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Intervertebral Disc Syndrome - Incapacitating Episodes
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TravHill
Would like to say "Thanks for a wonderful site". I cannot believe how much information is available on this forum. I look forward to reading...and reading....and reading!
Now to my question.....
I am currently rated at 20% due to Intervertebral Disc Syndrome. I have had issues since my discharge in 99 from the Navy. Over the last 8 months, I have had significant issues and have requested a rerating (My C&P is scheduled for the 10th of January . Since May, I have had incapacitating episodes (under a DR's care and orders) for approx 9 weeks and believe that I should be at 60% based upon the VA manuals. This is not taking into account Sciatica, or neuropathy caused by the Interbertebral Disc Syndrome.
I went and met with a DAV Rep, and she told me...noway, no-how would the VA rate me at 60%. Most that I would get is 30% and that is only based upon limitations of my Range of Motion (and I had to basically had my entire spine fused together to get that). I asked her specifically on the incapacitating episodes rating and again she said that the best I could hope for would be a temp rating during that time period only. Basically that I MAY get the 60%, but it would only be for the 9 weeks that I was prescribed Bed-Rest and then it would go back down to my original 20%. I have re-read this section of the VA Rating Manual and it seems cut and dry, it doesn't mention temp ratings during the incapacitating periods, but states:
Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes
With incapacitating episodes having a total duration of at least 6 weeks during the past 12 months ....... 60%
With incapacitating episodes having a total duration of at least 4 weeks but less than 6 weeks during the past 12 months ............40%
With incapacitating episodes having a total duration of at least 2 weeks but less than 4 weeks during the past 12 months .............20%
If intervertebral disc syndrome is present in more than one spinal segment, provided that the effects in each spinal segment are clearly distinct, evaluate each segment on the basis of incapacitating episodes or under the General Rating Formula for Diseases and Injuries of the Spine, whichever method results in a higher evaluation for that segment.
.......SO, Did I just get a bad/mis-informed DAV Rep, or is she correct? Any input or experience in this provision would be greatly appreciated.
Travis
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