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PTSD Denied with a Not Service Connected but PTSD - Combat related description

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I am currently at a 90% rating and have been fighting the appeal status for a PTSD rating for the last few years.  I just saw that my Higher Level Review was closed yesterday with no change to my E-Benefits.  What I am struggling with is that they have PTSD described in my disabilities and classify it as "Not service Related" but the "Related to" section it shows PTSD-Combat.  How can I have PTSD from COMBAT that came from incidents that happened while I was in COMBAT but its NOT service related!!!!  I have over 500 pages from my VA Psychologist showing that I have PTSD and they still denied it.  I haven't received my letter from the HLR to see what the appeal has stated but I don't see a change in EBenefits.  

Has anyone else had this issue?  If so, what have you done to prove your case?  

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