AF | PDBR | CY2009 | PD2009-00001
He required bilateral braces and was unable to meet even the basic physical requirements for an Army Officer. The Board must therefore recommend separate coding and rating for each ankle, as applied by the VA. In the matter of the left ankle condition, the Board unanimously recommends a rating of 10% coded 5271 IAW VASRD §4.71a.
AF | PDBR | CY2009 | PD2009-00002
Both exams were rated 10% using 5292 Spine, limitation of motion of lumbar; slight. In addition to pain-limited ROM, the CI's LBP demonstrated a positive FABER's, abnormal imaging, radicular pain to both hips, tenderness on all exams, and daily use of medication including cyclobenzaprine for PM symptoms and to assist in sleep. Rated for limitation of range of motion AND PAIN (MODERATE)529220%Combined20%________________________________________________________________
AF | PDBR | CY2009 | PD2009-00003
His ankle was fractured during prior service in 1993, with chronic complications requiring surgery in 2001. BOARD FINDINGS: The PEB and the VA used different codes for the back condition; both were appropriate and rated under the same VASRD formula. The PEB and the VA used different rating codes for the ankle, and the VA coding was more specific to the condition.
AF | PDBR | CY2009 | PD2009-00005
CI was referred to the PEB, found unfit and separated at 20% disability. The Informal PEB determined he was unfit for continued military service and he was then separated with a 20% disability for 5237 Lumbar Radiculopathy, Low Back Pain status-post L5-S1 Diskectomy times two using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy and Department of Defense regulations. Using an evaluation completed one month prior to the time of separation from the Navy,...
AF | PDBR | CY2009 | PD2009-00006
The VA rated CI’s back condition at 40% and also rated his Psoriasis at 10% for a combined 50% rating. the Army PEB was precluded from rating CI using VASRD code 5293. RATIONALE : The provisions of DoDI 1332.39 restricted the PEB from rating CI’s condition using VASRD code 5293.
AF | PDBR | CY2009 | PD2009-00007
The CI was referred to the PEB, found unfit for PTSD and his right knee condition, and separated at 20% combined disability. Right Knee Rating . The 10% rating, as per the PEB and the VA, is fair.
AF | PDBR | CY2009 | PD2009-00008
Both the PEB and VA rated the right hip at 10%. The VA rated PTSD as 50%. The CI contends that PTSD and Major Depression were not rated, or rated at 0% by the PEB, and that the VA rated him at 50% (for PTSD/depression).
AF | PDBR | CY2009 | PD2009-00009
The PEB adjudicated only the cervical condition as unfitting and the CI was medically separated with a 10% disability rating. The Board’s primary consideration regarding the psychiatric conditions is the PEB’s determination that they did not ‘independently, or combined, render the Soldier unfit for his assigned duties.’ The CI had a history of outpatient psychiatric treatment in 1999 and some of his documented PTSD stressors were derived from experiences before deployment. Other Conditions .
AF | PDBR | CY2009 | PD2009-00010
The Commander’s statement lumps the peripheral nerve symptoms in with the neck pain and ‘shoulder pain’ when describing interference with her performance. The only other condition rated and service-connected by the VA is a headache condition. The Board has no reasonable basis for recommending the shoulder or headache conditions as additional unfitting conditions for separation rating, and does not have jurisdiction for considering tinnitus.
AF | PDBR | CY2009 | PD2009-00011
NAME: BRANCH OF SERVICE: army The Board did not find any other conditions as unfitting. The VA detailed back evaluations and ratings were also considered and supported the 10% rating.
AF | PDBR | CY2009 | PD2009-00012
An initial PEB found the CI fit for service. The Air Force PEB subsequently found the CI unfit and rated 7599-7542 Neurogenic bladder at 10%. The board also concluded that no other conditions were unfitting at the time of separation.
AF | PDBR | CY2009 | PD2009-00013
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: BRANCH OF SERVICE: ARMY CASE NUMBER: PD0900013 COMPONENT: REGULAR BOARD DATE: 20090604 SEPARATION DATE: 20041025 _______________________________________________________________ SUMMARY OF CASE: The covered individual (CI) was medically separated from the Army on 24 Oct 2004 for chronic subjective lower back pain at a 10% rating. _________________________________________________________________ BOARD FINDINGS: The Board weighed...
AF | PDBR | CY2009 | PD2009-00014
CI was referred to the PEB, found unfit and separated at 0% disability. The Board found no evidence that FMS, diagnosed by a rheumatologist in Jul 08 (3 years post discharge), was present at the time of discharge and FMS should not be added as an unfitting condition. However, since the painful scar and neuralgia were a single unfitting condition, the Board found that IAW §4.7 Higher of two evaluations, the CI’s rating should be increased to 10% under code 7804-8729.
AF | PDBR | CY2009 | PD2009-00015
An examination by the VA 15 months later rated her 10% for the scar with additional ratings for the orthopedic conditions, yielding a combined disability of 40%. The Board cannot, therefore, support a recommendation for additional unfitting conditions in the separation rating. Regarding the rating for the unfitting scar, the Board notes that under the VASRD (2005) codes applied by the PEB and the VA, no rating greater than 10% is authorized.
AF | PDBR | CY2009 | PD2009-00016
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for continued military service and separated at 20% disability using the Veterans Affairs Schedule for Rating Disabilities (VASRD) and applicable Naval and Department of Defense regulations. Unfitting ConditionsCodeRatingDateConditionCodeRatingExamEffective Left Humerus Supracondylar Fracture5299-520220%20030326Left (Non-Dominant) Grade 2 Open Distal Humerus Fracture, Status Post Open Reduction and Internal...
AF | PDBR | CY2009 | PD2009-00017
The VA only rated the tibial nerve (8624) and this ignored the problem in the 1 distribution area of the common peroneal nerve (8621) and the sural nerve. While there is no rule that prohibits rating more than one peripheral nerve, this CI has a condition, RSD, that involves multiple nerves and it is appropriate to rate the overall condition, not the individual nerve injuries that comprise the condition. Reflex Sympathetic Dystrophy, Left Ankle, rated as Neuritis, Severe Incomplete...
AF | PDBR | CY2009 | PD2009-00018
Both the NARSUM and the VA rating exam identified bilateral hip pain as an associated component of the back condition, which is the only etiology in evidence for the left hip. The Board, therefore, recommends addition of left hip pain as an unfitting condition coded 5019-5252 but rated 0%. In the matter of the bilateral hip condition, the Board unanimously recommends that each joint be separately adjudicated as follows: an unfitting right hip condition coded 5019-5252 and rated 10%; and,...
AF | PDBR | CY2009 | PD2009-00019
He was separated with a 10% disability rating for 5243 Intervertebral disc syndrome using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force regulations. Using an evaluation done prior to separation from the Air Force, the Veterans Administration (VA) initially rated his disability as 5237 lumbosacral strain at 20%. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2009 | PD2009-00020
The PDBR likewise considered whether the associated peripheral nerve ratings for the radiculopathy component of the unfitting cervical disc condition merited addition to the combined separation rating. Separate entries in the STR, the MEB examiner’s summary, the CI’s wife and the VA examiner all cite a frequency of at least one prostrating headache per month (=30%). Service Treatment Record.
AF | PDBR | CY2009 | PD2009-00021
SUMMARY OF CASE : This covered individual (CI) was an NCO medically separated from the Army in 2006 after 8 years of service. The medical bases for the separation were a back condition and knee injury. The PEB invoked the service-specific ‘pain rule’ and rated based on total range; the VA rated IAW VASRD §4.59, based on painful motion (DeLuca factor).
AF | PDBR | CY2009 | PD2009-00022
SUMMARY OF CASE : This covered individual (CI) was a Navy HM3 Preventive Medicine Technician medically separated in 2007 after nearly four years of service. The PEB found him unfit and he was separated with a 10% disability rating for 8411 PTSD using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy regulations. The CI contends that his rating from the Navy should have been the same as his rating from the VA.
AF | PDBR | CY2009 | PD2009-00023
The medical basis for the separation was a back condition. The CI contends that his PEB rating was unfair, and also petitions for addition of PTSD and hearing loss to his separation ratings. The VA specifically examined the CI shortly after separation for evidence of a peripheral neuropathy and found none.
AF | PDBR | CY2009 | PD2009-00024
CI was referred to the PEB, found unfit for bilateral knee pain only and was separated at 0% disability. This contradicts CI’s petition of being ‘rated for asthma’ as the PEB clearly found CI ‘Fit for Duty’ and did not rate CI’s Asthma. The Board determined to rate each knee separately at 10% (with bilateral factor) using painful motion with the PEB codes, and to deny adding any other condition as unfitting.
AF | PDBR | CY2009 | PD2009-00025
The medical basis for the separation was Post Traumatic Stress Disorder (PTSD). The PEB adjudication was IAW the DoDI 1332.39 scale for rating psychiatric impairment. The PTSD features germane to the general rating formula for mental diseases in the VASRD, as documented in the service treatment record, were evaluated independently of the DoDI guidelines.
AF | PDBR | CY2009 | PD2009-00026
SUMMARY OF CASE : This covered individual (CI) was a Navy Petty Officer 1 Yeoman medically separated in 2007 after over eleven years of service. The Navy Physical Evaluation Board (PEB) found her unfit for continued service and she was separated with a 10% disability rating for 9423 Undifferentiated Somatoform Disorder and 10% for 7301 Abdominal Peritoneal Adhesions using the using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy regulations. The VA...
AF | PDBR | CY2009 | PD2009-00027
The PEB adjudicated only the right knee condition as unfitting and the CI was medically separated with a disability rating of 0%. Right Knee Condition . Other Conditions .
AF | PDBR | CY2009 | PD2009-00028
The medical basis for the separation was bilateral carpal tunnel syndrome (CTS) and low back pain (LBP). Regarding the CTS, IAW VASRD §4.124a discussed above, a 10% rating for each wrist is indicated. A 20% rating, deferring to the very proximal VA rating was considered.
AF | PDBR | CY2009 | PD2009-00029
The PEB 10% back rating was similar to the VA back rating and was not contended. The PEB rated PTSD at 10% and specified that CI was only partially compliant with medical treatment for PTSD. The 20071027 VA exam clearly showed CI at the 70% rating; however, the Board opined this as worsening of CI’s PTSD beyond the 6 month post discharge timeframe of §4.129.
AF | PDBR | CY2009 | PD2009-00030
The medical bases for the separation were a left knee condition and PTSD. Low back pain, but not the right knee, was noted by the CI on his MEB physical. In the matter of the back and right knee conditions, the Board unanimously recommends no separation ratings as additionally unfitting conditions.
AF | PDBR | CY2009 | PD2009-00032
CI was referred to the Army PEB, was found unfit for his neck condition, and was rated at 10%. These other conditions are all judged by the Board to be not unfitting at the time of separation from service, and are not relevant for disability rating. In the matter of the Chronic Neck Pain condition, the Board recommends by unanimous decision a rating of 10%, coded 5243 IAW VASRD §4.71a-20.
AF | PDBR | CY2009 | PD2009-00033
The PEB found the CI unfit for both conditions, rated 10% each, and he was medically separated with a combined disability rating of 20%. Knee Condition . Other Conditions .
AF | PDBR | CY2009 | PD2009-00034
Medical basis for separation was chronic low back pain, status post microdiscectomy and disc arthroplasty. CI was referred to the Physical Evaluation Board (PEB), found unfit for continued military service due to the painful back condition, and separated at 0% disability using the Veterans Affairs Schedule for Rating Disabilities (VASRD) and applicable Army and Department of Defense regulations. After lengthy discussion and careful consideration of all available evidentiary information,...
AF | PDBR | CY2009 | PD2009-00035
Although the OSA was stable on CPAP, the PEB adjudicated the condition as unfitting. The Board, therefore, has no reasonable basis for recommending any additional unfitting conditions for separation rating. In the matter of the back condition, cardiac arrhythmia and all of the CI’s other medical conditions; the Board unanimously agrees that it cannot recommend a finding of unfit for additional rating at separation.
AF | PDBR | CY2009 | PD2009-00036
Right Shoulder Condition . The treatment of this muscle wound, including immobilization, was adjudged to have led to the CI’s primary unfitting conditions of “Right Shoulder Flexion Contracture and Adhesive Capsulitis.” The treatment record and NARSUM detail there was generalized disability to the right upper extremity beyond the shoulder joint and “right shoulder flexion contracture.” The Commander’s statement specifically mentions the right elbow: “physically incapable of reasonably...
AF | PDBR | CY2009 | PD2009-00037
The exams considered by the PEB and the VA rating examination were all performed six months or more before separation. The Board, therefore, has no reasonable basis for recommending any additional unfitting conditions for separation rating. In the matter of the right wrist condition, right foot condition or any other medical conditions eligible for Board consideration; the Board unanimously agrees that it cannot recommend any findings of unfit for additional rating at separation.
AF | PDBR | CY2009 | PD2009-00038
The VA also separately rated a left leg radiculopathy, symptoms of which were noted in the DES file. This Board must consider the appropriate rating for the CI’s back condition at separation, and whether radiculopathy should be recommended as a separately unfitting condition. Other Conditions .
AF | PDBR | CY2009 | PD2009-00041
SUMMARY OF CASE : This covered individual (CI) was an SFC medically separated from the Army in 2004 after 14 years of active duty and 24 years combined service. The VA did not do an independent examination, but rated CI’s lower back at 40% prior to separation based on his service treatment records. CI CONTENTION : The CI contends for 40% for lumbosacral disease as rated by the VA before separation.
AF | PDBR | CY2009 | PD2009-00042
The Air Force Informal Physical Evaluation Board (PEB) found her unfit for continued service and she was separated with a 10% disability rating for 7099-7020 Cardiac septal aneurysm and mild mitral valve regurgitation (Ejection fraction 60-65%) using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. Given the VA’s reasonable 30% rating rationale of diminished symptom free exertion (METs), interplay between CI’s...
AF | PDBR | CY2009 | PD2009-00043
CI was medically separated from the Army in 2002 after 15 years of service. The Board felt that painful motion was well supported by the VA exam’s measured pain limited ranges of motion and the military treatment record. Service Treatment Record.
AF | PDBR | CY2009 | PD2009-00044
All evidence considered, the Board unanimously recommends a disability rating of 6602 at 30%, as the fair permanent separation rating in this case. These other conditions are all judged by the Board to be not unfitting at the time of separation from service, and are not relevant for disability rating. There is no clearly documented evidence that this condition was a matter of record in the DES package.
AF | PDBR | CY2009 | PD2009-00045
The Informal PEB determined she was unfit for continued military service and she was then separated with a 10% disability for 9432 Bipolar disorder, type I using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. Using an evaluation completed five months after the time of separation from the Air Force; the Veterans Administration (VA) rated this disability as 9432 Bipolar disorder at 10%. I have carefully reviewed...
AF | PDBR | CY2009 | PD2009-00046
The PEB rated the cervical DDD at 10% and the major depressive disorder at 10%. The Board determined that there was insufficient evidence to add the LBP, right ulnar nerve, or stomach conditions as separately unfitting. The Board considered the signs, symptoms, and impairment due to major depression using evidence from the military and VA treatment records, NARSUM addendum and PEB, and the VA rating examination (<2 months after discharge) and determined that at the time of PEB the criteria...
AF | PDBR | CY2009 | PD2009-00047
After surgery, the CI continued to have symptoms and an MRI documented protrusion of L1-L2, L2-L3 disks as well as L5-S1 disk bulge. The Board also considered the condition of Radiculopathy, Left Lower Extremity and unanimously determined that this condition was not unfitting at the time of separation from service and therefore no rating is applied. On 23 April 2010, the Assistant Secretary of the Navy (Manpower & Reserve Affairs) took action in your case by accepting the recommendation of...
AF | PDBR | CY2009 | PD2009-00049
I have carefully reviewed the evidence of record and the recommendation of the Board. I concur with that finding, accept their recommendation and direct that your records be corrected as set forth in the attached copy of a Memorandum for the Chief of Staff, United States Air Force. The pertinent military records of the Department of the Air Force relating to xxxxxxxxxxx, be corrected to show that the diagnosis in his finding of unfitness was intervertebral disc syndrome rather than chronic...
AF | PDBR | CY2009 | PD2009-00050
SUMMARY OF CASE : This covered individual (CI) was a E3/Field Medical Service Technician medically separated from the Navy in 2007 after five years of service. His symptoms in August 2008 were: Nonetheless, he was unemployed, was not attending school, and did not appear to have any successful social relationships other than with his fiancée.
AF | PDBR | CY2009 | PD2009-00051
The PEB originally rated the HNP at 10%; however, the PDA made an administrative change to 20% IAW the changes required by the NDAA which took effect following the PEB and before CI’s service separation. The Board clearly noted that the Army PDA administratively changed the PEB’s original 10% determination to 20% IAW NDAA. The Board determined that the CI’s HNP rating should be increased to 40% using the more current and complete ROMs from the VA exam.
AF | PDBR | CY2009 | PD2009-00052
During the TDRL period she underwent 3 more psychiatric admissions, and was diagnosed specifically with bipolar disorder. The Army exam noted that the CI had been employed at the same job since 2002, and this was noted as a key factor in assigning a 10% rating for mild impairment by the PEB. Other Conditions .
AF | PDBR | CY2009 | PD2009-00053
The medical basis for the separation was bilateral shoulder and knee joint conditions and a back condition. The Board agrees with the CI that the VA diagnosis of PTSD was more appropriate to his condition, but cannot make a recommendation for additional rating since the condition was not unfitting for continued military service. In the matter of the elbow condition, neck condition and all of the CI’s other medical conditions; the Board unanimously agrees that it cannot recommend a finding...
AF | PDBR | CY2009 | PD2009-00054
The medical basis for the separation was chronic low back pain (LBP) and multiple painful joints (Bilateral degenerative joint disease [DJD] of hips and knees as well as the left ankle) without any history of trauma. NARSUM (date 20020917): CHIEF COMPLAINT: This is a 26-year-old male with two-year history of bilateral shoulder pain, back pain, bilateral hip pain, bilateral knee pain left greater than right, and left ankle pain. The MEB diagnosis #1 (Medically Unacceptable) described...
AF | PDBR | CY2009 | PD2009-00055
Bilateral foot pain was adjudicated by the PEB as a single unfitting condition and the CI was medically separated with a disability rating of 0%. All evidence considered and IAW VASRD §4.3 (reasonable doubt), the Board recommends that the foot condition be separately coded as above and each rated 10% for moderate disability. In the matter of the bilateral foot condition, the Board unanimously recommends that each foot be separately adjudicated as follows: an unfitting right foot condition...