15-17 619

CourtBoard of Veterans' Appeals
DecidedMay 31, 2019
Docket15-17 619
StatusUnpublished

This text of 15-17 619 (15-17 619) is published on Counsel Stack Legal Research, covering Board of Veterans' Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
15-17 619, (bva 2019).

Opinion

Citation Nr: 19142240 Decision Date: 05/31/19 Archive Date: 05/31/19

DOCKET NO. 15-17 619 DATE: May 31, 2019

ORDER

Entitlement to an initial disability rating of 60 percent, but no higher, for chronic eosinophilic pneumonia, asthma is granted.

Entitlement to an initial disability rating in excess of 70 percent for adjustment disorder with mixed anxiety and depressed mood also claimed as major depressive disorder is denied.

FINDINGS OF FACT

1. The Veteran’s chronic eosinophilic pneumonia, asthma manifested in symptoms including intermittent courses of systemic oral corticosteroids and unfulfilled monthly visits to a physician for required care of exacerbations.

2. The Veteran’s adjustment disorder with mixed anxiety and depressed mood also claimed as major depressive disorder manifested in symptoms productive of occupational or social impairment with deficiencies in most areas due to symptoms such as suicidal ideation, near continuous depression, difficulty in adapting to stressful circumstances, but not total occupational and social impairment.

CONCLUSIONS OF LAW

1. The criteria for an initial disability rating of 60 percent, but no higher, for chronic eosinophilic pneumonia, asthma have been satisfied. 38 U.S.C. §§ 1155, 5107; 38 C.F.R. §§ 3.321, 4.1, 4.3, 4.7, 4.10, 4.21, 4.97, DC 6602.

2. The criteria for entitlement to a disability rating in excess of 70 percent for adjustment disorder with mixed anxiety and depressed mood also claimed as major depressive disorder have not been satisfied. 38 U.S.C. §§ 1155, 5107; 38 C.F.R. §§ 3.321, 4.1, 4.3, 4.7, 4.10, 4.21, 4.130, DC 9440.

REASONS AND BASES FOR FINDINGS AND CONCLUSIONS

The Veteran retired after serving on active duty from July 1994 to July 2014.

1. Entitlement to an initial disability rating of 60 percent, but no higher, for chronic eosinophilic pneumonia, asthma

The Veteran contends that the 30 percent rating is not reflective of the severity of his chronic eosinophilic pneumonia, asthma. On the Veteran’s VA Form 9, he requested a rating of 60 percent and the Board finds that, based on the evidence, a 60 percent disability rating is warranted.

Disability ratings are determined by applying the criteria set forth in VA’s Schedule for Rating Disabilities (Rating Schedule), which is based on the average impairment of earning capacity. Individual disabilities are assigned separate diagnostic codes. 38 U.S.C. § 1155; 38 C.F.R. § 4.1. The basis of disability evaluations is the ability of the body as a whole, or of the psyche, or of a system or organ of the body to function under the ordinary conditions of daily life including employment. 38 C.F.R. § 4.10.

If there is a question as to which evaluation to apply to the Veteran’s disability, the higher evaluation will be assigned if the disability picture more nearly approximates the criteria for that rating. Otherwise, the lower rating will be assigned. 38 C.F.R. § 4.7. When reasonable doubt arises as to the degree of disability, such doubt will be resolved in the Veteran’s favor. 38 C.F.R. § 4.3.

Pertinent regulations do not require that all cases show all findings specified by the Rating Schedule, but that findings are sufficiently characteristic to identify the disease and the resulting disability and coordination of rating with impairment of function. 38 C.F.R. § 4.21. Therefore, the Board has considered the potential application of various other provisions of the regulations governing VA benefits, whether or not they were raised by the Veteran, as well as the entire history of his disability in reaching its decision. Schafrath v. Derwinski, 1 Vet. App. 589, 595 (1991).

In considering the severity of a disability, it is essential to trace the medical history of the veteran. 38 C.F.R. §§ 4.1, 4.2, 4.41. Consideration of the whole-recorded history is necessary so that a rating may accurately reflect the elements of any disability present. 38 C.F.R. § 4.2; Peyton v. Derwinski, 1 Vet. App. 282 (1991). Where entitlement to compensation has already been established and an increase in the disability rating is at issue, the present level of disability is of primary concern. Although a rating specialist is directed to review the recorded history of a disability in order to make a more accurate evaluation, see 38 C.F.R. § 4.2, the regulations do not give past medical reports precedence over current findings. Francisco v. Brown, 7 Vet. App. 55 (1994).

“The relevant temporal focus for adjudicating an increased-rating claim is on the evidence concerning the state of the disability from the time period one year before the claim was filed until VA makes a final decision on the claim.” Hart v. Mansfield, 21 Vet. App. 505, 509 (2007). The relevant time period for consideration in a claim for an increased initial disability rating is the period beginning on the date that the claim for service connection was filed. Moore v. Nicholson, 21 Vet. App. 211, 216-17 (2007).

The Board must also assess the competence and credibility of lay statements and testimony. Barr v. Nicholson, 21 Vet. App. 303, 308 (2007). In increased rating claims, a Veteran’s lay statements alone, absent a negative credibility determination, may constitute competent evidence of worsening, at least with respect to observable symptoms. See Vazquez-Flores v. Shinseki, 24 Vet. App. 94, 102 (2010), rev’d on other grounds by Vazquez-Flores v. Shinseki, 580 F.3d 1270, 1277 (Fed. Cir. 2009).

In general, all disabilities, including those arising from a single disease entity, are rated separately, and all disability ratings are then combined in accordance with 38 C.F.R. § 4.25. However, pyramiding, or evaluating the same manifestation of a disability under different diagnostic codes, is to be avoided. See 38 C.F.R. § 4.14 (2017). Thus, separate ratings under different diagnostic codes are only permitted if, for example, those separate ratings are assigned based on manifestations of the Veteran’s disability that are separate and apart from manifestations for which the Veteran has already been rated. Esteban v. Brown, 6 Vet. App. 259, 261 (1994).

The Veteran separated from active service on July 31, 2014 and his claim for entitlement to service connection for asthma was made within one year of separation.

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Related

Vazquez-Flores v. Shinseki
580 F.3d 1270 (Federal Circuit, 2009)
Mauerhan v. Principi
16 Vet. App. 436 (Veterans Claims, 2002)
James P. Barr v. R. James Nicholson
21 Vet. App. 303 (Veterans Claims, 2007)
Dwayne A. Moore v. R. James Nicholson
21 Vet. App. 211 (Veterans Claims, 2007)
Brian J. Hart v. Gordon H. Mansfield
21 Vet. App. 505 (Veterans Claims, 2007)
Angel Vazquez-Flores v. Eric K. Shinseki
24 Vet. App. 94 (Veterans Claims, 2010)
Genaro Vazquez-Claudio v. Shinseki
713 F.3d 112 (Federal Circuit, 2013)
Peyton v. Derwinski
1 Vet. App. 282 (Veterans Claims, 1991)
Schafrath v. Derwinski
1 Vet. App. 589 (Veterans Claims, 1991)
Esteban v. Brown
6 Vet. App. 259 (Veterans Claims, 1994)
Francisco v. Brown
7 Vet. App. 55 (Veterans Claims, 1994)

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