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I Just Found Out Have Additional Disabilities That Should Qualify Me For Smc "s" Award

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  • HadIt.com Elder

Here's a listing of my disabilities from the "blue" ratings sheet:

9411 PTSD 100%

9411 PTSD w/alcoholism 100%

7913 Type II Diabetes 20%

6260 Tinnitus 10%

7101 Hypertension associated w/PTSD w/alcoholism 10%

8520 L leg PN associated w/diabetes 10%

8520 R leg PN associated w/diabetes 10%

bilateral factor of 1.9% for diagnostic codes 8520.

Any thoughts on SMC??

pr

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  • HadIt.com Elder

Flip, you have got me thinking also.

There ought to be a higher level of SMC paid for a person who has more than 1 100 % disabilities. SMC S doesnt seem to cut it.

The SMC regs are so complex it can confuse even the VA employees.

Keep me posted on what you find out.

John

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  • HadIt.com Elder

John, I know what you mean. What has me puzzled is that they listed PTSD twice?? If they are each considered a separate rating then they owe me 10 yrs retro, cuz the 2nd 100% covers the 60% requirement for "S" SMC. I originally thought the two 8520 PN ratings were an error until I found out they were each for a different leg. I'll keep you posted with whatever shakes out.

pr

Flip, you have got me thinking also.

There ought to be a higher level of SMC paid for a person who has more than 1 100 % disabilities. SMC S doesnt seem to cut it.

The SMC regs are so complex it can confuse even the VA employees.

Keep me posted on what you find out.

John

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Here's a listing of my disabilities from the "blue" ratings sheet:

9411 PTSD 100%

9411 PTSD w/alcoholism 100%

Any thoughts on SMC??

pr

pr,

Not to pry but has the alcoholism caused any residual additional disability's,

like liver problems, seizures, tremors or anything like that ?

This would be the reason I could see for it being listed twice on the blue sheet.

Seems to me like you should be eligible for SMC "S"

I believe the regs for it actually read - Total plus 60% versus 100% plus 60%.

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  • HadIt.com Elder

This is interesting, in that code 9411 is listed twice. I'd almost bet that this, according to the VA, will be considered a duplication, and not considered as separate items.

(Bi-laterals, on the other hand, get the additional factor added.) I'd look at the alcoholism as secondary to PTSD, with it's own code.

Here's a listing of my disabilities from the "blue" ratings sheet:

9411 PTSD 100%

9411 PTSD w/alcoholism 100%

7913 Type II Diabetes 20%

6260 Tinnitus 10%

7101 Hypertension associated w/PTSD w/alcoholism 10%

8520 L leg PN associated w/diabetes 10%

8520 R leg PN associated w/diabetes 10%

bilateral factor of 1.9% for diagnostic codes 8520.

Any thoughts on SMC??

pr

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  • HadIt.com Elder

No problem, Carla, you can pry. ;-) No other residuals, in 2001, when the alcoholism, secondary to PTSD, was awarded. Recently I had the pancreatitis thing which should relate to the alcoholism but that's a new claim.

The award dates are PTSD@1989, Tinnitus@2000, PTSD w/alcoholism@2001, Hypertension@2001, Diabetes@2007, Left leg PN@2010 and Right leg PN@2010.

I was never notified of the Hypertension award in 2001, nor the two PN awards in 2010. I only discovered them when my atty sent me a copy of my recent denial for IHD, that included a copy of the blue sheet.

I received the blue sheet yesterday and realized last night that, w/the hypertension and PN awards, I should be able to received SMC. I don't understand the two PTSD ratings but will find out, as I'm going to call a CUE on the 2001 PTSD award, which should have awarded SMC, if the two awards are correct.

There's also a couple of lines, on the blue sheet, that states:

Combined Evaluation For Compensation:

100% from 04/26/1989; 100% from 07/19/2010 (Bilateral factor of 1.9 Percent for diagnostic codes 8520, 8520)

Thanks!

pr

pr,

Not to pry but has the alcoholism caused any residual additional disability's,

like liver problems, seizures, tremors or anything like that ?

This would be the reason I could see for it being listed twice on the blue sheet.

Seems to me like you should be eligible for SMC "S"

I believe the regs for it actually read - Total plus 60% versus 100% plus 60%.

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