AF | PDBR | CY2012 | PD-2012-00346
The MEB determined the “mechanical thoracic spine pain secondary to mild thoracic scoliosis and arthritis/degenerative changes of the thoracic spine” and “plantar fasciitis, left foot” to be medically unacceptable and referred these conditions to the Physical Evaluation Board (PEB). The examiner noted that the spine was normal. RECOMMENDATION: The Board recommends that the CI’s prior determination be modified as follows, effective as of the date of his prior medical separation: VASRD CODE...
AF | PDBR | CY2012 | PD-2012-00348
The FPEB adjudicated the testicular and right ankle pain conditions as unfitting, rated 0% and 0% respectively, and was then medically separated with a 0% combined disability rating. The PEB assigned a 0% rating coded analogous to 8730 (neuralgia ilioinguinal nerve) for moderate pain and while the original VA rating decision assigned a 0% rating, a rating decision 8 months post separation increased the rating to 10% for severe pain after a request was made to reopen the case. I have...
AF | PDBR | CY2012 | PD-2012-00349
The PEB adjudicated the HNP C5‐6 and C6‐7, right shoulder subacromial impingement syndrome and the RPPS left knee conditions as unfitting, rated 10%, 0% and 0% respectively, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD) for the first two conditions and the US Army Physical Disability Agency (USAPDA) pain policy for the knee. The ROM was essentially normal on the NARSUM examination and, when documented, normal on other examinations. RECOMMENDATION: The...
AF | PDBR | CY2012 | PD-2012-00351
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW SEPARATION DATE: 20060306 NAME: XXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200351 BOARD DATE: 20121129 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SSGT/E‐6 (11B/Infantry), medically separated for a low back condition. Any conditions or contention not requested in this application, or otherwise outside the Board’s defined scope of review,...
AF | PDBR | CY2012 | PD-2012-00356
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW SEPARATION DATE: 20040420 NAME: XXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200356 BOARD DATE: 20121206 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty PFC/E‐3 (11B/Infantry), medically separated for a low back condition. The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in...
AF | PDBR | CY2012 | PD-2012-00362
It referred back to the MEB examination for the physical findings. On examination, he was noted to have normal gait and posture. Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record SFMR‐RB XXXXXXXXXXXXXXX, DAF President Physical Disability Board of Review MEMORANDUM FOR Commander, US Army Physical Disability Agency (TAPD‐ZB / XXXXXX), 2900 Crystal Drive, Suite 300, Arlington, VA 22202‐3557 SUBJECT: Department of Defense Physical Disability Board of Review...
AF | PDBR | CY2012 | PD-2012-00364
The PEB adjudicated the right knee arthritis condition as unfitting, rated 0%, with possible application of the US Army Physical Disability Agency (USAPDA) pain policy. The Board’s authority as defined in DoDI 6040.44, however, resides in evaluating the fairness of DES fitness determinations and rating decisions for disability at the time of separation and is limited to conditions adjudicated by the PEB as either unfitting or not unfitting. RECOMMENDATION: The Board recommends that the...
AF | PDBR | CY2012 | PD-2012-00366
Neck Condition. He rated the neck pain as 7/10. Knee Condition.
AF | PDBR | CY2012 | PD-2012-00369
I believe the board erred in not providing the appropriate rating per VASRD and DODI 1332.39 and ask that consideration be granted to changing my disability separation to Disability Retirement.” Code 5237 5237 Service IPEB – Dated 20080805 Condition Chronic Neck Pain Chronic Upper Back Pain Anxiety Disorder NOS Associated with Possible Cognitive Disorder Left and Right Shoulder Pain 9413 Rating 10% 10% 0% Not unfitting ↓No Addi(cid:415)onal MEB/PEB Entries↓ Condition Degenerative Disc...
AF | PDBR | CY2012 | PD-2012-00370
Chronic Left Ankle Pain Condition. Both exams document some aspect of a painful ankle, either painful motion or pain upon palpation. 3 PD1200370 RECOMMENDATION: The Board recommends that the CI’s prior determination be modified as follows, effective as of the date of his prior medical separation: VASRD CODE RATING 5271 COMBINED 20% 20% CHRONIC LEFT ANKLE PAIN UNFITTING CONDITION The following documentary evidence was considered: Exhibit A. DD Form 294, dated 20120411, w/atchs Exhibit B.
AF | PDBR | CY2012 | PD-2012-00373
The PEB adjudicated spinal stenosis of the lumbar spine condition as unfitting rated 10%, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). Any conditions or contention not requested in this application, or otherwise outside the Board’s defined scope of review, remain eligible for future consideration by the Army Board for Correction of Military Records. RECOMMENDATION: The Board recommends that the CI’s prior determination be modified as follows,...
AF | PDBR | CY2012 | PD-2012-00374
The CI was medically separated with a 10% disability rating. At TDRL entry, the PEB adjudicated the CI’s asthma condition using VASRD code 6602, Asthma, and rated it 30% based on daily medication use. Although the TDRL re‐evaluation exam 6 months prior to separation documented daily Advair use, the PEB’s proceedings document suggested they required a medication profile be submitted as proof of medication use required to meet the 30% rating threshold.
AF | PDBR | CY2012 | PD-2012-00375
The Physical Evaluation Board (PEB) adjudicated the low back pain condition as unfitting, rated 10% with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). L4‐S1, …Spondylolisthesis, Disc Herniation L5‐S1 w/ Recurrent Radiculitis Gastroesophageal Reflux Disease (GERD) Pes Cavus Code 5293 7346 5278 Rating 20% 0% 0% Exam 20021206 20021206 20021206 NO VA ENTRY Combined: 20% ANALYSIS SUMMARY: Low Back Pain Condition. After due deliberation in consideration of...
AF | PDBR | CY2012 | PD-2012-00381
The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in evaluating Condition Chronic Low Back Pain Code 5241 Rating 10% No Additional MEB/PEB Entries Combined: 10% Condition Lumbar Disc Disease, s/p Discectomy and Lumbar Fusion (L5‐S1) Chronic Left Shoulder Strain Code 5243 5201 0% X 1 / Not Service‐Connected x 5 Rating 20% 10% Exam 20080407 20080407 20080407 Combined: 30% Thoracolumbar ROM Degrees Flexion (90 Normal) Combined...
AF | PDBR | CY2012 | PD-2012-00382
Chronic Left Knee Pain. The Board concluded therefore that no separate disability rating could be recommended for this condition. RECOMMENDATION: The Board recommends that the CI’s prior determination be modified as follows, effective as of the date of his prior medical separation: UNFITTING CONDITION VASRD CODE RATING 5262 COMBINED 20% 20% Chronic Left Knee and Ankle Pain The following documentary evidence was considered: Exhibit A. DD Form 294, dated 20050218, w/atchs Exhibit B.
AF | PDBR | CY2012 | PD-2012-00388
The MEB determined that the bilateral knees early degenerative joint disease (DJD) did not meet retention standards and forwarded this condition to the Physical Evaluation Board (PEB). There was no diagnosis for the hand pain; the CI was seen for the varicocele 6 years prior to separation; the hypertension was mild and did not require treatment; there is no record that 3 PD1200388 the CI was seen for the onychomycosis while on active duty. RECOMMENDATION: The Board recommends that the CI’s...
AF | PDBR | CY2012 | PD-2012-00390
She reported that Coccydynia Condition. The Board noted that the final PMR examination, a week prior to separation, documented that the right hip was pain free (over 2 weeks after an injection) and that the left hip had minimal pain rated at 3 out of 10. At the C&P examination performed specifically for the coccyx on 29 April 2009, over a year after separation, the CI reported continued pain and had reduced and painful ROM on examination.
AF | PDBR | CY2012 | PD-2012-00392
The CI was thus medically separated with a 20% disability rating. The MEB examination 8 months prior to separation indicated that the CI may have had sleep apnea while in Iraq in 2005. The PEB adjudicated this condition as not unfitting and there was no 4 PD12‐00392 performance based evidence from the record that depressive disorder or any other mental health condition significantly interfered with satisfactory duty performance.
AF | PDBR | CY2012 | PD-2012-00396
in evidence, with Back Condition. A 14 February 2006 PT note documented normal ROM for the back. At a follow‐up PT visit a week after the above ROM values, he was normal to have normal motion of the back.
AF | PDBR | CY2012 | PD-2012-00401
The right common peroneal nerve condition was determined to have improved and rated at 10%. At the MEB examination on 11 October 2005, 8 months prior to TDRL entry, the CI reported persistent numbness and loss of motion for which he used an orthotic device. After due deliberation in consideration of the preponderance of the evidence, the Board concluded that there was insufficient cause to recommend a change in the PEB permanent disability rating for the abdominal pain condition...
AF | PDBR | CY2012 | PD-2012-00405
The IPEB adjudicated the chronic LBP condition as unfitting, rated 10% using VASRD code 5241. The rated condition for chronic LBP is the only condition that meets the Board’s purview for review. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows: VASRD CODE RATING 5241 COMBINED 10% 10% Chronic Low Back Pain UNFITTING CONDITION The following documentary evidence was considered: Exhibit A. DD...
AF | PDBR | CY2012 | PD-2012-00406
The MEB determined that the herniated disc in the L4‐L5 region (the Board noted that it was actually in the L5S1 region) and chronic LBP were medically unacceptable and forwarded the two conditions for Physical Evaluation Board (PEB) adjudication. The PEB adjudicated the chronic LBP with (an) L5S1 herniated disc conditions as unfitting, rated 10%, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). (2) is limited to those conditions which were determined by...
AF | PDBR | CY2012 | PD-2012-00410
Bilateral Leg Pain Condition. On examination, he was noted to have normal ROM and that there was no tenderness. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows: UNFITTING CONDITION VASRD CODE RATING 5299‐5237 5099‐5022 5299‐5276 COMBINED 10% 10% ‐‐‐ 20% MEMORANDUM FOR Commander, US Army Physical Disability Agency 5 PD12‐00410 Low Back Pain Bilateral Leg Pain Bilateral Pes Planus The...
AF | PDBR | CY2012 | PD-2012-00412
The PEB adjudicated the left pectoralis tendon tear, s/p open pectoralis tendon repair and subsequent failure of the surgical repair condition as unfitting, rated 20%, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). The PEB coded the left pectoralis tendon tear, s/p open pectoralis tendon repair and subsequent failure of the surgical repair condition 5303 (muscle Group III) rated 20% under the non‐ dominant hand rating. RECOMMENDATION: The Board,...
AF | PDBR | CY2012 | PD-2012-00426
The Physical Evaluation Board (PEB) adjudicated the chronic LBP condition with lumbar spondylosis, and bulging disc as unfitting, rated 10% with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). The final orthopedic consultation noted normal lumbar spine appearance, ROM, no tenderness and no spasm, with normal gait and stance and recommended referral to the MEB. Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record XXXXXXXXXXXXX,...
AF | PDBR | CY2012 | PD-2012-00431
The PEB adjudicated the thoracic back pain (which included myofascial pain syndrome and thoracic disc bulges) and the PTSD as unfitting and rated each condition at 10% with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD) for a 20% combined rating. Thoracic Back Pain Condition. There is no medical documentation available for review that is within a 6 month period after separation on which to base a permanent rating for the thoracic back pain condition.
AF | PDBR | CY2012 | PD-2012-00433
The MEB referenced a visit to orthopedic surgery in December 2008, 8 months prior to separation, which diagnosed patellofemoral dysfunction and recommended medically separating the member if she did not improve with quadriceps rehabilitation at physical therapy (PT). The VA 40% rating indicated a significantly more limited extension based on the C&P exam interpretation of ‐30 degrees limited extension. After due deliberation, considering all of the evidence and mindful of VASRD §4.3...
AF | PDBR | CY2012 | PD-2012-00438
Post‐ separation evidence is probative to the Board’s recommendations only to the extent that it reasonably reflects the disability at the time of separation. The 3 month post‐separation VA (general) C&P examiner did not differentiate the pain and disability of the back condition from that of the extremity condition. The VA rating decision (VARD) relied on the ROM evidence from the 6 month spine exam.
AF | PDBR | CY2012 | PD-2012-00440
RATING COMPARISON: Service FPEB – Dated 20090417 Condition Code Left Leg Patellofemoral Pain Syndrome Right Leg Patellofemoral Pain Syndrome Left Leg Chronic Compartment Syndrome Right Leg Chronic Compartment Syndrome Mild Exercise Induced Asthma Low Back Bilateral Pes Planus Bilateral Planter Fasciitis Atypical Non‐Cardiac Chest Pain 5099‐5003 Rating 10% 5099‐5003 10% 5099‐5003 5099‐5003 0% 0% Not Unfitting Not Unfitting Not Unfitting Not Unfitting Not Unfitting VA (2 Weeks Pre‐Separation)...
AF | PDBR | CY2012 | PD-2012-00447
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW BRANCH OF SERVICE: ARMY SEPARATION DATE: 20020502 NAME: XXXXXXXXXXXXXXXXX CASE NUMBER: PD1200447 BOARD DATE: 20121214 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E‐4 (88M10/Motor Transport Operator), medically separated for persistent right shoulder pain, status post (s/p) Weaver‐Dunn procedure, with excision of portion of the distal clavicle. ...
AF | PDBR | CY2012 | PD-2012-00453
The PEB adjudicated the CI as “Fit for Duty.” However, an Informal Reconsideration PEB, 2 months later, adjudicated right hip pain s/p healed right hip stress fracture and left hip pain, which had not been identified by the MEB, as unfitting, rated 10% and 10% respectively, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). Pre‐Separation) – All Effective Date 20011214 Exam Condition Code Service Recon PEB – Dated 20080815 Condition Code Right Hip Pain S/P...
AF | PDBR | CY2012 | PD-2012-00457
Left Hip (Thigh) ROM Flexion (125⁰ is normal) External Rotation Abduction (45⁰ is normal) Comment Pain with motion §4.71a Rating MEB ~4 Mos. At his May 2004 MEB exam, the CI did have a painful “pop” with hip motion. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows: VASRD CODE RATING 5099‐5003 COMBINED 10% 10% Chronic Pain, Left Hip UNFITTING CONDITION The following documentary evidence was...
AF | PDBR | CY2012 | PD-2012-00461
The MEB forwarded no other conditions for Physical Evaluation Board (PEB) adjudication. The PEB adjudicated the Crohn’s disease as unfitting, rated 10%, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). Crohn’s Disease.
AF | PDBR | CY2012 | PD-2012-00471
The PEB adjudicated the chronic LBP condition as unfitting, rated 20%, with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). Post-Separation) All Effective Date 20030505 Condition Code Rating Condition Code Rating Exam Chronic Low Back Pain s/p Diskectomy w/ Radiculolopathy 5299-5295 20% DDD Lumbar Spine s/p Discectomy 5242 20%* 20040306 Radiculopathy, Rt Lower Extremity 8520 10% 20040306 .No Additional MEB/PEB Entries. There were examination findings of...
AF | PDBR | CY2012 | PD-2012-00478
No delusions were noted but the examiner opined “frequent recollections of the events of March 2001 have caused pronounced disruption of social and occupational functioning which has been only partially corrected by medication.” Present status with treatment of medication and ongoing weekly psychotherapy was described as continued feelings of uselessness and being unable to perform his military duties. The CI was going to school and reported he was doing well at the initial C&P examination....
AF | PDBR | CY2012 | PD-2012-00479
The PEB adjudicated the CI’s condition as neuralgia of the ilioinguinal nerve, unfit, rated at 0%, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). In this case, the PEB rating is for chronic right groin pain; however, the NARSUM indicated right groin pain that was constant, worse with any activity, and interfered with daily activities. RECOMMENDATION: The Board recommends that the CI’s prior determination be modified as follows, effective as of the date...
AF | PDBR | CY2012 | PD-2012-00482
The MEB identified and forwarded only the chronic chest wall pain condition for Physical Evaluation Board (PEB) adjudication. The VASRD in effect at the time of separation utilized the subjective criteria of slight, for a 0% rating; moderate, for a 10% rating and moderately severe or severe for a 20% rating for rating purposes under code 5321. RECOMMENDATION: The Board recommends that the CI’s prior determination be modified as follows, effective as of the date of her prior medical...
AF | PDBR | CY2012 | PD-2012-00485
The PEB adjudicated the left ankle condition as unfitting, rated 20% with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). Left Ankle Condition. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows: VASRD CODE RATING 5270 COMBINED 20% 20% Left Ankle Fracture S/P Arthrodesis UNFITTING CONDITION 3 PD12‐00485 The following documentary evidence was considered: Exhibit...
AF | PDBR | CY2012 | PD-2012-00489
The PEB adjudicated the lumbosacral strain and left sciatic dysfunction conditions as unfitting, rated 10% each, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows: VASRD CODE 5293‐5299‐5295 5293 8620 COMBINED RATING 10% 10% 20% UNFITTING CONDITION Herniated Disc Pulposus L5/S1 with some Left Sciatica Left...
AF | PDBR | CY2012 | PD-2012-00507
Right Knee ROM Flexion (140⁰ is Normal) Extension (0⁰ is Normal) MEB – 5½ mos. The Army PEB combined the two painful joint conditions into a single unfitting condition: “Right shoulder and right knee pain.” The condition was coded 5099‐5003 and rated at 0%. Accordingly, the Board recommends a separate disability rating for each joint.
AF | PDBR | CY2012 | PD-2012-00509
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200509 SEPARATION DATE: 20011115 BOARD DATE: 20130115 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E-4 (71L10/Administrative Specialist), medically separated for chronic mechanical low back pain (LBP), without neurologic abnormality or documented chronic paravertebral muscle...
AF | PDBR | CY2012 | PD-2012-00510
The PEB adjudicated chronic low back pain s/p intradiscal electrothermal therapy and pelvic adhesive disease without documented partial obstruction, as unfitting, rated 10% and 10%, with application of the Department of Defense Instruction (DoDI) 1332.39 and AR 635‐40. The Board notes the VA ratings for other conditions documented at the time of separation and for conditions not diagnosed while in the service (but later determined to be service‐connected by the VA). The CI’s condition...
AF | PDBR | CY2012 | PD-2012-00526
Post‐Separation*) – All Effective Date 20021210 Condition Service IPEB – Dated 20020716 Condition Delusional Disorder Right Elbow Pain Chronic Left Ankle Pain 5099‐5003 5099‐5003 Code 9208 ↓No Addi(cid:415)onal MEB/PEB Entries↓ Rating 0% 0% 0% Combined: 0% Code 9203 Delusional Disorder Right Ulnar Neuropathy Left Achilles Tendonitis 8599‐8516 5299‐5284 0% X 0 / Not Service‐Connected x 1 Combined: 80% Rating 70% 10% 10% Exam 20050620 20040601 20040601 20040601 *Delusional disorder first rated...
AF | PDBR | CY2012 | PD-2012-00529
Low Back, Left Ankle and Right Shoulder Conditions. The MEB physical exam demonstrated normal appearance of the low back, right shoulder and left ankle with no tenderness. In consideration of VASRD §4.7 Higher of two evaluations, the Board agreed X-ray evidence, the MEB ROM and VA ROM with painful motion is more consistent with the moderate criteria for the VAs chosen codes for the left ankle.
AF | PDBR | CY2012 | PD-2012-00538
Examination of the left hip showed good ROM with no pain, and was generally a normal exam of the left hip. Accordingly, the Board recommends a separate disability rating for each of the two chronic pain conditions. However, due to the CI’s history of chronic pain and the tenderness on exam, the Board determined that it would be reasonable to surmise that hip motion was painful.
AF | PDBR | CY2012 | PD-2012-00550
The Board acknowledges the left knee condition requested for consideration was silent in the PEB decision and not specified in the MEB. The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in evaluating the fairness of DES fitness decisions and rating determinations for disability at the time of separation. After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt), the Board...
AF | PDBR | CY2012 | PD-2012-00560
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200560 SEPARATION DATE: 20020301 BOARD DATE: 20130102 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E‐4 (19K/Armored Crewman) medically separated for chronic low back pain (LBP), due to degenerative disc disease (DDD). Post‐Separation) – All Effective 20020302 Condition Rating DDD,...
AF | PDBR | CY2012 | PD-2012-00562
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW BRANCH OF SERVICE: ARMY SEPARATION DATE: 20020402 NAME: XXXXXXXXXXXXXXXXXXXX CASE NUMBER: PD1200562 BOARD DATE: 20121220 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E‐4 (95B10/Military Police), medically separated for a right foot condition following injury to the sesamoid bone of the great toe (hallux). Any conditions or contention not...
AF | PDBR | CY2012 | PD-2012-00564
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200564 SEPARATION DATE: 20030807 BOARD DATE: 20130226 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was a Reserve SPC/E-4 (92A/Automated Logistical Specialist), medically separated for chronic low back pain (LBP). Any conditions or contention not requested in this application, or otherwise outside the...
AF | PDBR | CY2012 | PD-2012-00567
Chronic Back Pain Condition. All other examinations did not find muscle spasm or abnormal contour, and gait was normal in all examinations. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows: UNFITTING CONDITION VASRD CODE RATING 5299‐5237 COMBINED 10% 10% Chronic Back Pain The following documentary evidence was considered: Exhibit A. DD Form 294, dated 20120604, w/atchs.