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diabetes Claim Done Now The Question
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Question
id_firefighter30
Well I finally Got my explanation of benefits and i have a couple of questions so here goes a little bit of the history I am currently rated at 90%, 70% for depression 50% for sleep apnea and 10% for left knee and 10% for Left ankle also 10% for right lateral epicondilitis and 10% for tinnitus so I put in a claim June of last year for increase on L knee and ankle and also new right ankle instability and arthritis new in all lower joints ankles and knees and to reopen my Diabetes that was ruled non SC in 2011 Fast forward to today I have read the explanation many times and i have some questions that I am hopping that you all can help with so here goes.
First question is i know that the knee is the body part that can have more then one SC disability with out pyramiding the disabilities so when i got my letter it explains that the have awarded my arthritis claim and changed the the diagnostic code from 5259 but combined previous rating with the arthritis but if i look up the old code it deals with removal of semilunar cartilage but i thought that the arthritis should be under its own rating.
Second question when you are diagnosed with Arthritis in two or more major joints as diagnosed with X-Ray evidence that the rating would be 20% i was awarded SC for arthritis in both knees and both ankles so i am wondering if this is correct and if so is the 20% for each joint or do they rate them all at a single 20% my right knee was given 10 for arthritis and the ankle was combined together with chronic tearof the talofibular and calconofibular ligaments and DJD and achilles tendonitis and given a 10%.
question 3 is with the Diabetes they still say denied but give me a list of evidence that if i can show was taken before i left service or with in one year that would prove it started while on active duty and at the end of the statement it says the claim for SC is reopened does that mean they are giving me the benefit of the dobt to find the info and send in to get it granted instead of saying the info i sent in to try to get the claim reopened was not new or material evidence
Thanks all for your help My VSO Hasn't answered my Emails so im just trying get all this clear inmy head as to what i need to send in a appeal on thanks again all
70% Depression
50% OSA
10% L knee
10% L Ankle
10% R Elbow
10% Tinnitus
10% R Ankle
10% R knee
10% L ankle scar
10% R ankle scar
100% P&T
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