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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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justtryintomakeit

Denied PTSD/MDD but...

Question

I was granted SC of Other specified trauma and stressor related disorder, related to PTSD - Personal Trauma. I would like to know is there a difference. I haven't received the Statement of Case from the DRO yet. Any information would be greatly appreciated!!!

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1 hour ago, GBArmy said:

Check myhealthevet and get blue button for a copy of the medical info if the VA did the review. Or, you can request a copy of the C&P by sending in a request for release of info, VA form 3288 and request C&P with all notes. And, you can also request a copy of your C-file, which will take several months. You could also go to the RO and request to see your file, which may be the quickest route. You want to know what your diagnostic code is and if you are rated correctly. The VA often assigns a code and therefore a rating which can be challenged on MH grants. You need your decision letter first.

Ok know u seem to be getting what I was trying to say. How important is the diagnostic code? What I was given with was Other specified trauma and stressor related disorder vs PTSD/MDD?

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Dignostic code, dc, is real important. You match what your actual conditions are to the various levels, or ratings, given in the code.. That way you can figure whether or not you were low balled and should appeal.Find out what the dc is. If it is a MH condition, they all use the same criteria. Go to http://www.militarydisabilitymadeeasy.com/mentaldisorders.html and plug in mental health disorders. A lot of stuff there. Until you get your decision letter, you aren't going to get anywhere. If your decision letter comes and they don't include your dc used for your rating, you then can call Peggy and ask what it is. 

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Posted (edited)

Ok because when I google "other specified trauma and stressor related disorder". Cases comes up and the code is 9411:

Criteria for other specified trauma and stressor related disorder (DC 9411).

By looking at this code it is the PTSD code so why did they call it something else.

Edited by justtryintomakeit

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UPDATE!!!

I received the statement if case which did deny PTSD claim. The reasoning was it was previously denied back in 2013 and since I didn’t appeal that decision was final. However it states:

Note: Service connection was granted for other specified trauma and stressor related disorder. This grant of service connection for other specified trauma and stressor related disorder is considered a partial grant of benefits sought on appeal. If you feel the grant fully satisfies your appeal on this issue, please let us know in writing as soon as possible.

So it is like I thought, PTSD was denied but I was granted Other specified trauma and stressor related disorder. I know I can only receive one MH rating, they all pay the same etc. So it really doesn't matter what they call it to me combat, non combat, natural disaster etc. 

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Yes, it is positive news. MH disabilities are all rated under the same criteria, so it doesn't matter what they define it as long as you get the proper rating for all your symptoms.

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    • Howdy all,

      The VA DRO denied my claim for an earlier effective date for my sleep apnea. They originally denied it in 2008 but granted it in Nov 2019 secondary to my GERD. I was rated for GERD in 2001. So I had it in 2008. I have attached the 2008 denial, 2018 approval, and the NOD SOC. All of my medical files and the medical articles and VA Citations referenced were in existence in or before Jan 2008. The only new items were the NEXUS letter from Dr Bash and a few extra buddy letters. The original denial states that my medical records show no diagnosis or treatment and only isolated complaints of symptoms. The denial does not even list my wife's or my lay statements as evidence reviewed. I have symptoms listed numerous times in my SMRs:

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      b. Physical exam dated 24 Jan 79 listed frequent/severe headaches" dizziness, and
      nervousness.
      c. Physical exam dated 07 Nov 83 listed frequent/severe headaches.
      d. Physical exam dated 16 Jan 85 listed frequent/severe headaches.
      e. Admitted to hospital 05 Aug 86 for chest pains and anxiety.
      f. Medical visit dated 14 Jul 87 for problem sleeping and morning confusion.
      g. Physical exam dated 25 Feb 88 listed dizziness.
      h. Physical exam dated 07 Oct 91 listed frequent/severe headaches
      i. Physical exam dated 25 Aug 93 listed headache.
      j. Hernia repair surgery dated 22 Ang 94 surgeon had to insert devices of some
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      k. Physical exam dated 29 Sep 99 listed frequent/severe headaches.

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      VA 2008 Denial of OSA Redacted.pdf
      VA Claim Decision Ltr 08 Nov 2018 Redacted.PDF
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