Dermatitis denial using phototherapy

[radarguy]

I submitted a claim for increase from 10% to 60% based on DC 7806,
Constant therapy including phototherapy, in which I began receiving UVB
treatments 3 x week since 2019 when the phototherapy unit was issued.
Attached is a “sanitized” copy of the skin DBQ with “REASONS FOR
DECISION” page.
For ease of finding information in the DBQ, the areas of interest are enclosed by red rectangles,
On page 13 of the DBQ (not included) the physician’s specialty was Internal Medicine.

dbq.pdf

[broncovet]

It sounds like you have done your homework. You pointed out "photo therapy" was on the symptom list for 30 percent, not 10 percent.  

"However", the VA is quick to point out that most ratings are "an approximate" and not a science.  Still, I like your point, that the VA should have pointed "why" your photo therapy did not result in a 30 percent or higher rating, as in the stated regulation.  

You should likely win this on appeal, the bad part is appeals take a long time.  Even then, nothing is certain.  Instead of paying us, the VA squirms, delays, denies, then lowballs.