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Berta

Ao Ihd Rating

Question

VA will be using 38 CFR$ 4.104 to rate the AO IHD claims.

They will be using either diagnostic code 7005 0r 7006

"7005               Arteriosclerotic heart disease (Coronary artery disease):

 

                            With documented coronary artery disease resulting in:

 

                            Chronic congestive heart failure, or; workload of 3 METs or less results

                                          in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular

                                          dysfunction with an ejection fraction of less than 30 percent              100 

 

                            More than one episode of acute congestive heart failure in the past year,

                                          or; workload of greater than 3 METs but not greater than 5 METs

                                          results in dyspnea, fatigue, angina, dizziness, or syncope, or; left

                                          ventricular dysfunction with an ejection fraction of 30 to 50 percent              60 

 

                            Workload of greater than 5 METs but not greater than 7 METs results

                                          in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of

                                          cardiac hypertrophy or dilatation on electrocardiogram,

                                          echocardiogram, or X-ray              30 

 

                            Workload of greater than 7 METs but not greater than 10 METs results

                                          in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous

                                          medication required              10 

 

7006               Myocardial infarction:

 

                            During and for three months following myocardial infarction,

                                          documented by laboratory tests              100

 

                            Thereafter:

 

                            With history of documented myocardial infarction, resulting in:

 

                            Chronic congestive heart failure, or; workload of 3 METs or less

                                          results in dyspnea, fatigue, angina, dizziness, or syncope, or;

                                          left ventricular dysfunction with an ejection fraction of less

                                          than 30 percent              100 

 

                            More than one episode of acute congestive heart failure in the past year,

                                          or; workload of greater than 3 METs but not greater than 5 METs

                                          results in dyspnea, fatigue, angina, dizziness, or syncope, or;

                                          left ventricular dysfunction with an ejection fraction of 30 to

                                          50 percent              60 

 

                            Workload of greater than 5 METs but not greater than 7 METs results

                                          in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of

                                          cardiac hypertrophy or dilatation on electrocardiogram,

                                          echocardiogram, or X-ray              30 

 

 

                            Workload of greater than 7 METs but not greater than 10 METs

                                          results in dyspnea, fatigue, angina, dizziness, or syncope, or;

                                          continuous medication required              10 

 

http://webcache.googleusercontent.com/search?q=cache:rBclG7kx49IJ:www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/supple-c-41.DOC+Title+38+CFR+4.104,+diagnostic+codes+7005+and+7006+s&cd=1&hl=en&ct=clnk&gl=us&client=firefox-a"

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Berta

you said

Chronic congestive heart failure, or; workload of 3 METs or less results

in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular

dysfunction with an ejection fraction of less than 30 percent 100

I have all of this + more but in the last VA C&P I was not given the mets, only the EF of 28

The Dr. said she was afraid for me to do any exercise at all. The one giving the C&P.

The cardiologist at the VA I normally go to previously rated me at 43 mets, but her conclusion

as to my overall heart rating has been prove wrong by the current C&P.

What should I figure.....

No I do not have a copy of the C&P exam, it was just 1 month ago, and it was a Special MD Cardiologist brought in from outside the VA system for this exam.

The have the echo, can they tell mets from that ?

Thanks

Ron Prince

VA will be using 38 CFR$ 4.104 to rate the AO IHD claims.

They will be using either diagnostic code 7005 0r 7006

"7005 Arteriosclerotic heart disease (Coronary artery disease):

With documented coronary artery disease resulting in:

Chronic congestive heart failure, or; workload of 3 METs or less results

in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular

dysfunction with an ejection fraction of less than 30 percent 100

More than one episode of acute congestive heart failure in the past year,

or; workload of greater than 3 METs but not greater than 5 METs

results in dyspnea, fatigue, angina, dizziness, or syncope, or; left

ventricular dysfunction with an ejection fraction of 30 to 50 percent 60

Workload of greater than 5 METs but not greater than 7 METs results

in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of

cardiac hypertrophy or dilatation on electrocardiogram,

echocardiogram, or X-ray 30

Workload of greater than 7 METs but not greater than 10 METs results

in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous

medication required 10

7006 Myocardial infarction:

During and for three months following myocardial infarction,

documented by laboratory tests 100

Thereafter:

With history of documented myocardial infarction, resulting in:

Chronic congestive heart failure, or; workload of 3 METs or less

results in dyspnea, fatigue, angina, dizziness, or syncope, or;

left ventricular dysfunction with an ejection fraction of less

than 30 percent 100

More than one episode of acute congestive heart failure in the past year,

or; workload of greater than 3 METs but not greater than 5 METs

results in dyspnea, fatigue, angina, dizziness, or syncope, or;

left ventricular dysfunction with an ejection fraction of 30 to

50 percent 60

Workload of greater than 5 METs but not greater than 7 METs results

in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of

cardiac hypertrophy or dilatation on electrocardiogram,

echocardiogram, or X-ray 30

Workload of greater than 7 METs but not greater than 10 METs

results in dyspnea, fatigue, angina, dizziness, or syncope, or;

continuous medication required 10

http://webcache.googleusercontent.com/search?q=cache:rBclG7kx49IJ:www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/supple-c-41.DOC+Title+38+CFR+4.104,+diagnostic+codes+7005+and+7006+s&cd=1&hl=en&ct=clnk&gl=us&client=firefox-a"

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Hello Berta: I would be glad to post the decision I received for this. It is rather long, and I am not close by a scanner, with text ability. I will be back in Jacksonville in a few hours, and will scan my decision determinations into my computer. If you want I will post them. Later Dave May help someone.

VA will be using 38 CFR$ 4.104 to rate the AO IHD claims.

They will be using either diagnostic code 7005 0r 7006

"7005 Arteriosclerotic heart disease (Coronary artery disease):

With documented coronary artery disease resulting in:

Chronic congestive heart failure, or; workload of 3 METs or less results

in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular

dysfunction with an ejection fraction of less than 30 percent 100

More than one episode of acute congestive heart failure in the past year,

or; workload of greater than 3 METs but not greater than 5 METs

results in dyspnea, fatigue, angina, dizziness, or syncope, or; left

ventricular dysfunction with an ejection fraction of 30 to 50 percent 60

Workload of greater than 5 METs but not greater than 7 METs results

in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of

cardiac hypertrophy or dilatation on electrocardiogram,

echocardiogram, or X-ray 30

Workload of greater than 7 METs but not greater than 10 METs results

in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous

medication required 10

7006 Myocardial infarction:

During and for three months following myocardial infarction,

documented by laboratory tests 100

Thereafter:

With history of documented myocardial infarction, resulting in:

Chronic congestive heart failure, or; workload of 3 METs or less

results in dyspnea, fatigue, angina, dizziness, or syncope, or;

left ventricular dysfunction with an ejection fraction of less

than 30 percent 100

More than one episode of acute congestive heart failure in the past year,

or; workload of greater than 3 METs but not greater than 5 METs

results in dyspnea, fatigue, angina, dizziness, or syncope, or;

left ventricular dysfunction with an ejection fraction of 30 to

50 percent 60

Workload of greater than 5 METs but not greater than 7 METs results

in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of

cardiac hypertrophy or dilatation on electrocardiogram,

echocardiogram, or X-ray 30

Workload of greater than 7 METs but not greater than 10 METs

results in dyspnea, fatigue, angina, dizziness, or syncope, or;

continuous medication required 10

http://webcache.googleusercontent.com/search?q=cache:rBclG7kx49IJ:www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/supple-c-41.DOC+Title+38+CFR+4.104,+diagnostic+codes+7005+and+7006+s&cd=1&hl=en&ct=clnk&gl=us&client=firefox-a"

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No-

but have you read all the IHD info here to compare with your condition?

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I just posted The C&P result under Echo

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