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Will It Go Back To The Rater

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mac mcqueen

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Code 5237 Degenerative Disc Desease, Osteoarthritis, spinal canal Stenosis..........50%

Code 6260 Bilateral Tinnitus............10%

Code 6513 Sinusitis........................10%

Code 5299-5259 Chondromalacia Left Knee, Status post Arthrospoic Arthrotomy.............10%

Code 5257-5003 Chondromalacia Right Knee.............................................................10%

Combined Rating is 70% (combined factor of 1.9 % for diagnostic code 5259, 5003)

Long story, but filed for a increase to the left knee due to post op report after orthoscpic, showing level 3/4 Chondromalacia. Also at same time filed for a Conv. for both left knee surgery and for Spinal Fusion surgery. VA kicked it back and Did a C/P for right knee. Now the have requesed a C/P for a EMG/Nerve Study which is scheduled for next tuesday. My question is I didn't claim any of the other things, Is this rater just doing a great job and is he watching out for my best intrest. I just never thought the VA would look at other things that was not requested on the forms. Also does my results go back through the system or does it back to the rater imediately. I only ask because I am behind on a few bills. iis there any way to get the doc to speed up the process? Next time, because I have to have another surgery on the lower lumbar because the bone fusion 3 months ago tok, but the bones colasped and the nerve is being impinged agian. Can I file the Conv. seperate and file the increase seperate if neccessary.

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