RECORD OF PROCEEDINGS
PHYSICAL DISABILITY BOARD OF REVIEW
BRANCH OF SERVICE: MARINE CORPS
SEPARATION DATE: 20021130
NAME: XX
CASE NUMBER: PD1200833
BOARD DATE: 20130117
SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this
covered individual (CI) was an active duty SGT/E-5 (0311/Rifleman), medically separated for
profound bilateral hearing loss in the high frequency ranges. The CI was issued permanent
bilateral hearing aids, placed on limited duty (LIMDU) and referred for a Medical Evaluation
Board (MEB). Noise-induced hearing loss was forwarded to the Physical Evaluation Board (PEB)
IAW SECNAVINST 1850.4E. No other conditions appeared on the MEB’s submission. The PEB
adjudicated the bilateral sensorineural hearing loss (SNHL) condition as unfitting, rated 0% with
application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). The CI made no
appeals, and was medically separated with a 0% disability rating.
CI CONTENTION: “Have to have equipt. to work with for hearg (sic). Currently not able to
perform certain tasks due to ovscultation (sic) of lungs. Counseling because of anger
management, cant taste sour food where tongue bit off. Cannot sleep, take meds for this. 6th
job since discharge due to anger/aggressive nature. Lightheaded, dizzy feeling occasionally
since fall at Parris Island repel tower. L arm will not go overhead when trapzius muscle
tightness. It is a knot easily felt. Permanent scare (sic) over tongue where re-attached.”
SCOPE OF REVIEW: The Board wishes to clarify that the scope of its review as defined in DoDI
6040.44, Enclosure 3, paragraph 5.e. (2) is limited to those conditions which were determined
by the PEB to be specifically unfitting for continued military service; or, when requested by the
CI, those condition(s) “identified but not determined to be unfitting by the PEB.” The ratings
for unfitting conditions will be reviewed in all cases. The other requested conditions are not
within the Board’s purview. 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 Board for Correction of Naval Records.
RATING COMPARISON:
VA (At Separation) – All Effective Date 20021201
Condition
Hearing Loss, Bilateral
Tinnitus
0% X 1 / Not Service-Connected x 5
Combined: 10%
Service IPEB – Dated 20020919
Condition
Profound Bilateral Hearing
Loss
↓No Additional MEB/PEB Entries↓
Combined: 0%
*The CI failed to appear for his scheduled VA Compensation and Pension Exam.
ANALYSIS SUMMARY: The Board acknowledges the CI's contention suggesting that ratings
should have been conferred for other conditions documented at the time of separation and for
conditions not diagnosed while in the service. While the Disability Evaluation System (DES)
considers all of the member's medical conditions, compensation can only be offered for those
medical conditions that cut short a member’s career, and then only to the degree of severity
present at the time of final disposition. The Department of Veterans Affairs (DVA), however, is
Exam
STR*
STR*
STR*
Rating
0%
10%
Code
6100
Rating
0%
Code
6100
6260
empowered to compensate service-connected conditions and periodically re-evaluate them for
the purpose of adjusting the Veteran’s disability rating should the degree of impairment vary
over time.
Sensorineural Hearing Loss. The CI had some hearing loss prior to enlistment which worsened
during his military career. He had a full evaluation by audiometry, ear nose and throat, and was
diagnosed with mild to severe bilateral SNHL. He was advised not to work in a noisy
environment and to use permanent bilateral hearing aids. He tried unsuccessfully to change his
Military Occupational Specialty but was referred to a MEB. The non-medical assessment
corroborated his hearing condition and further recommended placement on permanent LIMDU
if found unfit. The MEB physical exam demonstrated the wearing of bilateral hearing aids and
there was no trouble hearing a normal conversation. There CI failed to report for a scheduled
VA examination. There was one audio logical evaluation, including pure tone audiograms,
proximate to separation, which the Board weighed in arriving at its rating recommendation.
This exam is summarized in the chart below.
500
1000
3000
4000
Audiometric
2000
Threshold (Hz) →
MEB Audio ~5 Mos. Pre-Sep (20020412)
30
Right
Left
40
10
10
15
15
65
85
70
85
70
90
600
0
See next chart
HEARING
LEFT EAR
RIGHT EAR
§4.85 RATING
EXAM
MEB ~5 Mo. Pre Sep
Average Hearing Loss
59 dB
Speech Discrimination
92%
Table VI / VIa
II
Average Hearing Loss
45 dB
Speech Discrimination 88%
Table VI / VIa
Table VII
I
0%
(Average hearing loss is the sum of pure tone thresholds at 1000, 2000, 3000, and 4000 Hz divided by four)
The Board directs attention to its rating recommendation based on the above evidence. The
VASRD §4.85 rating schedule for hearing impairment is completely objective and derived from
audiometric testing. It is based on average pure tone threshold across the hearing ranges, and
accommodates for measured speech discrimination. The charted result of the audiometric
evidence in this case yields an unequivocal 0% rating. The Board acknowledges the VA
transcribed higher numeric values for the 3000 Hz and 4000 Hz thresholds from the service
record but notes even with use of these higher numbers the rating did not meet criteria above
a 0% rating. After due deliberation, considering all of the evidence and mindful of VASRD §4.3
(Resolution of reasonable doubt), the Board concluded that there was insufficient cause to
recommend a change in the PEB adjudication for the bilateral hearing loss condition.
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 the matter of the bilateral hearing loss condition and IAW VASRD §4.85, the
Board unanimously recommends no change in the PEB adjudication. There were no other
conditions within the Board’s scope of review for consideration.
2 PD1200833
RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of
the CI’s disability and separation determination, as follows:
UNFITTING CONDITION
Profound Bilateral Hearing Loss
VASRD CODE RATING
6100
COMBINED
0%
0%
The following documentary evidence was considered:
Exhibit A. DD Form 294, dated 20120606, w/atchs
Exhibit B. Service Treatment Record
Exhibit C. Department of Veterans’ Affairs Treatment Record
xx
Director
Physical Disability Board of Review
3 PD1200833
MEMORANDUM FOR DIRECTOR, SECRETARY OF THE NAVY COUNCIL OF REVIEW
BOARDS
Subj: PHYSICAL DISABILITY BOARD OF REVIEW (PDBR) RECOMMENDATIONS
Ref: (a) DoDI 6040.44
(b) CORB ltr dtd 21 Feb 13
In accordance with reference (a), I have reviewed the cases forwarded by reference (b), and, for
the reasons provided in their forwarding memorandum, approve the recommendations of the PDBR
that the following individual’s records not be corrected to reflect a change in either characterization
of separation or in the disability rating previously assigned by the Department of the Navy’s
Physical Evaluation Board:
- former USN
- former USN
- former USMC
- former USN
- former USMC
- former USN
- former USN
- former USN
- former USMC
- former USMC
- former USMC
- former USMC
xxxx
Assistant General Counsel
(Manpower & Reserve Affairs)
4 PD1200833
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