Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

Is This A Cue Claim?

Rate this question


USMC RECON 67

Question

Thanks in advance for your input. In 1970 I put in a claim for Epididymitis with atrophy of the left testicle. I was rated under the following diagnostic codes:

7599 Urinary condition

7523 Epididymitis with atrophy of the left testicle and was given a "0" % rating. My question is should SMC K been awarded since I met the requirements of 3.350 which states 1114 (k) is payable for EACH anatomical LOSS or loss of use of one hand, one foot, both buttocks, OR MORE CREATIVE ORGANS, etc. It also states (1) / Creative organ,/ (i) Loss of a creative organ will be shown by acquired absence of ONE or both testicles (other than undescended testicles) or ovaries or other creative organ. Loss of use of one testicle will be established when examination by a board finds that: the diameters of the affected testicle are reduced to one-third of the corresponding diameters of the paired normal testicle and other requirements which may be met. Should I have been granted SMC K for that since the requirement was met? It was not a claim for erectile dysfunction but for Epididymitis. Should not the claim for SMC K LOSS OF A Creative ORGAN been an inferred claim since the requirement for 3.350 were met. Thanks for you replys.

Link to comment
Share on other sites

  • Answers 8
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

Recommended Posts

  • HadIt.com Elder

I would file the claim if I were you. You have nothing to lose. If you are denied on the CUE at the VARO then appeal it. You can always hire a lawyer later if you are denied and take it all the way. SMC K for 41 years is a lot of retro if you can get it. You can have a very good claim for CUE, and if there are forty years of retro the VA may deny it. This is why there is an appeals system.

Link to comment
Share on other sites

  • HadIt.com Elder

Yes, it is a hoot but all of us, here, who know you, know you gotta a lotta b*lls, so it is good you are helping. As for the measurement, I believe the "1 cm" is a measurement and would be a factual basis for an SMC decision. The only issue I see is what SMC rules were in effect at the time. Other than that I see a CUE and if they argue the measurement thing, then I'd CUE it for an improper/faulty exam. jmo

pr

USMC,

Not at all making lite of your issue, many here know that it's a real a hoot - for me to be

researching issues regarding testicle's, but I'm just trying to help out.

With my limited knowledge on the average size of testicle's, even I would speculate that

an atrophic testicle that only measures 1 cm would be considered out of the normal range

when the other testicle is opined on as "normal".

I do certainly feel that the SMC should have been inferred (due to the 1cm measurement) and adjudicated

but this might also be dependent on if the reg read differently, when the prior rating was adjudicated.

Another thing is that what you posted above reads to me like it came from the rating decision itself,

personally, I would want to see the C&P and/or any additional medical progress notes of record from that time period.

I would look at the evidence section and find the VA examination they referred to and see for myself exactly what it states.

Many - many - many - many - many - many - times, (did I point out many - lol), the rating decision only refers to

the part of evidence that supports their denial (or in this instance - non-adjudication) of an issue.

Then if we take the time to read the actual piece of evidence they refer to in the rating decision, we see that it actually

states something that is different or that it states something MORE - that is not mentioned in the actual

rating decision.

Also, I do want to be clear that I am not even suggesting that I would not file for a CUE,

I am wondering exactly HOW to word the filing for a CUE.

If it were worded for non-adjudication of SMC, I do not see that would work.

EED for SMC - I just don't know.

I hope other's come in and post on this.

JMHO

I'm editing this to add - maybe do a BVA search for cue+inferred smc

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
    • Sparklinger earned a badge
      First Post
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use