VA - (~30 Mos. Post-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Right Vocal Cord Paralysis | 6516 | 10% | Right Vocal Cord Paralysis | 6516 | 10% | 20080716 | |
Chronic Radiating Neck… | 5241 | 0% | DDD, C6-7, w/Spondylosis | 5243 | 20% | 20080716 | |
Chronic Left Shoulder Pain | 5099-5003 | 0% | Frozen Shoulder Syndrome, S/P Anthrax Vaccine | 5201 | 20% | 20080716 | |
CAD | 7005 | ---% | CAD, S/P MI and CABG | 7017 | 10% | 20080716 | |
Depression | Not Unfitting | Depression Secondary… | 9499-9434 | 10% | 20080724 | ||
OSA | Not Unfitting | Sleep Apnea | 6847 | 50% | 20090615 | ||
Other x 1 | 20080716 | ||||||
Combined: 60% |
Cervical ROM (Degrees) |
MEB ~4 Mo. Pre-Sep | PT ~2 Mo. Pre-Sep | VA C&P ~30 Mo. Post-Sep |
Flex (45 Normal) | FROM | 5 | 30 |
Combined (340) | FROM | 110 | # |
Comment | FROM with pain | Motions limited by pain | L Lat Flexion elicits pain |
§4.71a Rating | 10% | 30% | 20% |
UNFITTING CONDITION | VASRD CODE | RATING |
Coronary artery disease | 7005 | --- |
Chronic left shoulder pain | 5299-5201 | 10% |
Chronic radiating neck pain and left hand paresthesias | 5241 | 30% |
Right vocal cord paralysis | 6516 | 10% |
COMBINED | 40% |
AF | PDBR | CY2012 | PD2012-00343
The MEB forwarded only one condition; “Cervical spondylosis and multilevel degenerative disk disease with previous radicular and myelopathic signs.” The Physical Evaluation Board (PEB) adjudicated the chronic radiating neck and shoulder pain condition as unfitting, rated 0% with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in evaluating the...
AF | PDBR | CY2011 | PD2011-00409
Flex (0-45)No goniometrics45° (50°, 52°, 56°)35⁰*Ext (0-45)No goniometrics45° (50°, 50°, 52°)45⁰R Lat Flex (0-45)No goniometrics35° (35°, 40°, 45°)40⁰*L Lat Flex (0-45)No goniometrics35° (35°, 40°, 45°)40⁰*R Rotation (0-80)No goniometrics50° (52°, 54°, 56°)80⁰L Rotation (0-80)No goniometrics50° (52°, 54°, 56°)60⁰*COMBINED (340)260⁰300⁰C-spine MRI- degenerative disc disease, osteoarthropathyTenderness centrally C3-7; Mild paraspinal tenderness; sharp pain with lateral left bending; Mild pain...
AF | PDBR | CY2012 | PD2012-01305
As reflected in the cervical spine ROM chart above, at the time of separation, the CI had a moderate to severe limitation of motion in her cervical spine. The data contained in the NARSUM, the PEB requested addendum, the MEB history and exam and the C&P exam documented in the chronic neck pain section above equally applies to the right arm radiculopathy condition discussed below. They later changed the code to 8513 and rated it 40% for a moderate paralysis of all radicular groups in the...
AF | PDBR | CY2011 | PD2011-01020
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E-4 (88M10 / Motor Transport), medically separated for chronic neck pain operative residuals for left C7 radiculopathy with C4/5 and C5/6 degenerative disc disease (DDD). ConditionCodeRatingConditionCodeRatingExam Chronic Neck Pain …5099-50030%Status Post Cervical Spine Fusion Secondary to Large Osteophytes and Spine Stenosis of Cervical...
AF | PDBR | CY2013 | PD2013 00003
The Board considered whether an additional rating could be recommended under a peripheral nerve code for cervical radiculopathy. Examination revealed slow and guarded ambulation, normal posture and gait with slight increase in lumbar lordosis, there was paraspinal muscle tenderness and spasm, positive straight leg raising test, pain throughout the thoracolumbar ROM, normal lower extremity motor and sensory examination. SUBJECT: Department of Defense Physical Disability Board of Review...
AF | PDBR | CY2014 | PD-2014-01099
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Bilateral Lower Leg Pains… 5099-50220%Chronic Shin Splints, Right Lower Extremity 5299-52620%20070308Chronic Shin Splints, Left Lower Extremity5299-52620%20070308Adjustment Disorder with Anxious MoodNot UnfittingAdjustment Disorder with Anxious Mood (also Claimed as Anxiety)9435-944030%20070531Personality DisorderNot UnfittingNo Diagnosis20070531Vocal Cord DyskinesiaNot UnfittingVocal Cord Dysfunction -...
AF | PDBR | CY2011 | PD2011-00251
Chronic Neck Pain Condition . Other PEB Conditions . Service Treatment Record
AF | PDBR | CY2012 | PD2012 01381
The rating for the unfitting cervical spine condition is addressed below;no additional conditions are within the DoDI 6040.44 defined purview of the Board. At both the MEB and May 2002 VA exams the CI reported neck and right arm pain and numbness of the right arm with occasional problems dropping things; both exams showed decreased, painful cervical ROM with mildly decreased right hand strength noted,with decreased sensation also noted in the VA exam. xxPresident Physical Disability Board...
AF | PDBR | CY2011 | PD2011-00800
The PEB adjudicated the cervical spondylosis with neck pain and chronic mild left arm conditions as unfitting, rated at 20% for mild, incomplete paralysis. Magnetic Resonance Imaging (MRI) was performed in 2002 and although the radiologist’s report is not present in the record, both the original MEB NARSUM in May 2002 and the updated MEB NARSUM in December 2002 noted this test documented diffuse spondylitic changes from C3-4 to C6-7, severe spinal stenosis at C5-6, moderate spinal stenosis...
AF | PDBR | CY2014 | PD-2014-00909
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 Board next considered if there was evidence of a functionally impairing radiculopathy due to the low back condition to provide additional rating. The Board considered the evidence in record supports thatthe CI’s...