Hi everyone. I have been working on my claims that were denied for no diagnoses. What I am looking for is some pointers for what to do about it and I do not have the money for a IMO outside the VA. I have been fighting the VA for my chronic hip pain this last denial said that there is no diagnoses. So I made an appointment and went to the ortho dr for an exam. When she looked into the notes he said that I have diagnoses from 2006 of chronic hip pain. I am now getting an MRI done on just one hip. The C&P examiner stated that there are no diagnoses of hip problems and that it is least likely than not ---. In the exam it does show that I have movement problems that would be rated at 10% and 20%. What should I do to counter this and how do I do it. The VA medical records have the diagnoses. When it comes to the VA I have not known what to do and I just through everything at them and see what sticks.
I was also denied for sciatica. The reasoning was also that there were no diagnoses and also that lumbar strain cannot cause sciatica. Again in my medical records there is a diagnosis for sciatica and that I am being treated for it. I have been also diagnosed with DDD at L5 S1 and that is pinching on the nerve causing the sciatica problem.
With this information should I file a CUE because they are stating that there is not something that they have or just do a NOD. Also what about the findings that “ Sciatica is proximately due to or the result of service connected residuals of a lumbar spine injury 38 U.S.C.A. 1110, 1131 (west 2002); 38C.F.R. 3.310 (2005)” Citation nr: 0600049. Does this not show that sciatica can and should be caused by lumbar injuries and that’s what a strain is.
I am new at researching things and I really don’t know what to send and how to do it. I have always just sent in a NOD stating that I disagree and why I believe they are wrong. No quotes or anything.
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diver
Hi everyone. I have been working on my claims that were denied for no diagnoses. What I am looking for is some pointers for what to do about it and I do not have the money for a IMO outside the VA. I have been fighting the VA for my chronic hip pain this last denial said that there is no diagnoses. So I made an appointment and went to the ortho dr for an exam. When she looked into the notes he said that I have diagnoses from 2006 of chronic hip pain. I am now getting an MRI done on just one hip. The C&P examiner stated that there are no diagnoses of hip problems and that it is least likely than not ---. In the exam it does show that I have movement problems that would be rated at 10% and 20%. What should I do to counter this and how do I do it. The VA medical records have the diagnoses. When it comes to the VA I have not known what to do and I just through everything at them and see what sticks.
I was also denied for sciatica. The reasoning was also that there were no diagnoses and also that lumbar strain cannot cause sciatica. Again in my medical records there is a diagnosis for sciatica and that I am being treated for it. I have been also diagnosed with DDD at L5 S1 and that is pinching on the nerve causing the sciatica problem.
With this information should I file a CUE because they are stating that there is not something that they have or just do a NOD. Also what about the findings that “ Sciatica is proximately due to or the result of service connected residuals of a lumbar spine injury 38 U.S.C.A. 1110, 1131 (west 2002); 38C.F.R. 3.310 (2005)” Citation nr: 0600049. Does this not show that sciatica can and should be caused by lumbar injuries and that’s what a strain is.
I am new at researching things and I really don’t know what to send and how to do it. I have always just sent in a NOD stating that I disagree and why I believe they are wrong. No quotes or anything.
Thanks for your help in advance.
Diver
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free_spirit_etc
diver, I never claimed for this. I am a widow and filed for accrued benefits and DIC after his death. I used IMOs and medical articles. If we would have known during his lifetime what I know
Chuck75
The NOD should be filed unless the decision has become final. I'd file the NOD as soon as you can get things together.
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