Become a Patron of HadIt.com. If you appreciate what we are doing and can afford a monthly commitment, this is a great way to support us
HadIt.com Veteran to Veteran Fundraiser
Revenues are down, costs are up and I need your help. Financial gifts are always appreciated but never required. If HadIt.com has helped you and you can give back a little it is appreciated Give here https://community.hadit.com/donate/make-donation/
Give a financial gift to help with the upkeep of HadIt.com. HadIt.com is NOT a non profit. Gifts are not tax deductible, they are just gifts.
In April 23 2020 I submitted a claim for my right knee. May 15th I received a denial letter. I requested a higher level review on June 2nd. On Oct. 20 I received my informal conference call. Today, Oct. 24 on Va.gov I noticed the Higher level review was closed and a new claim opened on Oct. 22 with a submittal date of April 23rd.
Under the view detail tab of the claim is says
What you’ve claimed:
right knee strain (please see VBMS note dated 10/22/2020) (Supplemental)
What could this mean for me and my claim?
By glenda h
I am currently appealing to the US court for my denial of increase in GERD to include Class C esophagitis, erosive gastritis. I am currently being rating for 10% since 2007, up from 0% in 1998 or over 13 years, even though Ive had GERD, gastris with H pylori in service and then again with the claim I made in 2007. I didnt know of the bad C&P until I got my C-file in 2018. It is very important to get yours, as you can find out a lot of things. Like they didnt forward your VA file and your civilian paperwork to the examiner. I was very lucky the examiner noted this, as rater said he did in the decision. Had an ACE in 2019 which examiner stated she reviewed, but omitted what was found on the EGD in 2019 and ignored the 2007. There are articles pertaining to the use of Zantac that contains NDMA as well as other medications such as Nexium. For the 30% rating for GERD it included the wording "impairment of health" I used this same information in my argument concerning this. I dont have cancer, but long term I could have. Ive also included in my argument about the long term use of Nexium-I dont have long term kidney issues, but I could have. I took Rabeprazole for a few times, which can cause fundic gland polyps (growth on stomach lining) which I had one. I listed the side effects of my current meds Im taking now, which IS joint pain, stomach pain, headaches. So...Im giving it a try, as with these medications we are taking, and NOW finding out serious side effects, I would think it would cause a considerable impairment of health.
On 09/25/2013 I submitted a claim for tinnitus. Received a VA letter dated 06/09/2014 informed me that the VA could not find my complete service treatment records could not be located and therefore unavailable for review. all efforts to obtain Has been exhausted based on these facts the VA determined that further attempts to obtain these records would be unsuccessful if these records are received at a later date the decision will be reconsidered. if a different decision results, that decision will be effective the date of this pending claim. (09/25/2013) Well I was denied for tinnitus. So on 06/29/2016 I submitted a new claim For tinnitus Evidence on record Shows they used my service treatment records. Subsequently I was Granted service connection at 10% effective date May 11, 2016. So by them saying that the effective date of this pending claim on September 25, 2013 should they go back to 2013 for my backpay instead of May 11, 2016. Am I reading this right is that correct all answers will be helpful thank you very much
So, I am SC'd on GERD 10% and IBS 30% which they grant at a 30% combined rating since (according to the VA) codes 7319 and 7346 (Hiatal hernia is what they use for GERD) fall in the inclusive rating categories according to this:
Ratings under diagnostic codes 7301 to 7329, inclusive, 7331, 7342, and 7345 to 7348 inclusive will not be combined with each other. A single evaluation will be assigned under the diagnostic code which reflects the predominant disability picture, with elevation to the next higher evaluation where the severity of the overall disability warrants such elevation.
I would argue that, that's not what that says..
It actually says codes 7301 - 7329 are inclusive and then
7331. 73342, and 7345 - 7348 are inclusive
which would actually mean codes 7319 and 7346 are in their own categories and should be rated exclusively.
However, my actual question is about code 7204 Esophagus, spasm (cardiospasm). I submitted a claim for this, but it was not rated separately. Instead, I was given:
Evaluation of IBS and GERD with esophagus spasm of (cardiospasm) (claimed as esophageal condition):
The evaluation of IBS and GERD with esophagus, spasm of (cardiospasm) (claimed as esophageal condition) is continued as 30 percent disabling.
We have reviewed the evidence received and determined your service-connected condition(s) hasn't/haven't increased in severity sufficiently to warrant a higher evaluation. We have continued a 30% evaluation for your IBS and GERD with esophagus, spasm of (cardiospasm) based on:
-Alternating diarrhea and constipation
Additional Symptoms Include:
-Disturbances of bowel function
-Frequent episodes of bowel disturbance
This is the highest schedular evalution allowed under the law for IBS. (38 CFR 4.114)
A higher evaluation of 60% is not warranted unless there are symptoms of pain, vomiting, material weight loss, and hematemesis or melena with moderate anemia, or other symptom combinations productive of severe impairment of health. (38 CFR 4.112, 38 CFR 4.113, 38 CFR 4.114)
A 10% evaluation would be warranted for your GERD with esophagus, spasm of (cardiospasm) (claimed as esophageal condition) based on:
-Pyrosis (Heartburn and/or Reflux)
-Persistently recurrent epigatric distress
A higher evaluation of 30% is not warranted for hiatal hernia unless the evidence shows persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health. (38 CFR 4.114)
Ratings under diagnostic codes 7301 to 7329, inclusive, 7331,7342, and 7345 to 7348 inclusive will not be combined with each other. A single evaluation will be assigned under the diagnostic code which reflects the predominant disability picture, with the elevation to the next higher level evaluation where the severity of the overall disability warrants such evaluation. (38 CFR 4.114)
So in reading that, I do not see how
7204 Esophagus, spasm of (cardiospasm).
If not amenable to dilation, rate as for the degree of obstruction (stricture).
falls in to that rating criteria. Does anyone have any experience in getting a separate rating for 7204? I'm now at 92.23% SC'd with 1 rating on appeal and an increase on remand. Both of which (if granted at what the reg actually says) would kick me to 95.29% (or rounded to 100). This one, I really expected to be at 30% on its own...so I'm confused as to why it was rolled in to another rating.
broncovet posted an answer to a question,While the BVA has some discretion here, often they "chop up claims". For example, BVA will order SERVICE CONNECTION, and leave it up to the VARO the disability percent and effective date.
I hate that its that way. The board should "render a decision", to include service connection, disability percentage AND effective date, so we dont have to appeal "each" of those issues over then next 15 years on a hamster wheel.
Ztmiller8 posted a question in Appealing Your Veterans Compensation Disability Claims NOD, DRO, BVA, USCAVC,Finally heard back that I received my 100% Overall rating and a 100% PTSD rating Following my long appeal process!
My question is this, given the fact that my appeal was on the advanced docket and is an “Expedited” appeal, what happens now and how long(ish) is the process from here on out with retro and so forth? I’ve read a million things but nothing with an expedited appeal status.
Anyone deal with this situation before? My jump is from 50 to 100 over the course of 2 years if that helps some. I only am asking because as happy as I am, I would be much happier to pay some of these bills off!
Joey Ross posted an answer to a question,I told reviewer that I had a bad C&P, and that all I wanted was a fair shake, and she even said, that was what she was all ready viewed for herself. The first C&P don't even reflect my Treatment in the VA PTSD clinic. In my new C&P I was only asked about symptoms, seeing shit, rituals, nightmares, paying bills and about childhood, but didn't ask about details of it. Just about twenty question, and nothing about stressor,
Picked ByJoey Ross,
This is the latest Compensation & Pension (C&P) Clinicians Guide dated 20180719. The only other one I've seen is dated 2002, including the one on this website and the VA website. I got this from my claims agent, who got it from the VA.
VA Compensation & Pension (C&P) Clinicians Guide 2 Final Corrected 20180719.pdf
Tbird posted a question in VA Disability Compensation Benefits Claims Research Forum,You, yes you, are the reason HadIt.com has remained a resource-rich resource. Thousands come each month to read, ask questions, or to feel a sense of community.
Last month June 2020, we over 50k visitors they viewed over 160k pages. Veterans and their advocates, spouses, children, and friends of veterans come looking for answers. Because we have posts dating back 15 years and articles on the home page, they usually can find an answer or at least get pointed in the right direction.
You all made that possible. Thank you.