IN THE CASE OF:
BOARD DATE: 29 November 2012
DOCKET NUMBER: AR20120003331
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 that he be granted a disability rating for his back injury.
2. The applicant states that he had a few ER visits due to having back pain to the point that he could not walk anymore. He goes on to state that he tried to get his leaderships help in getting him an exam on his back so that he could get a diagnosis but it was never done; however, he went straight to the Department of Veterans Affairs (VA) and they made their findings.
3. The applicant provides copies of his medical treatment records.
CONSIDERATION OF EVIDENCE:
1. The applicant enlisted in the Regular Army on 14 February 2008 for a period of 3 years and 20 weeks. He completed basic training at Fort Jackson, South Carolina and advanced individual training as a supply specialist at Fort Lee, Virginia before being transferred to Korea for a 1-year tour. He completed his tour and was transferred to Fort Lewis, Washington.
2. On 18 November 2010, a Medical Evaluation Board (MEB) at Madigan Army Medical Center evaluated the applicants diagnosed medical conditions of chronic knee pain, lumbar strain, insomnia, and bee sting allergy. The MEB determined that his chronic knee pain existed prior to service (EPTS), but it was aggravated by his service. It also determined that his lumbar strain and insomnia were incurred during service and that his bee sting allergy was an EPTS condition. Additionally, the MEB determined that his lumbar strain, insomnia, and bee sting allergy met retention standards. The MEB recommended that he be referred to a Physical Evaluation Board (PEB). The applicant agreed with the findings and recommendation of the MEB.
3. On 10 January 2011, a PEB convened at Fort Lewis, Washington and determined that his left knee pain residual injury and surgical intervention was an EPTS condition; but it was aggravated by service. The PEB also determined that his conditions of lumbar strain and insomnia met retention standards and that his condition of bee sting allergy was not compensable. The PEB determined that he was physically unfit and recommended that the disposition of his case be delayed pending a VA rating.
4. On 24 January 2011, the VA made a disability determination under the Disability Evaluation System (DES) Pilot Program, a joint initiative between the Department of Defense (DoD) and the VA. The disability determination was prepared to assign evaluations to service members unfit condition for use by DoD in determining a final disposition for unfit conditions as well as to determine the members potential entitlement to VA disability compensation. The VA proposed a 10% disability rating for the PEB-referred condition (his left knee condition) and a service-connected 10% disability rating for lumbar strain (low back pain) for a combined 20% disability rating.
5. On 3 February 2011, the PEB determined that he should be granted a 10% disability rating for his left knee condition and recommended that he be separated with severance pay. The applicant concurred with the findings and recommendations of the PEB and waived a formal hearing of his case.
6. On 19 May 2011, the applicant was honorably discharged under the provisions of Army Regulation 635-40, chapter 4, due to disability severance pay, non-combat (Enhanced) with a 10% disability rating, and $12,704.40 in severance pay. He had completed 3 years, 3 months, and 6 days of active service.
7. Army Regulation 635-40 governs the evaluation of physical fitness of Soldiers who may be unfit to perform their military duties because of physical disability. It states there is no legal requirement in arriving at the rated degree of incapacity to rate a physical condition which is not in itself considered disqualifying for military service when a Soldier is found unfit because of another condition that is disqualifying. Only the unfitting conditions or defects and those which contribute to unfitness will be considered in arriving at the rated degree of incapacity warranting retirement or separation for disability.
8. Title 38, U.S. Code, sections 310 and 331, permits 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.
9. There is a difference between the VA and the Army disability systems. The Armys determination of a Soldiers physical fitness or unfitness is a factual finding based upon the individuals ability to perform the duties of his or her grade, rank or rating. If the Soldier is found to be physically unfit, a disability rating is awarded by the Army and is permanent in nature. The Army system requires that the Soldier only be rated as the condition(s) exist(s) at the time of the PEB hearing. The VA may find a Soldier unfit by reason of service-connected disability and may even initially assign a higher rating. The VAs ratings are based upon an individuals ability to gain employment as a civilian and may fluctuate within a period of time depending on the changes in the disability.
DISCUSSION AND CONCLUSIONS:
1. In the absence of evidence to show the applicants disability was not properly rated in accordance with the VA Schedule for Rating Disabilities and his separation action was not in compliance with laws and regulations in effect at the time, there appears to be no basis to grant his request.
2. The MEB diagnosed the applicant with four conditions; however, it found that three of the conditions -- lumbar strain, insomnia, and bee sting allergy -- met retention standards. The applicant agreed with the findings of the MEB.
3. The applicant was found unfit for duty for his one unfitting condition -- knee pain -- as it existed at the time of his PEB hearing. Department of the Army disability decisions are based on observations and determinations existing at the time of the PEB hearing. His PEB proceedings indicate at the time that his back condition was not unfitting for service.
4. The applicant has not provided sufficient evidence to show he was not afforded proper disability processing or that the evaluation and the rating rendered by the PEB were incorrect.
5. The fact that the VA, in its discretion, may have awarded the applicant a higher disability rating or awarded service connection for a condition that the Army did not find to be unfitting is a prerogative exercised within the policies of that agency. It does not, in itself, establish any entitlement to additional disability compensation or medical retirement from the Army.
6. In view of the foregoing, there is an insufficient basis for granting the applicant's requested relief.
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) AR20120003331
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ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
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ABCMR Record of Proceedings (cont) AR20120003331
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ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
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AF | PDBR | CY2011 | PD2011-00287
The PEB combined back pain, right knee pain and left knee pain as a single unfitting condition, coded analogously to 5003 and rated 0%. It was concluded, however, that the normal ROM documented by the MEB and the minimally impaired ROMs (without painful motion) documented on the post-separation VA C&P examination would not support application of that code; and, furthermore, would not justify a compensable rating if it were applied. In the matter of the back and left knee condition, the...
AF | PDBR | CY2012 | PD 2012 00508
Chronic Neck Pain Condition: The PEB determined this condition was unfitting but was also EPTS and not aggravated by service. Both prior service and service disability ratings are determined IAW the VASRD §4.3 (reasonable doubt) standard and the final disability percent rating is determined by deducting the prior service rating from the service rating. The C&P examination used to determine the 30% disability rating was based on an exam completed more than a year prior to separation and the...
AF | PDBR | CY2013 | PD2013 02110
His also complained of sleep issues,which were considered to meet retention standards. Surgery was not indicated.The MEB separation examination on 5 May 2009 (6 months prior to separation) noted no back tenderness or muscle spasm. The VA examination meanwhile showed completely normal ROM and no additional limitation after repetition.
AF | PDBR | CY2011 | PD2011-00033
The Informal PEB adjudicated the right knee ACL instability existed prior to service (EPTS) and right knee medial meniscus tear and lateral meniscus tear conditions as unfitting, combined under a single code and rated 20% with likely application of the US Army Physical Disability Agency (USAPDA) pain policy, Department of Defense Instruction (DoDI) 1332.39 and Veteran’s Administration Schedule of Rating Disabilities (VASRD). ConditionCodeRatingConditionCodeRatingExam Right Knee ACL...
AF | PDBR | CY2010 | PD2010-01227
After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt), the Board recommends a separation rating of 10% for the chronic right shoulder pain condition, coded as 5299-5024. Other PEB Conditions . In the matter of the chronic right shoulder pain condition, the Board unanimously recommends a rating of 10% coded 5299-5024 IAW VASRD §4.71a.
AF | PDBR | CY2012 | PD 2012 00191
The CI was then medically separated with a 20% combined disability rating. A C&P examination on 15 April 2006, 6 months after separation, for the ankles and knees noted that the CI had most of his pain in the knees and ankles, but that the hips and back were also involved. The Board determined that the MEB examination and ROM better fit the condition of the CI at the time of separation.
AF | PDBR | CY2013 | PD-2013-02196
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. ROM limited by pain Pain with repetition. With a normal gait, non-tender MEB examination (but tender VA examination), normal X-rays, and lack of abnormal wear from weight bearing, the Board found no route to a rating...
AF | PDBR | CY2010 | PD2010-01261
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...
AF | PDBR | CY2009 | PD2009-00623
The PEB determined the s/p ACL reconstruction left knee to be a unfitting condition, rated at 10%, and that bilateral knee pain was a related, but not separately unfitting (category II) condition, with application of the SECNAVINST 1850.4E and DoDI 1332.3. The Board noted that the painful limitation of ROM, noted on some exams, was sufficient for rating IAW §4.59 (painful motion). Other PEB Conditions .
AF | PDBR | CY2011 | PD2011-00465
The Board evaluates VA 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 Board first considered the unfitting left shoulder condition. The Board, therefore, recommends that it be rated as an additionally unfitting condition.