Cue for anemia, right???

[SergeantQ]

Heyyyyy my fellow veterans.... after getting my rating for Anemia for 10 percent the other day, crying, falling apart and asking GOD WHY ME, I pulled myself together this morning, crawled over to the paperwork and reviewed it again.

Thank god I did because they rated me wrong.

The code for my anemia is ‘Anemia’ 7700. The code they rated me under is ‘Aplastic’ Anemia 7716 which again I don’t possess those symptoms at all. It speaks of infections, transfusions and everything! My anemia is for blood loss where my HGB levels are low 7. 

So this is a QUE, right? 

https://www.benefits.va.gov/WARMS/docs/regs/38cfr/bookc/part4/s4_117.doc

[Buck52]

I'm not sure if this would be CUE? other members here can help

I have a question for you?

Was you service connected for the Anemia  on code 7700?

if yes  what nexus did you use for the service connection?

Are you currently seeking treatment from the VA Taking monthly/bi monthly injections to help control the Anemia  or medications?

 

Reason I ask  I have been diagnose for Pernicious Anaemia for  years from the  VA  since 1989, they  (VA)change that here recently to ''Megaloblastic Anemia''

I been having to take the B-12 Injections ever since they diagnose it.

Notice the spelling in ''Pernicious Anaemia''

I can't find anything that would cause it from military service  other than A.O. from Vietnam...Unfortunately  there's no research evidence to help me connect it to my military service.

At the time of diagnose from VA back in1989  My hemoglobin level was 8g/dL

   D'rs are not sure what causes the Pernicious Anaemia Its not on the A.O. List...but I have had the symptoms  of some of the things that are on the list   I just can't nexus it to my military service... VA Dr's are no help.

Also the VAMC that diagnose me don't have any  medical records ...they said they sent my records to another location for storage...that location was not NRPC in St Louis I contacted them...so I'm screwed there.

Edited January 14, 2018 by Buck52

[SergeantQ]

1 hour ago, Buck52 said:

I'm not sure if this would be CUE? other members here can help

I have a question for you?

Was you service connected for the Anemia  on code 7700?

if yes  what nexus did you use for the service connection?

Are you currently seeking treatment from the VA Taking monthly/bi monthly injections to help control the Anemia  or medications?

 

Reason I ask  I have been diagnose for Pernicious Anaemia for  years from the  VA  since 1989, they  (VA)change that here recently to ''Megaloblastic Anemia''

I been having to take the B-12 Injections ever since they diagnose it.

Notice the spelling in ''Pernicious Anaemia''

I can't find anything that would cause it from military service  other than A.O. from Vietnam...Unfortunately  there's no research evidence to help me connect it to my military service.

At the time of diagnose from VA back in1989  My hemoglobin level was 8g/dL

   D'rs are not sure what causes the Pernicious Anaemia Its not on the A.O. List...but I have had the symptoms  of some of the things that are on the list   I just can't nexus it to my military service... VA Dr's are no help.

Also the VAMC that diagnose me don't have any  medical records ...they said they sent my records to another location for storage...that location was not NRPC in St Louis I contacted them...so I'm screwed there.

Hi Buck.... yes mine should have been under 7700 but it was not under that code; instead they coded under 7716.

Click on the link and check it out. See for yourself how they rated you because I’m no expert on how to address your question. All I know is My Anemia is due to blood loss each month that makes my HGB levels go down. That’s code 7700. 

Side note is my anemia is secondary to fibroids. So while I had a nexus I didn’t need it. 

[Berta]

If you can scan and post the actual decision, when it comes (or maybe you got it already)

that would be helpful in determining if this is a CUE or not.(Cover C file # ,name, prior to scanning it.

The ratings for 7700 are in this BVA decision and their rationale as to how they rated it, as in this vet's case:

https://www.va.gov/vetapp16/files4/1626877.txt

If they used the wrong diagnostic code, that would seem to definitely be a CUE   in their decision, if it was detrimental to you

Buck asked a Good question- did you fall under DC 7700 in any past decision?.If so I dont understand where they got the different DC code from.

Do you have a copy of the C & P exam they used?The error might be within that C & P.

Edited January 14, 2018 by Berta

[SergeantQ]

As per the ltr, The rating code they rated me under does not say 7700. But it dies say ‘Aplastic Anemia’ which again I do not have. The comp and pen asked me the questions that fall under 7700 but I do not have a copy of that. 

The DBQ for mine falls under ‘hemolytic anemia, iron’. 

https://www.google.com/search?client=safari&hl=en-us&ei=-aFbWvG3CsKkjwSR65zwAw&q=disability+questionnaire+anemia&oq=disability+wuestionnare+snemia&gs_l=mobile-gws-serp.1.0.30i10k1.6282.17038.0.19567.40.39.1.9.9.0.189.4388.6j32.39.0....0...1c.1.64.mobile-gws-serp..1.39.3677.3..0j41j0i22i30k1j0i10k1j0i67k1j0i131k1j0i22i10i30k1j0i13k1j33i160k1.75.YN7RwpjvpH0

I do not have access to scanner but this is A copy. I underlined the words. But again I don’t have that type of anemia. 

 

[SergeantQ]

FYI: The only other diagnosis code has been fibroids - my primary condition -which the comp and pens examiner have used the DBQ for: GYNECOLOGICAL CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE

print screens of my prior DBQ. Again the one for anemia specifically was with a QTC so I don’t have a copy. I’ll get a copy on Monday from my vso. 

 

 

 

Edited January 14, 2018 by SergeantQ
Redact

[Buck52]

 

   Rating

7700   Anemia, hypochromic-microcytic and megaloblastic, such as iron-deficiency and pernicious anemia:

Hemoglobin 5gm/100ml or less, with findings such as high output congestive heart failure or dyspnea at rest100

Hemoglobin 7gm/100ml or less, with findings such as dyspnea on mild exertion, cardiomegaly, tachycardia (100 to 120 beats per minute) or syncope (three episodes in the last six months)70

Hemoglobin 8gm/100ml or less, with findings such as weakness, easy fatigability, headaches, lightheadedness, or shortness of breath30

Hemoglobin 10gm/100ml or less with findings such as weakness, easy fatigability or headaches10

Hemoglobin 10gm/100ml or less, asymptomatic0

Note: Evaluate complications of pernicious anemia, such as dementia or peripheral neuropathy, separately.

7702   Agranulocytosis, acute:

Requiring bone marrow transplant, or; requiring transfusion of platelets or red cells at least once every six weeks, or; infections recurring at least once every six weeks100

Requiring transfusion of platelets or red cells at least once every three months, or; infections recurring at least once every three months60

Requiring transfusion of platelets or red cells at least once per year but less than once every three months, or; infections recurring at least once per year but less than once every three months30

Requiring continuous medication for control10

Note: The 100 percent rating for bone marrow transplant shall be assigned as of the date of hospital admission and shall continue with a mandatory VA examination six months following hospital discharge. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of §3.105(e) of this chapter.

7703   Leukemia:

With active disease or during a treatment phase100

Otherwise rate as anemia (code 7700) or aplastic anemia (code 7716), whichever would result in the greater benefit.

Note: The 100 percent rating shall continue beyond the cessation of any surgical, radiation, antineoplastic chemotherapy or other therapeutic procedures. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of §3.105(e) of this chapter. If there has been no recurrence, rate on residuals.

7704   Polycythemia vera:

During periods of treatment with myelosuppressants and for three months following cessation of myelosuppressant therapy100

Requiring phlebotomy40

Stable, with or without continuous medication10

Note: Rate complications such as hypertension, gout, stroke or thrombotic disease separately.

7705   Thrombocytopenia, primary, idiopathic or immune:

Platelet count of less than 20,000, with active bleeding, requiring treatment with medication and transfusions100

Platelet count between 20,000 and 70,000, not requiring treatment, without bleeding70

Stable platelet count between 70,000 and 100,000, without bleeding30

Stable platelet count of 100,000 or more, without bleeding0

7706   Splenectomy20

Note: Rate complications such as systemic infections with encapsulated bacteria separately.

7707   Spleen, injury of, healed.

Rate for any residuals.

7709   Hodgkin's disease:

With active disease or during a treatment phase100

Note: The 100 percent rating shall continue beyond the cessation of any surgical, radiation, antineoplastic chemotherapy or other therapeutic procedures. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of §3.105(e) of this chapter. If there has been no local recurrence or metastasis, rate on residuals.

7710   Adenitis, tuberculous, active or inactive.

Rate under §§4.88c or 4.89 of this part, whichever is appropriate.

7714   Sickle cell anemia:

With repeated painful crises, occurring in skin, joints, bones or any major organs caused by hemolysis and sickling of red blood cells, with anemia, thrombosis and infarction, with symptoms precluding even light manual labor100

With painful crises several times a year or with symptoms precluding other than light manual labor60

Following repeated hemolytic sickling crises with continuing impairment of health30

Asymptomatic, established case in remission, but with identifiable organ impairment10

Note: Sickle cell trait alone, without a history of directly attributable pathological findings, is not a ratable disability. Cases of symptomatic sickle cell trait will be forwarded to the Director, Compensation Service, for consideration under §3.321(b)(1) of this chapter.

7715   Non-Hodgkin's lymphoma:

With active disease or during a treatment phase100

Note: The 100 percent rating shall continue beyond the cessation of any surgical, radiation, antineoplastic chemotherapy or other therapeutic procedures. Six months after discontinuance of such treatment, the appropriate disability rating shall be dtermined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of §3.105(e) of this chapter. If there has been no local recurrence or metastasis, rate on residuals.

7716   Aplastic anemia:

Requiring bone marrow transplant, or; requiring transfusion of platelets or red cells at least once every six weeks, or; infections recurring at least once every six weeks100

Requiring transfusion of platelets or red cells at least once every three months, or; infections recurring at least once every three months60

Requiring transfusion of platelets or red cells at least once per year but less than once every three months, or; infections recurring at least once per year but less than once every three months30

Requiring continuous medication for control10

Note: The 100 percent rating for bone marrow transplant shall be assigned as of the date of hospital admission and shall continue with a mandatory VA examination six months following hospital discharge. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of §3.105(e) of this chapter.

7717   AL amyloidosis (primary amyloidosis)100

[60 FR 49227, Sept. 22, 1995, as amended at 77 FR 6467, Feb. 8, 2012; 79 FR 2100, Jan. 13, 2014]