VA* (~7 Mo. After TDRL placement**) | ||||||||
Code | Rating | Condition | Code | Rating | Exam | |||
TDRL | Sep. | |||||||
Cognitive Disorder (original Closed Head Injury …) | 8045 9327 9305 | 70% | 10% | Cognitive Disorder NOS, Mood Disorder Due to Closed Head Injury (Competent) | 8045-9435 | 30% | 20020814 | |
Left Upper Extremity (LUE) Hemiparesis … | 8599-8513 | 20% | N/A | Mild Left Hemiparesis, LUE | 8599-8516 | 10% | 20020814 | |
Left Lower Extremity (LLE) Hemiparesis … | 8599-8520 | 10% | N/A | (LLE not rated) | -- | -- | -- | |
Other x 3 | 20020814 | |||||||
Combined: 40% |
VASRD CODE | RATING | |||
TDRL | PERMANENT | |||
Cognitive Disorder Condition | 8045-9327-9305 | 70% | 50% | |
Left Upper Extremity (LUE) Hemiparesis … | 8599-8513 | 20% | Not Unfitting | |
Left Lower Extremity (LLE) Hemiparesis … | 8599-8520 | 10% | Not Unfitting | |
80% | 50% |
AF | PDBR | CY2013 | PD-2013-01478
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. The Board therefore, with due consideration of VASRD §4.3 (reasonable doubt), recommends no change in the TDRL placement rating.The Board then turned to deliberation of a fair rating recommendation at the time of...
AF | PDBR | CY2013 | PD-2013-00146
The Board noted that the cognitive deficits of memory, concentration, attention problems and the emotional/behavioral problems of irritability and mood swingscould not be apportioned between the PTSD and TBI conditions and are subsumed in the §4.130 rating.Therefore, members agreed that the preponderance of the evidence with regard to the functional impairment of the PTSD condition (including decreased memory, attention and concentration) favors its recommendation as an unfitting condition...
AF | PDBR | CY2009 | PD2009-00431
The CI was referred to the Physical Evaluation Board (PEB), found unfit for the condition, determined unfit for continued military service and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy and Department of Defense regulations. While chronic vertigo with associated ataxia was the condition for which the CI was initially placed on TDRL, further diagnostic work-up revealed that her symptoms were due to chronic B12...
AF | PDBR | CY2009 | PD2009-00077
Although the VA rating exam cited above would yield a 30% rating, no repeat rating decision is in evidence. The VA rating examination 11 months later did not provide full goniometric ROM measurements for the thoracolumbar spine, stating the CI was too unsteady to cooperate with them. In the matter of the chronic neck pain condition, the Board unanimously recommends a rating of 20% coded 5242 IAW VASRD §4.71a.
AF | PDBR | CY2011 | PD2011-00744
RATING COMPARISON: Service IPEB – Dated 20080317 Condition Code Rating Cognitive Disorder s/p Closed Head Injury; Associated with PTSD, Depressive Disorder Migraine Headaches 8045‐9304 10% Not Unfitting VA (2 Mo. The Board noted that PEBs often combine multiple conditions under a single rating when those conditions considered individually are not separately unfitting and would not cause the member to be referred into the DES or be found unfit because of physical disability. Although the...
AF | PDBR | CY2013 | PD-2013-02198
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. Neurological examination revealed a mini mental status examination (MSE) of 30/30. The examiner opined that as a result of the accident, some of her mental symptoms were exacerbated and other new symptoms appeared.
AF | PDBR | CY2009 | PD2009-00631
The Navy Physical Evaluation Board (PEB) determined both Post Concussion Syndrome and PTSD were unfitting for continued Naval service. The cognitive impairment is objectively documented with the neuropsychological testing and cannot not be included in the 10% rating for subjective symptoms. The CI’s VA C&P examination was completed prior to separation from service.
AF | PDBR | CY2013 | PD-2013-02202
At TDRL entry, the PEB rated the condition of conversion disorder, coded 9424, at 10%. The Board further recommends a 30% permanent disability rating for the condition of somatization disorder. TDRL neurology removal examination dated 3 February 2006, approximately 17 months after TDRL entry, recorded decreased sensory in left digits four and five, and pain on palpation of the surgical scar.
AF | PDBR | CY2009 | pd2009-00563
The Board does not have the authority under DoDI 6040.44 to render fitness or rating recommendations for any conditions not considered by the DES. Exhibit C. Department of Veterans' Affairs Treatment Record. I recommend coding and rating 8599-8520 at 40% as an accurate rating of the CI's left lower extremity disability.
AF | PDBR | CY2011 | PD2011-00339
The most proximate source of comprehensive evidence on which to base the permanent rating recommendation in this case are the TDRL narrative summary (NARSUM), performed eleven months prior to TDRL exit, the FPEB testimony recorded on the FPEB rationale, the VA psychiatric exam performed four months after TDRL exit, and several VA outpatient notes within one year of TDRL exit that contribute to the CI’s impairment picture at final separation. The examiner diagnosed major depressive disorder...