Search Decisions

Decision Text

ARMY | BCMR | CY2010 | 20100024399
Original file (20100024399.txt) Auto-classification: Denied

		IN THE CASE OF:	

		BOARD DATE:	19 May 2011

		DOCKET NUMBER:  AR20100024399 


THE BOARD CONSIDERED THE FOLLOWING EVIDENCE:

1.  Application for correction of military records (with supporting documents provided, if any).

2.  Military Personnel Records and advisory opinions (if any).


THE APPLICANT'S REQUEST, STATEMENT, AND EVIDENCE:

1.  The applicant requests correction of his military records to show he received a medical retirement rather than the medical discharge he received due to a Physical Evaluation Board (PEB).

2.  The applicant states before he was deployed he was physically fit.  Due to his deployment injuries he has been rated 100% disabled by the Social Security Administration and rated 80% disabled by the Department of Veterans Affairs (VA). 

3.  The applicant provides his DD Form 214.

CONSIDERATION OF EVIDENCE:

1.  Title 10, U.S. Code, section 1552(b), provides that applications for correction of military records must be filed within 3 years after discovery of the alleged error or injustice.  This provision of law also allows the Army Board for Correction of Military Records (ABCMR) to excuse an applicant’s failure to timely file within the 3-year statute of limitations if the ABCMR determines it would be in the interest of justice to do so.  While it appears the applicant did not file within the time frame provided in the statute of limitations, the ABCMR has elected to conduct a substantive review of this case and, only to the extent relief, if any, is granted, has determined it is in the interest of justice to excuse the applicant’s failure to timely file.  In all other respects, there are insufficient bases to waive the statute of limitations for timely filing.
2.  On 23 May 1992, the applicant was appointed as a Reserve commissioned officer.

3.  In August 2005, he injured his right shoulder; and on 5 January 2006, he injured his knee.  Both injuries occurred while he was deployed in Afghanistan. 

4.  On 19 October 2007, a formal PEB convened to reevaluate all of the available medical records and to hear sworn testimony from the applicant.  The PEB determined the applicant was physically unfit and he was to be separated with severance pay.  Based on the established VA Schedule for Rating Disabilities (VASRD) Codes the PEB recommended the following disability percentages:

   a.  VA codes 5099 and 5003.  Chronic pain in multiple joints (1) Right ankle pain following multiple twisting injuries; (2) Right shoulder pain status post BANKART repair in 1996 and subcromial decompression and debridement of a SLAP repair in 2007.  (3) Bilateral knee pain; range of motion (ROM) measurements:  Right ankle essentially equal to left ankle, Right shoulder flexion 130 degrees and abduction 140 degrees.  Knees:  Left knee ROM 8 [Hyperextension] to 138 degrees and right knee ROM 6 [Hyperextension] to 134 degrees.  It was determined that these conditions interfered with his ability to lift heavy objects, perform in his area of concentration (AOC) and wear protective military equipment.  Rated as slight/constant.  (Medical Evaluation Board (MEBD)) diagnosis 1-3, Narrative Summary (NARSUM), physical therapy note 3 May 2007, 1 August 2007 addendum, sworn testimony and evaluee exhibits).  Recommended disability percentage 10%.

   b.  VA codes 5299 and 5242.  Degenerative disc disease without neurological deficit.  Localized tenderness present.  Range of motion limited by pain.  Unable to lift heavy objects as required by his AOC.  (MEBD diagnosis 4, NARSUM, physical therapy Note 3 May 2007, sworn testimony and evaluee exhibits).  Recommended disability percentage 10%.

5.  The PEB findings were approved on 19 October 2007.

6.  On 22 December 2007, the applicant was discharged due to physical disability with severance pay.  He had attained the rank of captain, pay grade 
O-3, and he had completed a total of 4 years, 6 months, and 1 day of creditable active service.

7.  The only records available are the PEB results dated 19 October 2007.  There is no VASRD rating for multiple joint pains per se.  U.S. Army Physical Disability Agency (USAPDA) Policy Memorandum #13 (PM #13) was used to assign the 10% rating for multiple pains.  The policy mandated a 10% rating for pain that was slight and constant.  That policy did limit the rating of 20% and has been subsequently withdrawn.  Had the PEB used the VASRD method of rating VASRD code 5003 (arthritis) the rating would have been either 20% for x-ray evidence of involvement of 2 or more major joints with occasional incapacitating exacerbations or 10% for the same x-ray involvement of 2 or more major joints without any incapacitation.  

8.  Title 10, U.S. Code, chapter 61, provides disability retirement or separation for a member who is physically unfit to perform the duties of his office, rank, grade or rating because of a disability incurred while entitled to basic pay.

9.  Title 38, U.S. Code, sections 1110 and 1131, permit the VA to award compensation for a medical condition which was incurred in or aggravated by active military service.  The VA, however, is not required by law to determine medical unfitness for further military service.  The VA, in accordance with its own policies and regulations, awards compensation solely on the basis that a medical condition exists and that said medical condition reduces or impairs the social or industrial adaptability of the individual concerned.  Consequently, due to the two concepts involved, an individual's medical condition, although not considered medically unfitting for military service at the time of processing for separation, discharge or retirement, may be sufficient to qualify the individual for VA benefits based on an evaluation by that agency.

DISCUSSION AND CONCLUSIONS:

1.  The applicant contends he should have been retired due to physical disability.

2.  The available evidence shows the applicant was medically disabled and evaluated by a PEB.  Based on the criteria established by the VASRD he was properly rated 20-percent disabled and discharged with severance pay.  The degenerative disc disease is rated by ROM.  Although the ROM findings are not provided, there is no reason to suspect that the PEB did not assign the correct rating.

3.  In this case, there is no apparent evidence of incapacitation so the use of USAPDA PM #13 yields the same percentage rating.  Without other evidence, i.e., initial PEB results, medical records, diagnosis reports, etc., it must be presumed the ratings rendered by the 19 October 2007 PEB are correct.  VASRD Code 5003 states:  Arthritis, degenerative (Hypertrophic or osteoarthritis): Degenerative arthritis established by x-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint, or joints involved.  When the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10% is for application for each major joint or group of minor joints affected by limitation of motion are to be combined not added under diagnostic code 5003."

4.  An award of a VA rating does not establish entitlement to medical retirement or separation.  The VA is not required to find unfitness for duty.  Operating under its own policies and regulations the VA awards ratings because a medical condition is related to service, i.e., service-connected.  Furthermore, the VA can evaluate a veteran throughout his lifetime adjusting the percentage of disability based upon that agency's examinations and findings.  The Army must find unfitness for duty at the time of separation before a member may be medically retired or separated.

5.  There is no apparent error or injustice in this case.

BOARD VOTE:

________  ________  ________  GRANT FULL RELIEF 

________  ________  ________  GRANT PARTIAL RELIEF 

________  ________  ________  GRANT FORMAL HEARING

____X___  ___X____  ____X___  DENY APPLICATION

BOARD DETERMINATION/RECOMMENDATION:

The evidence presented does not demonstrate the existence of a probable error or injustice.  Therefore, the Board determined that the overall merits of this case are insufficient as a basis for correction of the records of the individual concerned.



      ____________X____________
                 CHAIRPERSON
      
I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case.
ABCMR Record of Proceedings (cont)                                         AR20100012218



3


ARMY BOARD FOR CORRECTION OF MILITARY RECORDS

 RECORD OF PROCEEDINGS


1

ABCMR Record of Proceedings (cont)                                         AR20100024399



4


ARMY BOARD FOR CORRECTION OF MILITARY RECORDS

 RECORD OF PROCEEDINGS


1

Similar Decisions

  • AF | PDBR | CY2013 | PD-2013-02698

    Original file (PD-2013-02698.rtf) Auto-classification: Denied

    No other conditionwas submitted by the MEB.The Informal PEB adjudicated “left knee pain due to degenerative joint disease [DJD]” and “right ankle pain due to degenerative joint disease”as unfitting, rated 10% and 10%, citing application of the DODI and Veterans Affairs Schedule for Rating Disabilities (VASRD). Post-Separation) ConditionCodeRatingConditionCodeRatingExam Left Knee Pain due to DJD5009-500310%Left Knee Residuals, S/P ACL … 5003-526010%20090831Right Ankle Pain due to...

  • AF | PDBR | CY2011 | PD2011-00706

    Original file (PD2011-00706.docx) Auto-classification: Denied

    The PEB adjudicated the polyarthralgia condition with chronic knee, ankle, shoulder and hand pain as unfitting rated 10%, with likely application of the US Army Physical Disability Agency (USAPDA) pain policy. The rheumatology evaluations never recorded any complaint of shoulder pain, and joint examinations by the rheumatologist were normal. ROM examinations at the time of MEB and the VA C&P examination proximate to the time of separation support the 10% rating adjudicated by the PEB.

  • AF | PDBR | CY2011 | PD2011-00389

    Original file (PD2011-00389.docx) Auto-classification: Denied

    The Board evaluates DVA evidence proximal 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. The multiply-operated left knee with anteromedial knee pain, subjective instability and mechanical symptoms condition, analogously coded 5299-5003, per VASRD direction, would warrant a 10% rating as given by the PEB and the VA. With non-compensable ROM...

  • AF | PDBR | CY2013 | PD-2013-01822

    Original file (PD-2013-01822.rtf) Auto-classification: Approved

    Bilateral knee degenerative joint disease (DJD), left greater than right and left ankle pain were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Degenerative Arthritis of the Knees500310%Degenerative Joint Disease, R Knee5010-526010%20040925Degenerative Joint Disease, L Knee5010-526010%20040925Left Ankle PainNot UnfittingLeft Ankle Sprain5299-52700%20040925Other x 0 (Not in Scope)Other x 6 Rating: 10%Combined:...

  • AF | PDBR | CY2012 | PD2012-00042

    Original file (PD2012-00042.docx) Auto-classification: Approved

    Additionally, the MEB measurements are consistent with corroborating evidence; the MEB measurements are consistent with the diagnostic and clinical pathology in evidence; there is not a reasonable accounting for progressively impaired ROM in the fairly short interval between the MEB and VA examinations; therefore, based on all evidence and associated conclusions just elaborated, the Board is assigning preponderant probative value to the MEB evaluation. In accordance with VASRD code 5003...

  • AF | PDBR | CY2013 | PD2013 00497

    Original file (PD2013 00497.rtf) Auto-classification: Approved

    He had an OATS graft from the left knee to the left ankle on 12November 2002. Left Knee Pain Condition . There was no VA C&P examination proximate to the date of separation in the record due to a no-show.

  • AF | PDBR | CY2010 | PD2010-01261

    Original file (PD2010-01261.docx) Auto-classification: Denied

    The PEB adjudicated the patellofemoral syndrome bilateral as unfitting, rated 10%, with application the Veterans’ Administration Schedule for Rating Disabilities (VASRD). The PEB on 9 October 2002, three months prior to separation, found patellofemoral syndrome, bilateral, unfitting, coded 5299-5003 (arthritis, degenerative) with a rating of 10%. The VA rationale noted that the ratings were non-compensable because the C&P examination documented full ROM without pain, no instability and...

  • ARMY | BCMR | CY2008 | 20080010222

    Original file (20080010222.txt) Auto-classification: Denied

    IN THE CASE OF: BOARD DATE: 09 OCTOBER 2008 DOCKET NUMBER: AR20080010222 THE BOARD CONSIDERED THE FOLLOWING EVIDENCE: 1. The advisory opinion notes that on 1 August 2007, an informal Physical Evaluation Board (PEB) found the applicant unfit for his bilateral knee pain and rated both at zero percent in accordance with the Veterans Administration (VA) Schedule for Rating Disabilities (VASRD) code 5099-5033. However, it could have been possible to rate the applicant's knees for x-ray evidence...

  • AF | PDBR | CY2013 | PD-2013-02131

    Original file (PD-2013-02131.rtf) Auto-classification: Denied

    Therefore, the history of the injuries and immediate surgeries are presented together in an introduction, followed by separate discussions of the two residual conditions identified by the PEB and adjudicated as unfitting.The Board also noted that the MEB forwarded five RLE conditions to the PEB and the PEB characterized two unfitting conditions: “right knee pain,” which included the MEB listed conditions of right anterior cruciate ligament (ACL) avulsion, post-operative knee arthrofibrosis,...

  • AF | PDBR | CY2012 | PD 2012 00443

    Original file (PD 2012 00443.txt) Auto-classification: Approved

    The Board noted that the PEB combined the bilateral knee and ankle pain as a single unfitting condition coded 5003 and rated 10%. The Board first considered the knees and ankles to determine if they were separately unfitting and, if so, the appropriate rating. At the VA C&P examination, 4 months after separation, the CI reported bilateral ankle pain and intermittent swelling.