VA (4 Mo. After Final PEB Adjudication Date*) – effective 20020101 | ||||||||
Code | Rating | Condition | Code | Rating | Exam | |||
TDRL | Sep. | |||||||
Reflex Sympathy Dystrophy Right Hand/Wrist | 8799-8713 changed to 8799-8515 |
20% | 10% | Reflex Sympathy Dystrophy Right Hand/Wrist Status Post Multiple Surgeries Right Hand (major) | 8799-8713 | 40% | 20050831 | |
Endometriosis and Pelvic Adhesions | 7629 | 10% | 10% | Endometriosis with Chronic Pelvic Pain | 7629 | 50%** | 20050831 | |
Left Shoulder Impingement | 5299-5202 | 0% | 0% | Left Shoulder Impingement Syndrome (minor) | 5299-5201 | 20% | 20050831 | |
Chronic Plantar Fasciitis | 5399-5310 | 0% | 0% | Residuals S/P Right Plantar Fasciitis Release | 5299-5276 | 10%*** | 20050831 | |
Other x 3 (Not in Scope) | 20040831 | |||||||
Combined: 80% |
UNFITTING CONDITION | VASRD CODE | RATING | |
TDRL | PERMANENT | ||
Right Hand and Wrist Pain | 8799-8713 | 20% | 40% |
Endometriosis | 7629 | 30% | 30% |
Left Shoulder Impingement | 5299-5201 | 10% | 10% |
Chronic Plantar Fasciitis | 5299-5276 | 10% | 10% |
COMBINED | 60% | 70% |
AF | PDBR | CY2014 | PD-2014-01884
The TDRL’s re-evaluation IPEB adjudicated the right wrist, right knee and left shoulder as a single unfitting condition, rated at 20%. However, the PEB combined the condition of the right hand with the right knee and left shoulder and rated the conditions under the pain policy. In the matter of the left rotator cuff and left shoulder pain condition and IAW VASRD §4.71a, the Board unanimously recommends a disability rating of 10%, coded 5099-5003 IAW VASRD §4.59 at both TDRL placement and...
AF | PDBR | CY2011 | PD2011-01072
At her first TDRL periodic evaluation, the CI’s endometriosis not controlled by treatment condition was found not sufficiently stabilized to permit final adjudication, while her back and knee pain were changed to not unfitting at that time. The CI was continued on the TDRL with a 30% rating for endometriosis. After her subsequent and final TDRL periodic evaluation, the IPEB determined the CI’s status post TAH/BSO in treatment of endometriosis, with intermittent cramping, pelvic pain...
AF | PDBR | CY2012 | PD2012 00788
In an addendum to the MEB dated August, 2001 approximately 8 months prior to separation, the physician who performed the last surgery, stated that on his exam done about 11 months prior to separation, the CI had mild impingement and “near full range-of-motion of the right shoulder”and no pain, although she reported “activity-related subacromial bursitis type symptoms with aching.”The physical exam at the time of the addendum by the orthopedic provider, documented ROM as flexion to 90...
AF | PDBR | CY2009 | PD2009-00557
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for continued Naval service, and separated at 20% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy and Department of Defense regulations. It also noted markedly decreased strength of the left hand. The Board also considered Left Knee Pain and unanimously determined that this condition was not unfitting at the time of separation from service and therefore no...
AF | PDBR | CY2009 | PD2009-00218
The condition was determined to be medically unacceptable and the CI was referred to the Physical Evaluation Board (PEB), found unfit for continued military service, and separated at 20% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. Additional 5 degrees loss ROM with repeated motion; 5/5 motor; negative straight leg raise; decrease in sensation to pinprick and light touch on left leg and great...
AF | PDBR | CY2012 | PD2012 01755
Ratings for unfitting conditions will be reviewed in all cases.The rated, unfitting condition of bilateral foot painas well as Raynaud’sphenomenon, low back pain (LBP), left knee retropatellar pain syndrome (RPPS), hemorrhoids, cervical dysplasia, pelvic pain, and bilateral wrist pain conditions as requested for consideration meet the criteria prescribed in DoDI 6040.44 for Board purview.Any conditions or contention not requested in this application, or otherwise outside the Board’s defined...
AF | PDBR | CY2009 | PD2009-00437
CI requested increased rating for RSD left lower extremity and bilateral carpal tunnel syndrome. The member further contends her Reflex Sympathetic Dystrophy (RSD) of the left lower extremity is best rated at Severe, 30% under VASRD Code 8799-8721; to add bilateral Carpal Tunnel Syndrome under VASRD Code 8799-8712, best characterized as Mild as a Category I Unfitting Condition with a disability rating of 10%; and to place Capt B--- on the Temporary Disability Retired List with a combined...
AF | PDBR | CY2012 | PD2012 01761
The hand condition, characterized as “Complex regional pain syndrome not sympathetically maintained”, was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditions were submitted by the MEB.The PEB adjudicated the hand conditionas unfitting and rated 20%.The CI made no appeals and was medically separated. Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record Physical Disability Board of Review
AF | PDBR | CY2012 | PD-2012-00025
Right Wrist Condition . The CI was evaluated by multiple orthopedic specialists and after the MEB examination underwent repeat surgery for the OCD on 3 February 2005.A PT note on 15 August 2005 noted the CI reported doing “pretty well,” with improved ability to walk and decreased pain.At the MEB examinationthe CI reported right ankle pain. At a VA outpatient physical medicine evaluation on 9 November 2005, 2 months after separation, the CI reported right ankle pain despite two surgeries...
AF | PDBR | CY2011 | PD2011-00704
The PEB adjudicated the chronic left arm and neck pain as unfitting, rated 40%, with application of the Veterans Administration Schedule for Rating Disability (VASRD) and placed the CI on the Temporary Disability Retired List (TDRL). The TDRL evaluation orthopedic NARSUM summarizes the clinical history that included a diagnosis of regional pain syndrome of the left upper extremity. The Board noted the PEB rated the unfitting left shoulder pain condition IAW with the USPDA pain policy, and...