IBS and Diagnosis

[KansasNavy]

Can someone offer an opinion.  Notes From my medical records  The IBS is noted/listed in all my past medical history from 2015 on to present.  I just didn't realize it.  I just now got my hospital records from 2015 to present.  I am SC for Hiatal Hernia/GERD and GERD is causing some issues again.  I have had two stomach surgeries since 1996.

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16 May 2015 - Discussed his multiple issues (pain, depression, IBS) and reassured him that he does have characteristics of Fibromyalgia and that we are treating each issue as they should be as he is already on Lyrica, antidepressants and meds and therapies for pain control, and that we will continue his current plan of care to address each issue. 

29 March 2017 - "Likely with IBS-c. Discussed abdominal pain more bloating with pain which improves with bms and constipation only taking stool softener

16 June 2020 - "Dr noted Other Irritable Bowel Syndrome K58.8.  Preciously dx'd w/IBS but was unaware, pa given IBS info packet, FODMAP diet etc... GI appts with Local Japanese referrals.

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The wording above, does this qualify as a diagnosis?  Is this what the VA needs?  Its worsened over the last five years and I have an appointment with Japanese Drs next week for GERD issues and the IBS issues.  Naval Hospital cant see retirees right now.

 

I plan to try SC GWS.  I am putting together everything I can find to support my claim, and don't want to waste anyone's time. 

Thanks

 

[pacmanx1]

I am not sure what your rating percentage is but unfortunately, VA will only rate either GERD (Hiatal Hernia) or IBS but not both due to pyramiding. VA normally will combined the symptoms and award IBS.  It has the Max percentage of 30%.

7346 Hernia hiatal:
Symptoms of pain, vomiting, material weight loss and hematemesis or melena with moderate anemia; or other symptom combinations productive of severe impairment of health	60
Persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health	30
with two or more of the symptoms for the 30 percent evaluation of less severity	10

7319 Irritable colon syndrome (spastic colitis, mucous colitis, etc.):
Severe; diarrhea, or alternating diarrhea and constipation, with more or less constant abdominal distress	30
Moderate; frequent episodes of bowel disturbance with abdominal distress	10
Mild; disturbances of bowel function with occasional episodes of abdominal distress	0

[brokensoldier244th]

Pac has it correct. 

 

As for whether or not its a diagnosis, yes. You have a DX code assigned to it by your doctor in your records. 

 

https://www.icd10data.com/ICD10CM/Codes/K00-K95/K55-K64/K58-/K58.8#:~:text=Other irritable bowel syndrome,-2017 - New Code&text=8 is a billable%2Fspecific,effective on October 1%2C 2019.

[KansasNavy]

Thanks for the help.  Now I know what all those numbers mean.  Had no idea.  Appreciate the timely response.

[brokensoldier244th]

No worries. That's what we're here for.