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38 Cfr 4.7. Can An Appeal Han On One Word?
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JT24usn
I am arguing with the va over a word. "nearly". I am asking that I be granted the 40 percent under dc 7328 due to having all other issues other than weight loss. This meaning that I "nearly" meet te requirements for 40% instead of 20%. Also, due to pyramiding I am combined with 7318 and 7328. Meaning these two would even inch me nearer to the 40%. Under 4.14 and 4.7. Any input would be greatly appreciated.
4.7 - Higher of two evaluations.
Where there is a question as to which of two evaluations shall be applied, the higher evaluation will be assigned if the disability picture more nearly approximates the criteria required for that rating. Otherwise, the lower rating will be assigned.
4.14 - Avoidance of pyramiding.
The evaluation of the same disability under various diagnoses is to be avoided. Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. Dyspnea, tachycardia, nervousness, fatigability, etc., may result from many causes; some may be service connected, others, not. Both the use of manifestations not resulting from service-connected disease or injury in establishing the service-connected evaluation, and the evaluation of the same manifestation under different diagnoses are to be avoided.
7318 Gall bladder, removal of:
With severe symptoms30
With mild symptoms10
Nonsymptomatic0
Spleen, disease or injury of.
See Hemic and Lymphatic Systems.
7328 Intestine, small, resection of:
With marked interference with absorption and nutrition, manifested
by severe impairment of health objectively supported by
examination findings including material weight loss60
With definite interference with absorption and nutrition, manifested
by impairment of health objectively supported by examination
findings including definite weight loss40
Symptomatic with diarrhea, anemia and inability to gain weight20
Note: Where residual adhesions constitute the predominant disability, rate under diagnostic code 7301.
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