Assigning Level of Incomplete Paralysis

[green]

Found this today at M21-1lll_iv_4_SecG.  This document was updated in January of this year.  it's clear to me I should have been rated years ago when I was told there was no evidence.

b  Assigning Level of Incomplete Paralysis

The table below provides a general description of each level of incomplete paralysis of the upper and lower peripheral nerves.

 

Degree of Incomplete Paralysis	Description
Mild	subjective symptoms or diminished sensation
Moderate	absence of sensation confirmed by objective findings
Severe	more than sensory findings are demonstrated, such as atrophy, weakness, and diminished reflexes.

[Vync]

Hey Green,
What nerve or location (Arm, leg, elbow, foot, hand, etc)?

 

[green]

All four limbs, the C&P said for my legs and feet moderate of the Sciatic but she also noted weakness, no reflexes, and tropic changes so according to this I'm thinking (moderately severe)

For the hands she noted moderate for the ulnar and medial, but the radial also showed issues on my EMG/nerve conduction study so I'm not sure if they will rate me moderate for a single nerve or use the lower radicular group for rating.

The interesting thing is that everything I've read said that the degree of paralysis (mild, moderate, severe) is subjective.  As this is part of M21, seems like it is less subjective than I previously thought.

[Vync]

I personally think that the nerve rating criteria is open to a lot of interpretation and is likely overlooked by many docs. Have you filed for SC/increase of it? Or are you considering CUE?

[green]

I filed secondary claims, am waiting for the decision and rating.....