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NOTE:

VA_Training_Letter_09-01.pdf

Taken from Compilation of PDA Guidance and Policies

Current as of 25 MAR 2010

VA Training Letter:

TBI Rule with discussion on when mental disorders (including PTSD) may be separately rated.

January 21, 2009

Director (00/21)

In Reply Refer To: 211D

All VA Regional Offices

Training Letter 09-01

SUBJ: Evaluating Residuals of Traumatic Brain Injury under Revised Criteria

BACKGROUND INFORMATION

TL 06-03, titled "Traumatic Brain Injury," was issued in February 2006. It provided extensive medical information about the causes of traumatic brain injury (TBI), especially as related to combat, the anatomy and physiology of the brain, signs and symptoms of TBI, grades of severity of TBI, the course of recovery and consequences of TBI, and disabilities resulting from TBI. It also provided some basic rating information about TBI.

TL 07-05, titled "Evaluating Residuals of Traumatic Brain Injury," was issued in August 2007. It provided additional information about the specifics of rating TBI. However, that material is now obsolete in part because of the new regulation, and parts of TL 07-05 have been superseded by TL-09-01.

CURRENT EFFORTS

This training letter provides new information and guidance about evaluating TBI, based on the regulation revising diagnostic code 8045 in the "Neurological conditions and convulsive disorders" section of the rating schedule (38 CFR 4.124a) that was published in the Federal Register on September 23, 2008 (73 FR 54693-54708). It also provides the common definition of TBI that was jointly developed by VA and the Department of Defense.

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