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Fecal Incontinence

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I'm a little uneducated in filing secondary claims. I asked my Gastro PA if she would do a DBQ for my fecal incontinence secondary to IBS claim. Now I'm second guessing myself, people are telling me that for a secondary claim a NEXUS letter is almost required and a DBQ won't help much. Is this true?

She won't do a NEXUS letter but I might be able to get her to enter something in my treatment notes instead of the DBQ. 

Can she put a short nexus note in the comment section of the DBQ and would this help any? 


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You are going to need a nexus. A well written and convincing note in your VA medical record is the next best thing, and can even be considered by a rater as a nexus. If, in addition, you can get a DBQ completed, that would be helpful and might even nix the need for a C&P to be ordered. but the DBQ, in itself, won't fill the void of no nexus.

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