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Pending Decision Approval


Big Mac

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According to Ebenefits my claim has been sitting @ Pending Decision Approval for over two weeks. I've called 1-800-827-1000 twice & their response is that my claim is in notification phase with an average 15 days to receive.

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Sounds promising.......when my claim said closed within a couple of days retro hit the bank. Keep checking your bank....... but Most importantly and reliable is when you receive notification via U.S. mail "the award letter> the Big Brown or White envelope! Good Luck to You!

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According to Ebenefits my claim has been sitting @ Pending Decision Approval for over two weeks. I've called 1-800-827-1000 twice & their response is that my claim is in notification phase with an average 15 days to receive.

Don't count on ANY timeframes you are told, hear or read of.

We get our decisions and cash whenever it comes - finally comes.

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I’m on pins & needles waiting to see my new VA rating. I applied for SSDI for my service connected injuries in April 2011 & was approved Sept. 2011. Here’s a statement the Dr. for my C&P exam wrote for my progress report.

Right Ankle

Does the Veteran’s ankle condition impact his or her ability to work? Yes, Veterans is unable to walk long distance due to right ankle condition. Assistive device; right ankle brace for support.

Back (Thoracolumbar Spine) Condition, Veteran has been diagnosed with thoracolumbar spine back condition; yes

Diagnosis #1 Lumbar DDD, L5-S1/Spinal Stenosis ICD code 722.6

Diagnosis #2 Radiculopathy, Lower Extremities ICD CODE 729.2

Back surgery Dec 2001 & Nov 2010, Mar 2011 MRI shows recurrent herniated nucleus pulposus L5-S1 spinal stenosis and left L5-S1 intraspinal, extraduaral epidural fibrosis & scar tissue & disc protrusion. Select where forward flexion ends (normal end point is 90) x5. Select where objective evidence of painful motion begins) x5, nothing higher than a x10. Does the veteran have additional limitation in ROM of the thoracolumbar spine (back) x yes. Does the veteran have any functional loss and/or functional impairment of the thoracolumbar spine (back)x yes. Less movement than normal Weakened movement, Excess fatigability Incoordination, impaired ability to execute skilled movements smoothly, Pain on motion, Instability of Disturbance of locomotion, Interference with sitting, standing and/or weight-bearing. Does the veteran have guarding or muscle spasm of the thoracolumbar spine(back) x yes. Abnormal spinal contour, such as scoliosis, reversed lordosis, or abnormal kyphosis. Does the veteran have IVDS of the thoracolumbar spine/ x yes. Assistive Device: brace & walker: Frequency of use: regular Does the veteran’s thoracolumbar spine (back) condition impact on his or her ability to work? x yes

Hip & Thigh Condition

Does the veteran report that flare-ups impact the function of the hip and/or thigh? X yes. Select where flexion ends (normal endpoint is 125 degrees) x15. Select where objective evidence of painful motion begins) x15. Is adduction limited such that the veteran cannot cross legs) x yes. Is rotation limited such that the veteran cannot toe-out more than 15 degrees? X yes. Does the veteran have additional limitation in ROM of the hip & thigh following repetitive-use testing) x yes. Does the veteran have any functional loss and/or functional impairment of the hip & thigh? X yes Unable to sit for long prolonged period of time due to back, knee and hip condition. Less movement than normal - Both, Weakened movement - Both, Excess fatigability - Both, Incoordination, impaired ability to execute skilled movements smoothly - Both, Pain on motion - Both, Instability of station - Both, Disturbance of locomotion - Both, Interference with sitting, standing and or weight-bearing - Both, Does the veteran have ankylosis of either hip joint? X yes. Assistive Device: brace & walker: Frequency of use: regular, Left knee brace for support due to occasional ‘giving way of left knee, walker for back condition and radiculopathy and knee condition, right ankle brace for support. Have imaging studies of the hip been performed and are the results available? yes, Is degenerative or traumatic arthritis documented? yes - Both, Does the veteran’s hip & thigh condition impact on his or her ability to work? x yes

Knee and lower leg conditions Diagnosis #1 Left Knee PFS ICD code 719.46, Diagnosis #2 Left Knee OA ICD code 715.90, Diagnosis #3 Right Knee DJD ICD code 715.90 Right knee medial meniscus tear,

Right Knee - Select where flexion ends (normal endpoint is 140 degree)x 95, Select where painful motion begins) 95, Unable to fully extend, extension ends x25,

Left Knee - Select where flexion ends (normal endpoint is 140 degree)x 110, Select where painful motion begins) 100, Unable to fully extend, extension ends x25, Is the veteran able to perform repetitive-use testing with 3 repetitions?

No, provide reason Limited due to back and knee pain,

Does the veteran have additional limitation in ROM of the knee and lower leg following repetitive-use testing) x yes, Does the veteran have any functional loss and/or functional impairment of the knee and lower leg? yes If the veteran has functional loss, functional impairment or additional limitation of ROM of the knee and lower leg after repetitive use, indicate the contributing factors of disability below (check all that apply and indicate side affected) Less movement than normal - Both, Weakened movement - Both, Excess fatigability - Both, Incoordination, impaired ability to execute skilled movements smoothly -Both, Pain on motion - Both, Instability of station - Both, Assistive Device: brace & walker: Frequency of use: regular, Disturbance of locomotion - Both, Interference with sitting, standing and or weight-bearing - Both, Does the veteran’s knee and /or lower leg condition impact on his or her ability to work? x yes, Unable to sit for prolong period of time due to back knee and hip condition.

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I’m on pins & needles waiting to see my new VA rating. I applied for SSDI for my service connected injuries in April 2011 & was approved Sept. 2011. Here’s a statement the Dr. for my C&P exam wrote for my progress report.

Right Ankle

Does the Veteran’s ankle condition impact his or her ability to work? Yes, Veterans is unable to walk long distance due to right ankle condition. Assistive device; right ankle brace for support.

Back (Thoracolumbar Spine) Condition, Veteran has been diagnosed with thoracolumbar spine back condition; yes

Diagnosis #1 Lumbar DDD, L5-S1/Spinal Stenosis ICD code 722.6

Diagnosis #2 Radiculopathy, Lower Extremities ICD CODE 729.2

Back surgery Dec 2001 & Nov 2010, Mar 2011 MRI shows recurrent herniated nucleus pulposus L5-S1 spinal stenosis and left L5-S1 intraspinal, extraduaral epidural fibrosis & scar tissue & disc protrusion. Select where forward flexion ends (normal end point is 90) x5. Select where objective evidence of painful motion begins) x5, nothing higher than a x10. Does the veteran have additional limitation in ROM of the thoracolumbar spine (back) x yes. Does the veteran have any functional loss and/or functional impairment of the thoracolumbar spine (back)x yes. Less movement than normal Weakened movement, Excess fatigability Incoordination, impaired ability to execute skilled movements smoothly, Pain on motion, Instability of Disturbance of locomotion, Interference with sitting, standing and/or weight-bearing. Does the veteran have guarding or muscle spasm of the thoracolumbar spine(back) x yes. Abnormal spinal contour, such as scoliosis, reversed lordosis, or abnormal kyphosis. Does the veteran have IVDS of the thoracolumbar spine/ x yes. Assistive Device: brace & walker: Frequency of use: regular Does the veteran’s thoracolumbar spine (back) condition impact on his or her ability to work? x yes

Hip & Thigh Condition Does the veteran report that flare-ups impact the function of the hip and/or thigh? X yes. Select where flexion ends (normal endpoint is 125 degrees) x15. Select where objective evidence of painful motion begins) x15. Is adduction limited such that the veteran cannot cross legs) x yes. Is rotation limited such that the veteran cannot toe-out more than 15 degrees? X yes. Does the veteran have additional limitation in ROM of the hip & thigh following repetitive-use testing) x yes. Does the veteran have any functional loss and/or functional impairment of the hip & thigh? X yes Unable to sit for long prolonged period of time due to back, knee and hip condition. Less movement than normal - Both, Weakened movement - Both, Excess fatigability - Both, Incoordination, impaired ability to execute skilled movements smoothly - Both, Pain on motion - Both, Instability of station - Both, Disturbance of locomotion - Both, Interference with sitting, standing and or weight-bearing - Both, Does the veteran have ankylosis of either hip joint? X yes. Assistive Device: brace & walker: Frequency of use: regular, Left knee brace for support due to occasional ‘giving way of left knee, walker for back condition and radiculopathy and knee condition, right ankle brace for support. Have imaging studies of the hip been performed and are the results available? yes, Is degenerative or traumatic arthritis documented? yes - Both, Does the veteran’s hip & thigh condition impact on his or her ability to work? x yes

Knee and lower leg conditions Diagnosis #1 Left Knee PFS ICD code 719.46, Diagnosis #2 Left Knee OA ICD code 715.90, Diagnosis #3 Right Knee DJD ICD code 715.90 Right knee medial meniscus tear, Right Knee - Select where flexion ends (normal endpoint is 140 degree)x 95, Select where painful motion begins) 95, Unable to fully extend, extension ends x25, Left Knee - Select where flexion ends (normal endpoint is 140 degree)x 110, Select where painful motion begins) 100, Unable to fully extend, extension ends x25, Is the veteran able to perform repetitive-use testing with 3 repetitions? No, provide reason Limited due to back and knee pain, Does the veteran have additional limitation in ROM of the knee and lower leg following repetitive-use testing) x yes, Does the veteran have any functional loss and/or functional impairment of the knee and lower leg? yes If the veteran has functional loss, functional impairment or additional limitation of ROM of the knee and lower leg after repetitive use, indicate the contributing factors of disability below (check all that apply and indicate side affected) Less movement than normal - Both, Weakened movement - Both, Excess fatigability - Both, Incoordination, impaired ability to execute skilled movements smoothly -Both, Pain on motion - Both, Instability of station - Both, Assistive Device: brace & walker: Frequency of use: regular, Disturbance of locomotion - Both, Interference with sitting, standing and or weight-bearing - Both, Does the veteran’s knee and /or lower leg condition impact on his or her ability to work? x yes, Unable to sit for prolong period of time due to back knee and hip condition.

are you currently service connected for your spine and for the radiculopathy? if so, how much? i'm curious a i'm presently 40 for my back. Edited by iceturkee (see edit history)
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It's been about a month & nothing yet. When i call 1-800-827-1000 I get the same answer, notification phase is about 15 days average from Winston Salem, NC. news flash 1 Oct 2012, was a month ago!

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It's been about a month & nothing yet. When i call 1-800-827-1000 I get the same answer, notification phase is about 15 days average from Winston Salem, NC. news flash 1 Oct 2012, was a month ago!

mine has been at rating board ready for decision since sept 17. my dav reps say they can not tell me how long it will be.

UPDATE: my dav rep emailed me today to tell me a rating decision is expected later in the day!

Edited by iceturkee (see edit history)
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Mine was in the Notification stage for about a month, which I thought was where they had made a decision. Wrong. It was sent back to Pending Decision Approval, and they now said they need to do another review!! My claim is over 1000 days old!! Cr*p! The constitution hasn't been reviewed this much. I'm taking Carlie's advice when it appears it appears.

Papa

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Just checked ebenefits, my status is now "notification pending" as of 26 Nov 2012, today date. I checked the A8 letter, no change. Went to the VA Center downtown today, asked why would the VA not grant IU, when my SSDI is service connected for my back and knees only. According to Social Security Adminstration I became disabled the day of my 2nd back surgery due to spinal disorders. I was still on active duty at the time of my 2nd surgery, Oct 2010, I retired from the AF 31 Dec 2010.

I can't understand why VA didn't grant IU? What is my next step?

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If you haven't noticed the new tool on Ebenefits to " File a VONAPP claim with assisted guidance" I suggest using it. You don't have to finalize the claim, and it shows you your rated disabilities, and what percentages they are. MY IBS claim was deferred, along with the mononeuropathy/ lower radiculopathy bilateral lowers. They did rate a couple other increases, I have not gotten a notification as yet and it still shows using this tool. It's a good thing to check about a month after your exams, especially if your claim is dropped back down from pending decision.

Edited by ButchC130 (see edit history)
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