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Filling NOD Question
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flow1972
I finally got my ratings for my secondaries and other assorted SC Conditions. Good news, I"m now at 90%. (literally 84.9 rounded to 90) One of the conditions was not rated correctly according to the schedule. It's the general skin condition schedule rating. They rated at 10% instead of 30%. The 30% rating states:
-Characteristic lesions involving more than 20 to 40 percent of the entire body OR 20 to 40 percent of exposed areas affected, OR
-Systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of six weeks or more, but not constantly, over the past 12-month period.
I provided 5 separate prescriptions(42 pills each to be taken 3 times a day for 5 days as indicated) that would cover 10 weeks 8/2018 to 11/2019. Even if they dropped the 11/2019 rx, there would be enough meds to cover 8 weeks in a calendar year.
I looked up whether they were trying to infer the med was not "systemic therapy", and I found Citation 1519469 where it specifically says it is because it's not a topical cream.
That being said, should I file a NOD or Appeal? Or are they the same thing? Then how to file a NOD verses appeal? I've seen conflicting info...
Thanks in advance. Getting to this point has been only doable with all of the info here.
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