VA - (4.5 Mos. Pre-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Chronic Back Pain w/o Neurologic Abnormality | 5299-5237 | 10% | Degenerative Disc Disease(DDD) with L5-S1 Spondylolisthesis and Broad Based Disc Bulge at L4-5; Lumbar Spine | 5239 | 10% | 20040123 | |
Other x3 | |||||||
Combined: 10% |
Thoracolumbar ROM (Degrees) | MEB ~5 Mo s . Pre-Sep | VA C&P ~ 4. 5 Mo s . Pre-Sep |
Flexion (90 Normal) | 40 * | 90 (95) |
Combined (240) | 135 | 155 |
Comment | * ROM appeared to be measured as isolated lumbar flexion (not thoracolumbar) with normal being 60 degrees ; Walks, sits, stands slowly; No spasm or tenderness; Normal motor/sensory/reflexes ; Pos. painful motion ; Neg. Waddell’s | Normal gait & posture; Pos. t enderness to palpation & painful motion ; Patellar reflexes slightly decreased bilaterally ; No spasm |
§4.71a Rating | 20% (PEB 10%) | 10% |
AF | PDBR | CY2014 | PD-2014-00117
Physical exam showed decreased, but unmeasured, range-of-motion (ROM) of the lumbar spine.At the physical therapyexam on 19 September 2005 (2 months prior to separation), pain limited motion was noted to occur on flexion, left lateral flexion and rotation (see chart below).Increased pain from motion “quickly returned to baseline.” All measurements were repeated three times.At the VA Compensation and Pension (C&P) exam on 13 February 2006 (3 months after separation) the CI complained of...
AF | PDBR | CY2014 | PD-2014-01741
The Informal PEB adjudicated “lumbar degenerative disc disease without neurologic abnormality” as unfitting, rated 10%, with likely 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. The VA coded the lumbar spine DDD condition as 5242 and...
AF | PDBR | CY2012 | PD-2012-00761
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200761 SEPARATION DATE: 20020116 BOARD DATE: 20121218 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was a National Guard Soldier, SGT/E‐5 (45E, assigned to a Hull Systems Mechanic slot, 63E), medically separated for chronic low back pain (LBP) accompanied by neck pain with degenerative disc disease (DDD) at...
AF | PDBR | CY2012 | PD-2012-01336
Pre -Separation) All Effective Date 20030416 Condition Code Rating Condition Code Rating Exam Back Pain & Loss of Motion 5293-5299- 5292 20% S/p Laminectomy L4-5, L5-S1 5293-5292 40% 20030205 .No Additional MEB/PEB Entries. At the MEB exam, the NARSUM, 24 October 2002, noted gradual improvement of pain, but with persistent difficulties with bending, stooping, lifting and running. The MEB physical exam noted that the general physical examination is within normal limits. The NARSUM...
AF | PDBR | CY2013 | PD-2013-01774
Post-Separation)*ConditionCodeRatingConditionCodeRatingExam Chronic Back Pain, without Neurological Abnormality5299-523710%Diffuse Lumbar Spondylosis5003-524210%20050104Left L5-S1 Radiculopathy 8599-852010%20050104Other x 0Other x 3 Rating: 10%Combined: 20%Derived from VA Rating Decision (VARD)dated 20050323 ( most proximate to date of separation [DOS]) Low Back Pain (LBP) . A 10% rating is also warranted when combined thoracolumbar ROM is greater than 120 degrees but not greater than 235...
AF | PDBR | CY2010 | PD2010-00364
The Board evaluates DVA evidence proximate 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. Service Treatment Record I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2012 | PD2012-00194
The VA rated each lower extremity at 10% coded 8521 for peripheral neuropathy. Since no evidence of functional impairment exists in this case, the Board cannot support a recommendation for additional rating based on peripheral nerve impairment. 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 5242 COMBINED 10% 10% Chronic LBP The following documentary...
AF | PDBR | CY2013 | PD-2013-02308
He rated his pain at 4/10. Deluca criteria§4.71a Rating10%* (PEB 10%)10% (VA 10%) invalid font number 31502 *IAW VASRD §4.59, Painful motion invalid font number 31502 The Board directed attention to its rating recommendation based on the above evidence.The PEB coded the chronic LBP secondary to L5-S1 HNP without neurologic deficit condition 5243 (Intervertebral Disc Syndrome) and rated at 10%. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the...
AF | PDBR | CY2013 | PD-2013-01911
The VA rated under a peripheral nerve code 8520 (sciatic nerve) at 40% (moderately severe) citing pain and numbness to both extremities; in addition to lumbar disc protrusion for 10% under code 5242 (degenerative arthritis).Board members first agreed that sufficient evidence of painful motion was present to justify the rating of 10%, as well as the presence of localized tenderness not resulting in abnormal gait or spinal contour IAW §4.59 and §4.71a.Next, members acknowledged the ROM values...
AF | PDBR | CY2012 | PD-2012-00638
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW BRANCH OF SERVICE: ARMY SEPARATION DATE: 20010917 NAME: XXXXXXXXXXXXX CASE NUMBER: PD1200638 BOARD DATE: 20121113 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E‐4 (63S10/Heavy Wheeled Vehicle Mechanic), medically separated for chronic mechanical low back pain (LBP). As discussed above, PEB reliance on DoDI 1332.39 and AR 635‐40 for rating the...