AF | PDBR | CY2014 | PD-2014-01456
Accordingly, the Board does not recommend a separate disability rating for each leg. There were no MH records. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to the extent they were inconsistent with the VASRD in effect at the time of the adjudication.The Board did not surmise from the record or PEB ruling in this case that any prerogatives outside the VASRD were exercised.In...
AF | PDBR | CY2014 | PD-2014-01460
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chest Wall Pain Following Bilateral Mastectomies5099-500310%S/P Bilateral Simple Mastectomies w/Residual Pain and Scars7626NSC20090326Right Shoulder Pain (Dom)5099-500310%Right Shoulder Tendinopathy5299-520120%20090326Other x 0 (Not in Scope)Other x 13 Combined: 20%Combined: 60%Derived from VA Rating Decision (VARD)dated 20090610 ( most proximate to date of separation [DOS]). The Board agreed that, the shoulder had identifiable...
AF | PDBR | CY2014 | PD-2014-01462
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. RATING COMPARISON : Service IPEB – Dated 20060331VA -(> 6 Years Post-Separation) ConditionCodeRatingConditionCodeRatingExam Back Pain status post (S/P) L5-S1 Discectomy w/o Neurologic or Electrodiagnostic Abnormality...
AF | PDBR | CY2014 | PD-2014-01471
The Board reviews medical records and other available evidence to assess the fairness of PEB rating determinations, using VASRD standards, based on ratable severity at the time of separation. When he continued to experience the mid-lower back pain he was referred into the DES. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-01482
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEWNAME: XXXXXXXXXXXXXXXXXXXX CASE: PD-2014-01482BRANCH OF SERVICE: NAVYBOARD DATE: 20141209 The condition, characterized as “dyshidriotic eczema,” was forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E.The Informal PEBadjudicated “dyshidriotic eczema” rated 10% with likely application of the VA Schedule for Rating Disabilities (VASRD). The CI requested to remain on active duty in a permanent limited duty status...
AF | PDBR | CY2014 | PD-2014-01490
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the VASRD standards to the unfitting medical condition at the time of separation. Pre-SepVA C&P ~10 Days Pre-Sep Dorsiflexion (20 Normal) 5,5,7 5 Plantar Flexion (45) 30,32,3530 Comment Antalgic gait, with pain (passive w/in 2 degrees of active ROM Gait normal §4.71a Rating 20% (FPEB 10%) 20% (VA 20%)The Board directed its attention to its rating...
AF | PDBR | CY2014 | PD-2014-01495
SEPARATION DATE: 20091228 The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The Board gives consideration to VA evidence, particularly within 12 months of separation, but only to the extent that it reasonably reflects the severity of the disability at the time of...
AF | PDBR | CY2014 | PD-2014-01503
IAW VASRD §4.40, §4.45, and §4.59, the right ankle meets criteria for a 10% rating due to painful motion of a major joint. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to the extent they were inconsistent with the VASRD in effect at the time of the adjudication.The Board did not surmise from the record or PEB ruling in this case that any prerogatives outside the VASRD were...
AF | PDBR | CY2014 | PD-2014-01508
Separation Date: 20081230 The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The examiner documented that the CI was actively taking all prescribed medications.
AF | PDBR | CY2014 | PD-2014-01513
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. Post-Separation)ConditionCodeRatingConditionCodeRatingExam Bilateral Hearing Loss61000%Bilateral Hearing Loss61000%20080812Other x 0 (In Scope)Other x 6 Rating: 0%Combined: 30%Derived from VA Rating Decision (VARD)dated...
AF | PDBR | CY2014 | PD-2014-01516
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. Right Ankle Condition . Right Knee Condition .
AF | PDBR | CY2014 | PD-2014-01520
The InformalPEB adjudicated “chronic low back pain”as unfitting, rated at 10%, with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI non-concurred with the IPEB findings and recommendations thus requested a Formal PEB (FPEB). The Army PEB and the VA chose different coding options for the back condition, but both issued a 10% disability rating. The Board determined that the VA C&P examination in May 2005 was less than 2 months prior to separation...
AF | PDBR | CY2014 | PD-2014-01521
The Board directed attention to its rating recommendationbased on the above evidence.The PEB rated the right foot condition under VASRD code 5283 (mal-union or non-union of the metatarsal bones) at 20% citing moderately severe symptoms. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to the extent they were inconsistent with the VASRD in effect at the time of the adjudication.The...
AF | PDBR | CY2014 | PD-2014-01525
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVASRD standards to the unfitting medical condition at the time of separation. The CI was given a permanent U3 profile for cervical degenerative disease (neck pain) and another medical condition, with a Code C and specific restrictions noted on the profile.The VA C&P exam approximately 2 months prior to separation documented that the CI reported...
AF | PDBR | CY2014 | PD-2014-01529
Strength and reflexes of the LEs were normal.A physical therapy evaluation of the upper back on 7 April 2009 separately noted ROM of the thoracic spine and ROM of the lumbar spine. 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 fitness determination for the neck condition and so no additional disability rating is recommended. Accordingly, the Board recommended no...
AF | PDBR | CY2014 | PD-2014-01545
A 10% rating requires the symptoms to be “mild” and a higher rating of 30%, requires the condition to be “severe”.The Board unanimously agreed that well-established medical principles documents that the upper abdominal pain with diarrhea and episodic elevation of liver enzymes is a known consequence of cholecystectomy and that this may occur acutely or at distant interval after surgery unrelated to known stimuli.The Board unanimously agreed that, based on acceptable medical practice, the...
AF | PDBR | CY2014 | PD-2014-01572
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Pericarditis…70020%Myopericarditis7099-7002NSC20100119Other x 0 (in Scope)Other x 8 Rating: 0%Rating: 60%Derived from VA Rating Decision (VARD)dated 20100413. The echocardiogram showed normal chambers, normal left ventricular function, with an ejection fraction of 60-65% with no evidence of residual cardiac function. In the matter of the myopericarditis condition and IAW VASRD §4.104, the Board unanimously recommends no change in...
AF | PDBR | CY2014 | PD-2014-01598
SEPARATION DATE: 20081107 The CI was also diagnosed with an adjustment disorder and a personality disorder that the PEB “found to be not compensable, although they may be administratively unfitting.” This case is eligible for review under the stipulations of the MH and Review Program as elaborated in the Scope above and, in accordance with VASRD 4.130 (mental disorders), only one disability rating may be provided for MH (except eating disorders) based upon total social and occupational...
AF | PDBR | CY2014 | PD-2014-01628
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. In the matter of the chronic back pain condition and IAW VASRD §4.71a, the Board unanimously recommends no change in the PEB adjudication.There were no other conditions within the Board’s scope of review for...
AF | PDBR | CY2014 | PD-2014-01633
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. A decision was made to remove the affected section of colon (hemicolectomy), and surgery was performed 3 May 2004.The operative note indicated no adhesions or physical strictures of the colon.According to the NARSUM...
AF | PDBR | CY2014 | PD-2014-01642
Fundoplication Surgery Performed in 2001, Unrelated to Military Service.7399-7308--%Rapid Gastric Empting Syndrome7399-730440%20060801Other x 0 (Not in Scope)Other x 520060801 Combined: 10%Combined: 60%Derived from VA Rating Decision (VARD)dated 20061120 ( most proximate to date of separation) Chronic Back Pain Condition .Although the service treatment recordbegan back pain documentation in 2005, he related persistent mid/upper back pain since 1993 after falling while conducting hand-to-hand...
AF | PDBR | CY2014 | PD-2014-01670
The MEB also identified and forwarded one other condition for PEB adjudication.The Informal PEB adjudicated “chronic neck pain due to degenerative disc disease”as unfitting, rated 10%, citing criteria of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD).The remaining condition was determined to be not unfitting.The CI made no appealsand was medically separated. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by...
AF | PDBR | CY2014 | PD-2014-01673
SEPARATION DATE: 20061219 The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVASRD standards to the unfitting medical condition at the time of separation. Neck Pain and Headaches Condition .
AF | PDBR | CY2014 | PD-2014-01674
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. A bilateral foot X-ray showed a healing left 2nd metatarsal stress fracture and a probable new stress fracture of the left 3rd metatarsal. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2014 | PD-2014-01676
SEPARATION DATE: 20030212 Neck Condition . Right Shoulder Condition .
AF | PDBR | CY2014 | PD-2014-01677
The MEB then found the following conditions as meeting retention standards and forwarded these to the PEB for further consideration: attention deficit, hyperactivity disorder; alcohol dependence, with physiological dependence (episodic) and personality disorder, not otherwise specified (NOS).The PEB adjudicated “left thigh and knee pain secondary to old distal femoral fracture requiring intramedullary rod,”“chronic right ankle pain” and “chronic left ankle pain” as unfitting, rated 10%, 0%...
AF | PDBR | CY2014 | PD-2014-01678
The left testicular condition was characterized as “severe left testalgia,” and “persistent varicocele,”was the only condition forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E. RATING COMPARISON : Service IPEB – Dated 20020128VA *ConditionCodeRatingConditionCodeRatingExam Severe Left Testalgia7599-873010%Chronic Testalgia (Specifying Surgical Residuals and Neuritis)7599-752510%*Persistent Varicocele“Related to [Above]”Other x 0 (Not in Scope)Other x 11 (Not in Scope)...
AF | PDBR | CY2014 | PD-2014-01682
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The abdominal examination was normal except right inguinal scar tenderness. In the matter of the chronic inguinal pain condition, the Board unanimously determined that the painful surgical scar was separately...
AF | PDBR | CY2014 | PD-2014-01683
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. Post-Sep(20060710) Flexion (140 Normal)140140 with painExtension (0 Normal)00CommentCrepitus present.Crepitus and grinding present.The Board directed its attention to its rating recommendationbased on the above...
AF | PDBR | CY2014 | PD-2014-01684
Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Pain Left Leg5099-500310%Periostitis with Left Leg Traction (claimed as shin splints and left leg pain)50220%20040831Left Knee Strain5024-526110%Left Foot S/P Third Metatarsal Stress Fracture5299-52830%Other x0Other x 0 Rating: 10%Combined: 10%Derived from VA Rating Decision (VARD) dated 20050314 (most proximate to date of separation [DOS]) ANALYSIS SUMMARY : Chronic Pain Left Leg Condition . Six months prior to separation,...
AF | PDBR | CY2014 | PD-2014-01688
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The VA also granted a 0% service-connected rating for right radiculopathy associated with the cervical spine disease, citing the normal neurologic examination at the time of the pre-separation VA C&P examination. The...
AF | PDBR | CY2014 | PD-2014-01689
The Informal PEB adjudicated “spinal fusion with chronic low back pain” and “PTSD” as unfitting, rated 10% and 10%, with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). In this case, the CI’s VA psychiatric rating examination was performed prior to separation and is subject to probative value concerns which will be discussed. DoD Physical Disability Board of Review
AF | PDBR | CY2014 | PD-2014-01692
No other conditions were submitted by the MEB.The Informal PEB adjudicated “traumatic osteoarthritis left knee, with OCD lesions, lateral femoral condyle and tibial plateau, s/p ACL reconstruction and microfracture of left femoral condyle”as a single unfitting condition, rated 10%,with likely application of theVA Schedule for Rating Disabilities (VASRD).The CI made no appealsand was medically separated. RECOMMENDATION : The Board, therefore, recommends there be no re-characterization of the...
AF | PDBR | CY2014 | PD-2014-01693
invalid font number 31502 Service IPEB – Dated 20060316VA - (3 Mos. Chronic Upper Back Pain Condition . The CI was seen in pain managementprior to deploying for pain medications due to the chronic clavicle and shoulder pain.
AF | PDBR | CY2014 | PD-2014-01694
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVASRDstandards to the unfitting medical condition at the time of separation. The examiner documented tenderness to palpation of the bilateral cervical paraspinal musculature, extending to the upper back bilaterally, with no weakness or painful motion noted.The examiner diagnosed “myofascial pain” which was treated with “trigger point...
AF | PDBR | CY2014 | PD-2014-01695
The MEB also identified and forwarded the following conditions as not falling below retention standards: mood disorder, insomnia, alcohol dependence and closed head injury without loss of consciousness.The PEB adjudicated “arm, limitation of motion”as unfitting, rated 20%citing criteria of the VA Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting, with the exception of the alcohol dependence, which the PEB determined “not compensable,...
AF | PDBR | CY2014 | PD-2014-01697
The Informal PEBadjudicated “cognitive disorder and APLSas a single unfitting condition, rated 10% with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The remaining condition (left hemisphere stroke) was determined to be not unfitting. Post-Separation)ConditionCodeRatingConditionCodeRatingExam Cognitive Disorder…9399-930510%Residuals, Stroke Due to APLS with Mild Cognitive Changes7099-800910%20120927Left Hemisphere Stroke Secondary to APLSNot UnfittingOther x 0...
AF | PDBR | CY2014 | PD-2014-01698
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Right Inferior Pubic Ramus Stress Fracture5099-50030%Residuals, Right Pelvis Stress Fracture w/ Lumbosacral Strain5299-523620%20050811Other x 0 (Not in Scope)Other x 020050811 Rating: 0%Rating: 20% *Derived from VA Rating Decision (VARD) dated 20050920 (most proximate to date of separation (DOS)) ANALYSIS SUMMARY :IAW DoDI 6040.44, the Board’s authority is limited to making recommendations on correcting disability determinations. ...
AF | PDBR | CY2014 | PD-2014-01699
Lumbar Spine Condition . There are numerous STR entries documenting grossly normal range-of-motion (ROM), although some note painful motion, and two note decreased ROM (one of these severe, with flexion limited to 30 degreesby pain).There are likewise numerous entries documenting normal gait,with none noting abnormal gait or contour; and, one specifying “no asymmetries of the lumbar spine.” The narrative summary (NARSUM) documented daily constant pain rated 3/10, with exacerbations to 6/10...
AF | PDBR | CY2014 | PD-2014-01701
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. He wa s seen for routine MH follow-u p 2 days later and reported that he was doing well on medications. The CI endorsed daily severe depressed moods, occasional to frequent suicidal thoughts , several panic...
AF | PDBR | CY2014 | PD-2014-01703
The InformalPEB (IPEB)adjudicated diabetes mellitus Type I as unfitting, rated 20%, with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the VASRD standards to the unfitting medical condition at the time of separation. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s...
AF | PDBR | CY2014 | PD-2014-01704
“Slight, intermittent abdominal pain, status post ventral hernia repair with mesh” was the only condition forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. Post-Separation)ConditionCodeRatingConditionCodeRatingExam Tender Scars…s/p Four Operative Procedures in Treatment of Umbilical/Ventral Hernia7339-780410%Status Post Ventral Hernia Repair with Mesh and Surgical Scar733920%*20060808Other x 0 (Not in Scope)Other x 520060808 Rating: 10%Combined: 30%*Derived from VA Rating...
AF | PDBR | CY2014 | PD-2014-01705
The Board directed attention to its recommendationsbased on the above evidence.As noted above, the PEB’s 10% rating was derived from criteria of DoDI 1332.39 (E2.A1.5); and, with reference to the NARSUM assessment of same, the PEB’s DA Form 199 stated, “IAW AR 635-40, Appendix B-107, paragraph e, Soldier's impairment for social and industrial adaptability is more accurately described as mild, not definite.”The Board first deliberated whether the VA Schedule for Rating Disabilities (VASRD)...
AF | PDBR | CY2014 | PD-2014-01713
IAW DoDI 6040.44, the Board’s authority is limited to making recommendations on correcting disability determinations. Post-Sep (20040525) Flexion (140 Normal)105112Extension (0 Normal)0- 12Comment(+) laxity (+) laxity§4.71a Rating 10%-20% (PEB 20%) 20% (VA 10%)The Board directed attention to its rating recommendation based on the above evidence.Although the service and VA titled the unfitting back condition slightly differentthey both utilized (in various combinations) the code of 5257...
AF | PDBR | CY2014 | PD-2014-01714
The Informal PEB adjudicated “female pelvic pain,” rated 10%and reduced to 0% for noncompliance using the VA Schedule for Rating Disabilities (VASRD).The dysmenorrhea and dyspareunia conditions were determined to be related CategoryIIdiagnoses, those that contribute to the unfitting condition. The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities...
AF | PDBR | CY2014 | PD-2014-01715
Left Shoulder Condition . A permanent profile (U3) (dated 3 months prior to separation), documents the diagnosis of left “sub-acromial decompression” and “distal clavicle resection” and limits lifting to 20 pounds, with no push-ups or sit-ups.The commander’s memorandum to the PEB documents that the CI’s duty performance is excellent” but that his “physical impairments prevent him from fulfilling the requirements” within his MOS.At the MEB exam, the CI reported a painful shoulder. The MEB...
AF | PDBR | CY2014 | PD-2014-01718
Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Mechanical Low Back Pain w/Residual Left Leg Pain5299-529510%Recurrent Central Disc Protrusion, Chronic Low Back Pain, and Intermittent Radiculopathy Status Post L4-5 Microdiscectomy529320%20010709Other x 0 (Not in Scope)Other x 0 Combined: 10%Combined: 20%Derived from VA Rating Decision (VARD)dated 20010925 ( most proximate to date of separation [DOS]). BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military...
AF | PDBR | CY2014 | PD-2014-01721
The MEB forward LBP with radiation to the right lower extremity condition,characterized as “ low back pain secondary to degenerative disc disease” and “ probable SI radicular symptoms” to the Physical Evaluation Board (PEB) IAW AR 40-501. Board members agreed that sufficient evidence of limitation of motion was present to justify the PEB’s 10% rating IAW VASRD §4.71a. Right Lower Extremity Condition .The Board considered whether an additional rating could be recommended under a peripheral...
AF | PDBR | CY2014 | PD-2014-01737
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The neurosurgeonnoted that the CI reported muscle spasms; however, the physical exam was normal and he concluded that no surgery was required. DoD Physical Disability Board of Review
AF | PDBR | CY2014 | PD-2014-01740
SEPARATION DATE: 20070727 Board members first acknowledged that the VA’s analogous prefix of 5297 (removal of ribs) was an error in documentation and that the primary code of 5010 alone was appropriate.The Board next agreed that the persistence of painful motion on both the PEB and VA exams was easily supported under the VA Schedule for Rating Disabilities (VASRD) §4.59 to achieve the minimal compensable 10% rating.The Board next considered the vast differences in the ROM during the 5months...