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

Healthevet And Blue Button

Rate this question


asheth007

Question

Recommended Posts

  • 0

Yes, definetely you could ask your doc to fill it out & then you would submit it with your claim. Some docs will do it & some wont.

Here's a link with some more info on DBQs

http://www.benefits.va.gov/compensation/dbq_disabilityexams.asp

If you already have service connection for an issue, then filling out the DBQ is pretty straightforward for the doc. After its completed you could submit it along with the FDC application, either in paper form or upload through ebenefits.

If you do not already have the SC, then the DBQ won't be enough. The doc will also need to make a nexus statement and give their rationale & state they have reviewed your pertinent medical records. You can research those terms here on hadit by using the search box.

You can reference the DBQ to know how they rate each issue, but you need to compare it to the rating schedule for your issue, first. You need to lookup the rating code for your issue.

Here's the link.

http://www.ecfr.gov/cgi-bin/text-idx?rgn=div5;node=38:1.0.1.1.5

Thank you NavyWife and you have opened my eyes to something. My rating is inflammatory myopathy since there is no rating for inflammatory myopathy they rated it max for fibromyalgia. Looking at these codes you provided I see 5021 for myositis my condition code is 710.4 according to my Health E Vet summary or polymyocitis which is what I actually have. Looking at the chart it looks like I would qualify for a higher rating if it was determined to be myocitis which is what I am diagnosed with. The inflammatory myopathy I was initially diagnosed with was because they weren't sure if it was inclusion body myositis or polymyositis.

Under the rating codes I see

The diseases under diagnostic codes 5013 through 5024 will be rated on limitation of motion of affected parts, as arthritis, degenerative, except gout which will be rated under diagnostic code 5002.

Edited by asheth007
Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

SSDI wants to see a statement that you are totally disabled from all work for at least a year. They don't care about SC. They just care about your record of SSA payments and your being totally disabled.

Link to comment
Share on other sites

  • 0

SSDI wants to see a statement that you are totally disabled from all work for at least a year. They don't care about SC. They just care about your record of SSA payments and your being totally disabled.

Thanks to Navywife I did some more digging and found this

http://www.ssa.gov/disability/professionals/bluebook/14.00-Immune-Adult.htm#14_05

14.05 Polymyositis and dermatomyositis. As described in 14.00D4. With:

A. Proximal limb-girdle (pelvic or shoulder) muscle weakness, resulting in inability to ambulate effectively or inability to perform fine and gross movements effectively as defined in 14.00C6 and 14.00C7.

OR

B. Impaired swallowing (dysphagia) with aspiration due to muscle weakness.

OR

C. Impaired respiration due to intercostal and diaphragmatic muscle weakness.

OR

D. Diffuse calcinosis with limitation of joint mobility or intestinal motility.

OR

E. Repeated manifestations of polymyositis or dermatomyositis, with at least two of the constitutional symptoms or signs (severe fatigue, fever, malaise, or involuntary weight loss) and one of the following at the marked level:

1. Limitation of activities of daily living.

2. Limitation in maintaining social functioning.

3. Limitation in completing tasks in a timely manner due to deficiencies in concentration, persistence, or pace.

This is exactly what I have, especially the limb-girdle I have all the tests to back up that I do in fact have polymyositis. The issue was that they didn't know when I was in the med board process, so I was under the assumption that it was inflammatory myopathy which is what diagnoses from the VA initially. Now the diagnoses is polymyositis which is much stronger for my claim purposes. Inflammatory myopathy is just a general term when they aren't sure. I downloaded a RFC form and will talk to my rheumatologist about filling it out. Can a DBQ also be used in my SSDI claim?

Edited by asheth007
Link to comment
Share on other sites

  • 0

This site is great I have to say I feel much better now because I know now that I need to communicate the polymyositis now. There is so much information to go through but you guys have helped me and I have to say that I'm happy with what I learned today because now I know exactly what I need to communicate to SSDI and the VA in regards to compensation. Some days I get upset to my stomach thinking about it but now I feel much better moving forward. I am only 4 months medically retired from active duty and this whole process has me feeling down and depressed someday's so I definitely sympathize with those that have been fighting for years.

Thank you

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

    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
    • Troy Spurlock went up a rank
      Community Regular
    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK earned a badge
      Week One Done
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 4 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use