Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

Should this be an appeal or a new claim?

Rate this question


MOS13FOXTROT

Question

In 2005 I received service connection for a disc in my neck. The MRI showed only one at the time with problems. Then early this year a new MRI shows issues with every disc in my neck.

A new claim was put in for an increase that was approved for radiculopathy in my right arm but service connection for radiculopathy in my left arm was denied.

Part of the issue is the MRI shows stenosis in a different disc than the one for my service connected radiculopathy.

Should that be handled as a new claim altogether for the new damaged disc and then secondary radiculopathy or a NOD with corrections on the disc information?

 

Thanks

Link to comment
Share on other sites

  • Answers 4
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

4 answers to this question

Recommended Posts

  • 0
  • Content Curator/HadIt.com Elder

How long ago was the new claim denied? If more than a year, you would need to request it be reopened. If less than a year you can submit a NOD/appeal.

The VA is supposed to consider the entire cervical spine as a single segment (covering all vertebrae levels between C1 and C7). That means that they are SC'ing you for your cervical spine as a whole, not a specific vertebrae level. For example, if you had problems at one level, but then started having problems at other levels, you would not need to file for SC to have those levels SC also. 

Quote

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.

 

It probably would not hurt getting an IMO from a specialist. However, it might be a good idea to see what others may recommend.

 

 

 

 

"If it's stupid but works, then it isn't stupid."
- From Murphy's Laws of Combat

Disclaimer: I am not a legal expert, so use at own risk and/or consult a qualified professional representative. Please refer to existing VA laws, regulations, and policies for the most up to date information.

 

Link to comment
Share on other sites

  • 0
5 hours ago, Vync said:

How long ago was the new claim denied? If more than a year, you would need to request it be reopened. If less than a year you can submit a NOD/appeal.

The VA is supposed to consider the entire cervical spine as a single segment (covering all vertebrae levels between C1 and C7). That means that they are SC'ing you for your cervical spine as a whole, not a specific vertebrae level. For example, if you had problems at one level, but then started having problems at other levels, you would not need to file for SC to have those levels SC also. 

 

It probably would not hurt getting an IMO from a specialist. However, it might be a good idea to see what others may recommend.

 

 

 

 

Thank you. The denial was just this month. 

Link to comment
Share on other sites

  • 0
  • Moderator

I dont think that a new claim, an appeal, and an increase are "mutually exclusive" of each other.  

Therefore, since VA loves to manipulate things to our detriment, why choose?  Do them all.  Making the wrong choice could cost you money  and or time in retroactive benefits.  File a Nod, ask for an increase, and file for a new claim, whichever works the best for you.  

I can not see how it would benefit you to "chop off" any of the above 3.  

Link to comment
Share on other sites

  • 0

i agree with bronco. the only thing i would add is that make sure you describe in each what it is and why your applying new and describe a brief note on each so that the raters know what the other raters are doing or this will end up taking a long time .

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Dave119 earned a badge
      First Post
    • Dave119 earned a badge
      Conversation Starter
    • Brew earned a badge
      Dedicated
    • Rowdy01 earned a badge
      First Post
    • Laddib45 earned a badge
      Week One Done
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use