Paralysis in wrists/hands

[green]

I have a question in rating decision, I had a C&P for PN and it was noted that I have moderate paralysis in both the Median and Ulnar nerves (wrists/hands).  I assume the VA rates for one affected nerve and not both but would like to ask those who have more experience in this area.

 

Thank you,

Green

[jamescripps2]

I was rated for PN at 50% right upper extremity and 40% in the other three limbs for years. On the 27th of August 2015, after a four year battle, I was awarded loss of use of R/ upper extremity as due to PN to include carpal tunnel and ulnar involvement.  Loss of use, 50% of R/lower extremity due to PN to include complete loss of the peroneal  nerve. The rating for the PN of the upper and lower extremities remains the same @ 40%. I was granted the automobile grant with adaptive equipment and the special adaptive home grant. My SMC is at the M rate with 1k and an S award.

I would think that involvement of two distinct nerves would only increase the award percentage assigned.