pctinc2001 Posted April 22, 2018 Share Posted April 22, 2018 (edited) My visit was no longer than 10 minutes max. After reviewing the notes i noticed he left a few things out. Is this DBQ in my favor what or any percentage will I receive? C&P.pdf Edited April 22, 2018 by pctinc2001 Link to comment Share on other sites More sharing options...
0 Gastone Posted April 22, 2018 Share Posted April 22, 2018 How about posting the redacted "Treatment Notes" from your VMC Med Recs that support the Numbness lower leg issue? As it stands now, unless the Rater Reviews your Med Recs and finds the references to Numbness, there's no reason for him to consider anything about it. How do you believe the Lower Leg Numbness would affect your Rating Increase? Link to comment Share on other sites More sharing options...
0 pctinc2001 Posted April 22, 2018 Author Share Posted April 22, 2018 @Gastone Thanks for responding I'm not sure how or if it would. I compared this C&P to my last C&P and noticed that the boxes weren't checked on the recent one. Do you think it would make a huge difference? Reading my DBQ now as is what do you think. will I get a rating in your opinion? Link to comment Share on other sites More sharing options...
0 Gastone Posted April 22, 2018 Share Posted April 22, 2018 Yo, just eyeballed my Med Dictionary. Refer to your DBQ 8a regarding evidence of Paresthsias OR Dysesthesais in lower Leg. Paresthsiasis is abnormal feelings of pain or "NUMBNESS" usually located in lower leg (YOU) and caused by nerve damage. Dysesthesais is due to Leasons forming on the Nerves (not you ). So it appears the Numbness is addressed by the DBQ with the Dr indicating MILD Symptoms. How that affects your final rating, you'll have to tell us. Link to comment Share on other sites More sharing options...
0 pctinc2001 Posted April 22, 2018 Author Share Posted April 22, 2018 @Gastone Thanks for clearing that up for me. So the numbness was addressed. Thanks for your expertise. Link to comment Share on other sites More sharing options...
0 pctinc2001 Posted April 22, 2018 Author Share Posted April 22, 2018 @Gastone can you give any idea about my range of motion from my DBQ. will I get a rating on that> Thanks for your input. Link to comment Share on other sites More sharing options...
0 kanewnut Posted April 22, 2018 Share Posted April 22, 2018 This from CFR 38 should give you some idea. Title 38 Part 4 Title 38 → Chapter I → Part 4 The Spine Rating General Rating Formula for Diseases and Injuries of the Spine (For diagnostic codes 5235 to 5243 unless 5243 is evaluated under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes): With or without symptoms such as pain (whther or not it radiates), stiffness, or aching in the area of the spine affected by residuals of injury or disease Unfavorable ankylosis of the entire spine 100 Unfavorable ankylosis of the entire thoracolumbar spine 50 Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine 30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine 40 Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical spine 30 Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or, the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the combined range of motion of the cervical spine not greater than 170 degrees; or, muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis 20 Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees; or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or, combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater than 235 degrees; or, combined range of motion of the cervical spine greater than 170 degrees but not greater than 335 degrees; or, muscle spasm, guarding, or localized tenderness not resulting in abnormal gait or abnormal spinal contour; or, vertebral body fracture with loss of 50 percent or more of the height 10 Note (1): Evaluate any associated objective neurologic abnormalities, including, but not limited to, bowel or bladder impairment, separately, under an appropriate diagnostic code. Note (2): (See also Plate V.) For VA compensation purposes, normal forward flexion of the cervical spine is zero to 45 degrees, extension is zero to 45 degrees, left and right lateral flexion are zero to 45 degrees, and left and right lateral rotation are zero to 80 degrees. Normal forward flexion of the thoracolumbar spine is zero to 90 degrees, extension is zero to 30 degrees, left and right lateral flexion are zero to 30 degrees, and left and right lateral rotation are zero to 30 degrees. The combined range of motion refers to the sum of the range of forward flexion, extension, left and right lateral flexion, and left and right rotation. The normal combined range of motion of the cervical spine is 340 degrees and of the thoracolumbar spine is 240 degrees. The normal ranges of motion for each component of spinal motion provided in this note are the maximum that can be used for calculation of the combined range of motion. Note (3): In exceptional cases, an examiner may state that because of age, body habitus, neurologic disease, or other factors not the result of disease or injury of the spine, the range of motion of the spine in a particular individual should be considered normal for that individual, even though it does not conform to the normal range of motion stated in Note (2). Provided that the examiner supplies an explanation, the examiner's assessment that the range of motion is normal for that individual will be accepted. Note (4): Round each range of motion measurement to the nearest five degrees. Note (5): For VA compensation purposes, unfavorable ankylosis is a condition in which the entire cervical spine, the entire thoracolumbar spine, or the entire spine is fixed in flexion or extension, and the ankylosis results in one or more of the following: difficulty walking because of a limited line of vision; restricted opening of the mouth and chewing; breathing limited to diaphragmatic respiration; gastrointestinal symptoms due to pressure of the costal margin on the abdomen; dyspnea or dysphagia; atlantoaxial or cervical subluxation or dislocation; or neurologic symptoms due to nerve root stretching. Fixation of a spinal segment in neutral position (zero degrees) always represents favorable ankylosis. Note (6): Separately evaluate disability of the thoracolumbar and cervical spine segments, except when there is unfavorable ankylosis of both segments, which will be rated as a single disability. 5235 Vertebral fracture or dislocation 5236 Sacroiliac injury and weakness 5237 Lumbosacral or cervical strain 5238 Spinal stenosis 5239 Spondylolisthesis or segmental instability 5240 Ankylosing spondylitis 5241 Spinal fusion 5242 Degenerative arthritis of the spine (see also diagnostic code 5003) 5243 Intervertebral disc syndrome Evaluate intervertebral disc syndrome (preoperatively or postoperatively) either under the General Rating Formula for Diseases and Injuries of the Spine or under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes, whichever method results in the higher evaluation when all disabilities are combined under §4.25. Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes With incapacitating episodes having a total duration of at least 6 weeks during the past 12 months 60 With incapacitating episodes having a total duration of at least 4 weeks but less than 6 weeks during the past 12 months 40 With incapacitating episodes having a total duration of at least 2 weeks but less than 4 weeks during the past 12 months 20 With incapacitating episodes having a total duration of at least one week but less than 2 weeks during the past 12 months 10 Note (1): For purposes of evaluations under diagnostic code 5243, an incapacitating episode is a period of acute signs and symptoms due to intervertebral disc syndrome that requires bed rest prescribed by a physician and treatment by a physician. Note (2): If intervertebral disc syndrome is present in more than one spinal segment, provided that the effects in each spinal segment are clearly distinct, evaluate each segment on the basis of incapacitating episodes or under the General Rating Formula for Diseases and Injuries of the Spine, whichever method results in a higher evaluation for that segment. testing my signature Link to comment Share on other sites More sharing options...
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pctinc2001
My visit was no longer than 10 minutes max. After reviewing the notes i noticed he left a few things out. Is this DBQ in my favor what or any percentage will I receive?
C&P.pdf
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