VA - (5 Mos. Post-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Low Back Pain | 5299-5237 | 0% | Lumbar Strain | 5237 | 0%* | 20070130 | |
Neck pain | 5299-5237 | 0% | Cervical Strain | 5237 | 0%** | 20070130 | |
Bilateral Foot Pain | 5299-5276 | ---% | Bilateral Pes Planus | 5299-5284 | 10% | 20070130 | |
Moderate to Severe OSA | Not Unfitting | Sleep Apnea | 6847 | 50% | 20070130 | ||
Depressive Disorder | Not Unfitting | PTSD | 9411 | 30% | 20070130 | ||
Other x 3 | 20070130 | ||||||
Combined: 70% |
Thoracolumbar ROM (Degrees) |
MEB ~ 3 Mo. Pre-Sep | VA C&P ~ 5 Mo. Post-Sep | VA C&P ~ 12 Mo. Post-Sep |
Flexion (90 Normal) | Full | 90 pain occurs | 80 |
Extension (30) | Full | 30 pain occurs | 10 |
R Lat Flexion (30) | Full | 30 | 20 |
L Lat Flexion (30) | Full | 30 | 20 |
R Rotation (30) | Full | 30 | 20 |
L Rotation (30) | Full | 30 | 20 |
Combined (240) | Full | 240 | 170 |
Comment | Silent to painful motion | Without radiating pain | Painful motion, +Deluca by 10 degrees |
§4.71a Rating | 0% | 0% vs. 1 0% * | 10% |
Cervical ROM (Degrees) |
MEB ~ 3 Mo. Pre-Sep | VA C&P ~ 5 Mo. Post-Sep | VA C&P ~ 12 Mo. Post-Sep |
Flex (45 Normal) | Full | 45 pain occurs | 15 |
Extension (45) | Full | 45 pain occurs | 10 |
R Lat Flexion (45) | Full | 45 | 20 |
L Lat Flexion (45) | Full | 45 | 20 |
R Rotation (80) | Full | 80 | 60 |
L Rotation (80) | Full | 80 | 60 |
Combined (340) | Full | 340 | 185 |
Comment | Without radiating pain | Painful motion | |
§4.71a Rating | 0% | 0% vs. 10%* | 30% |
UNFITTING CONDITION | VASRD CODE | RATING |
Low Back Pain | 5299-5237 | 0% |
Neck pain | 5299-5237 | 0% |
Bilateral Foot Pain | 5299-5276 | EPTS |
COMBINED | 0% |
AF | PDBR | CY2014 | PD-2014-01985
According to the VASRD rules for rating the spine in effect at the time of separation thoracic and lumbar spine conditions coded IAW §4.71a are provided a single disability rating and thus the thoracic DDD and the lumbago (listed by the PEB as separate conditions) are subsumed in the §4.71a rating that follows. Since the disability due only to the left foot cannot be isolated by the clinical evidence or from the fitness implications of the bilateral condition, the Board consensus was that...
AF | PDBR | CY2011 | PD2011-00386
The PEB adjudicated the lumbar condition as unfitting, rated 10%, with presumptive application of the US Army Physical Disability Agency (USAPDA) pain policy. The MEB exam followed a pre-separation VA Compensation and Pension (C&P) exam performed two months earlier; at which the CI had related significantly more severe pain with bilateral radiation, and more significant physical limitations. In the matter of the pes planus with plantar fasciitis condition, the Board unanimously recommends...
AF | PDBR | CY2012 | PD2012 01283
Low back pain (LBP) and right foot pain conditions were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. -- 210No mention of painful motionPain with motion0% 10%The Board directs attention to its rating recommendation based on the above evidence.After consideration of the two back examinations noted above, it was determined that both exams had probative value, since both were conducted in a thorough manner, and were performed within 6 months of separation. Right Foot Pain .
AF | PDBR | CY2014 | PD-2014-01418
The CI’s chronic bilateral foot pain, chronic low back pain (LBP), plantar fasciitis and pes planus conditions were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. The IPEB did not address the remaining conditions (plantar fasciitis, pes planus and adjustment disorder).The CI appealed to the Formal PEB (FPEB) which reaffirmed the IPEB’s findings for the chronic low back condition as unfitting, rated at 10%, but changed the chronic foot pain (bilateral) diagnosis to bilateral...
AF | PDBR | CY2012 | PD 2012 01549
Post-Separation) All Effective Date 20030829 Condition Code Rating Condition Code Rating Exam Chronic LBP w/o Radicular Signs 5299-5295 10% Chronic LBP 5237 10% 20030930 Chronic B/L Shin Splints 5099-5022 0% B/L Shin Splints 5099-5022 NSC* 20030930 Lt Tibia Stress Fracture 5262 NSC* 20030930 Mild Pes Planus Not Unfitting No Corresponding VA Entry .No Additional MEB/PEB Entries. Although the CI experienced shin splint pain with the vigorous physical activity associated with military...
AF | PDBR | CY2011 | PD2011-00905
The PEB adjudicated the chronic left foot and ankle pain condition and mechanical LBP condition as unfitting, rated 10% and 0% respectively, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). Left Foot and Ankle Pain Condition . The PEB’s 0% rating was based on an assessment that the condition was characterized by “slight subjective symptoms only.” The VA’s 20% rating was assigned for “muscle spasm on extreme forward bending, loss of lateral spine motion,...
AF | PDBR | CY2012 | PD2012 01675
It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditions identified but not determined to be unfitting by the PEB, when specifically requested by the CI. Back pain, along with foot pain, was mentioned in a sick call note in 1999, although the entry elaborated only the foot complaint. An individual with a complaint of chronic low back pain, a normal objective examination, and normal objective testing is normally not referred...
AF | PDBR | CY2012 | PD2012 01689
The back and bilateral knee conditions, characterized as “chronic non-radicular low back pain”and“chronic bilateral knee pain”were forwarded as not meeting retention standards, to the Physical Evaluation Board (PEB) IAW AR 40-501.A symptomatic pes planus condition was identified by the MEB and also forwarded as failing retention standards.The informal PEB adjudicated the chronic low back and bilateral knee pain conditions as unfitting, rated 10% and 0%.The remaining condition was determined...
AF | PDBR | CY2013 | PD-2013-02196
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. ROM limited by pain Pain with repetition. With a normal gait, non-tender MEB examination (but tender VA examination), normal X-rays, and lack of abnormal wear from weight bearing, the Board found no route to a rating...
AF | PDBR | CY2009 | PD2009-00520
The CI did not appeal the case, and was thus medically separated with a 10% combined disability rating. The Board considered any additional lower extremity disability contributed from bilateral pes planus and healed stress fracture of the right tibia in rating the CI’s unfitting shin splint conditions. In the matter of the bilateral shin splints condition, the Board unanimously recommends that each leg be separately adjudicated as follows: an unfitting right shin splint condition, coded...