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NEXUS letter or Presumptive for colon polyps

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JustGettingStarted

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I have been retired for 7 years now and was rated at 60% for various disabilities after I retired.  

One month after I retired, I had a colonoscopy; benign polyps (i.e. benign neoplasms), a type that could turn to cancer, were found and removed.  I have had polyps removed twice since then.  Now I would like to get my polyps service connected at 0% in case something more serious were to develop in the future.  

My question:  Since my polyps diagnosis was only a month after I retired, do I need a NEXUS letter to say the polyps were "more than likely" to have developed while on active duty, or would it be presumed the polyps developed while I was still on active duty?

I looked at the presumptives in Title 38, and I don't think this fell under any of the automatics.

Thanks for any help.

Edited by JustGettingStarted
Added "benign neoplasms".
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  • HadIt.com Elder

Its hard to get colon polyps S.C. B/C There is not a diagnostic code.

Because colon polyps are not assigned a specific Diagnostic Code the RO rated them under 38 C.F.R. § 4.20 by analogy to irritable colon syndrome, 38 C.F.R. § 4.114, Diagnostic Code 7319. The evidence currently available, however, is insufficient for rating purposes. As such, a new examination is in order. 38 C.F.R. § 3.159.

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15 hours ago, Buck52 said:

Its hard to get colon polyps S.C. B/C There is not a diagnostic code.

Because colon polyps are not assigned a specific Diagnostic Code the RO rated them under 38 C.F.R. § 4.20 by analogy to irritable colon syndrome, 38 C.F.R. § 4.114, Diagnostic Code 7319. The evidence currently available, however, is insufficient for rating purposes. As such, a new examination is in order. 38 C.F.R. § 3.159.

It should be rated under 7344 Benign neoplasms, exclusive of skin growths, in the Digestive Systems section.   

I would not expect any additional rating for it as long as they are benign, and I already have 10% for GERD.  I just figure it would be better to start working on service connection now, rather than wait to see if something happens years down the road and then try to get S/C for it. My question is still, should I ask my doctor for a NEXUS letter, or will it be presumed I acquired the polyps in service since my first colonoscopy was 1 month after my retirement date?  

If I knew back then what I know now, I would have added it to the claim I initiated before I retired.   

I have had three colonoscopies since I retired, and have had polyps (i.e. benign neoplasms) removed at each visit.  What good would a re-exam do if the polyps have been removed?  I would hope the medical records from my civilian doctor would be sufficient to prove I had the polyps and that they do re-occur.  

 

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  • HadIt.com Elder

Yes Ask your Dr to write you a good Nuxus letter   that is always good evidence to submit.

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