second part and ckick on any link that says,

Schedule of rating Blah - blah - blah.

carlie

http://ecfr.gpoaccess.gov/cgi/t/text/text-...cfr4_main_02.tp

Carlie passed away in November 2015 she is missed.

Link to comment
Share on other sites

  • HadIt.com Elder

I think you should go for treatment at the VA for all your problems. You should ask for a referral to both the pain clinic and psychiatry. You probably have chronic pain and that goes hand in hand with depression. Don't miss your appointments! You want to go to the VA and build a record of treatment. This will make it easier to get increases. You want to document continual treatment for all service connected injuries, or potential SC conditions. This is going to be a life long battle because many conditions get worse as you get older. When your PCP nurse asks you if you have pain don't down play the intensity of pain. What kind of pain meds are you getting now? If you have a condition the VA expects you to take medications or at least accept them.

Link to comment
Share on other sites

I think you should go for treatment at the VA for all your problems. You should ask for a referral to both the pain clinic and psychiatry. You probably have chronic pain and that goes hand in hand with depression. Don't miss your appointments! You want to go to the VA and build a record of treatment. This will make it easier to get increases. You want to document continual treatment for all service connected injuries, or potential SC conditions. This is going to be a life long battle because many conditions get worse as you get older. When your PCP nurse asks you if you have pain don't down play the intensity of pain. What kind of pain meds are you getting now? If you have a condition the VA expects you to take medications or at least accept them.

The wonderful world of the VA seems to think all I need is Vitamin M "800 MG Mortin" I think this has destroyed my stomach.... I have been going to the VA clinic / MC since I got out of service.... I have asked for some pain meds, and they give me mortin. I have 30% PTSD as well, and they give me all the generic sleeping pills they can find, and it puts me to sleep so much I don't wake up for 10 hours and then I lose my job.... Had to learn to cope with only getting 4 to 5 hours of sleep a night..... I have to drive 50 miles one way to the VAMC in Dallas, and then it takes me 6 trips to get things done...

I have been logging all my headaches over the past year, and I hope this is enough to get them appoved with something other then 0%. My Family doc is considering sending me to e Nero specialist for an evaluation.... I just got off the phone with te TBI doc in Dallas, and they want me to come back in.....

Link to comment
Share on other sites

  • HadIt.com Elder

Ask your Primary for a consult with the Copper Team (psych clinic,) Don Huff, PA.

Also ask your Primary for a scheduling with the pain clinic, Dr. Jamie Zavacavek (not the right spelling, everybody just calls her Dr. Jamie).

Are you seeing anyone in Ortho?

If your Primary Care is Clinic 14, then they'll at least try to work with you (Dr Harriharan Ramamurthy is my PCP. We have an understanding. He speaks Hindi, I speak Yiddish, he takes the notes that my wife gives me to give to him, BINGO! All is good.) :)

"It is cold and we have no blankets.

The little children are freezing to death.

My people, some of them, have run away to the hills, and have no blankets, no food; no one knows where they are-perhaps freezing to death.

I want to have time to look for my children and see how many of them I can find.

Maybe I shall find them among the dead.

Hear me, my chiefs! I am tired; my heart is sick and sad.

From where the sun now stands, I will fight no more forever."

Chief Joseph

Link to comment
Share on other sites

Ask your Primary for a consult with the Copper Team (psych clinic,) Don Huff, PA.

Also ask your Primary for a scheduling with the pain clinic, Dr. Jamie Zavacavek (not the right spelling, everybody just calls her Dr. Jamie).

Are you seeing anyone in Ortho?

If your Primary Care is Clinic 14, then they'll at least try to work with you (Dr Harriharan Ramamurthy is my PCP. We have an understanding. He speaks Hindi, I speak Yiddish, he takes the notes that my wife gives me to give to him, BINGO! All is good.) :)

I had Dr. George as my Primary, and she doesn't seem to think I need any consults to the other Docs... I am thinking of changing to the Denton or Bonham clinic to make life easier for me.... Going to Dallas VAMC, was suppose to make it a one stop shot.... but no dice.... I am on the phone with the MC to try and schedule appt with doc.... Maybe the will give me a new Primary.

Also, does anyone have the dx code for Cronic Headaches, I cannot find it on the gpo site... I am trying to find the rating chart....

thanks

Link to comment
Share on other sites

  • HadIt.com Elder
I had Dr. George as my Primary, and she doesn't seem to think I need any consults to the other Docs... I am thinking of changing to the Denton or Bonham clinic to make life easier for me.... Going to Dallas VAMC, was suppose to make it a one stop shot.... but no dice.... I am on the phone with the MC to try and schedule appt with doc.... Maybe the will give me a new Primary.

Also, does anyone have the dx code for Cronic Headaches, I cannot find it on the gpo site... I am trying to find the rating chart....

thanks

Sherman has a really nice, new, outpatient clinic.

I just got an "advertisement" in the mail from the VA, touting the clinic in Denton (I call it an "advertisement" because I don't know what else to call it except maybe a "solicitation").

But, for me, attending the VAMC in Dallas is no problem. Well, I say it's no problem, it's no problem BECAUSE I'm, like, there already, several times a week.

"It is cold and we have no blankets.

The little children are freezing to death.

My people, some of them, have run away to the hills, and have no blankets, no food; no one knows where they are-perhaps freezing to death.

I want to have time to look for my children and see how many of them I can find.

Maybe I shall find them among the dead.

Hear me, my chiefs! I am tired; my heart is sick and sad.

From where the sun now stands, I will fight no more forever."

Chief Joseph

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
    • Sparklinger earned a badge
      First Post
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use