181010-624

CourtBoard of Veterans' Appeals
DecidedMarch 19, 2019
Docket181010-624
StatusUnpublished

This text of 181010-624 (181010-624) 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
181010-624, (bva 2019).

Opinion

Citation Nr: AXXXXXXXX Decision Date: 03/19/19 Archive Date: 03/19/19

DOCKET NO. 181010-624 DATE: March 19, 2019

ORDER

Entitlement to an initial 10 percent disability for residuals of a right ankle strain is granted, subject to the regulations applicable to the payment of monetary benefits.

Entitlement to service connection for spondylosis of the cervical spine and cervical spine strain is granted.

Entitlement to service connection for lumbosacral strain, spondylosis of the lumbar spine, and lumbago is granted.

FINDINGS OF FACT

1. Throughout the entire appeal period, the Veteran’s right ankle disability was manifested by instability and moderate limited range of motion.

2. Resolving reasonable doubt in the Veteran’s favor, her cervical spine spondylosis manifested to a compensable degree within one year of her separation from service and is not attributable to intercurrent causes.

3. Resolving reasonable doubt in the Veteran’s favor, her cervical spine strain was incurred in active military service.

4. Resolving reasonable doubt in the Veteran’s favor, her current lumbar spine disability was incurred in active military service.

CONCLUSIONS OF LAW

1. The criteria for an initial disability rating of 10 percent for residuals of a right ankle strain have been met. 38 U.S.C. §§ 1155, 5103, 5103A, 5107; 38 C.F.R. §§ 3.102, 3.159, 3.321, 3.326(a), 4.7, 4.10, 4.14, 4.21, 4.40, 4.45, 4.59, 4.71a, Diagnostic Code 5271, 5262.

2. The criteria for entitlement to service connection for cervical spine strain, spondylosis of the cervical spine, are met. 38 U.S.C. §§ 1101, 1112, 1113, 1131, 5107; 38 C.F.R. §§ 3.102, 3.303, 3.307, 3.309, 3.310.

3. The criteria for entitlement to service connection for lumbosacral strain, spondylosis of the lumbar spine, and lumbago are met. 38 U.S.C. §§ 1101, 1112, 1113, 1131, 5107; 38 C.F.R. §§ 3.102, 3.303, 3.307, 3.309, 3.310.

REASONS AND BASES FOR FINDINGS AND CONCLUSIONS

On August 23, 2017, the President signed into law the Veterans Appeals Improvement and Modernization Act, Pub. L. No. 115-55 (to be codified as amended in scattered sections of 38 U.S.C.), 131 Stat. 1105 (2017), also known as the Appeals Modernization Act (AMA). This law creates a new framework for Veterans dissatisfied with the Department of Veterans Affairs’ (VA) decision on their claim to seek review. The Veteran chose to participate in VA’s test program RAMP, the Rapid Appeals Modernization Program. This decision has been written consistent with the new AMA framework.

The Veteran served on active duty from May 1998 to December 2005. The Veteran selected the Supplemental Claim lane when submitted the RAMP election form. Accordingly, the August 2018 RAMP rating decision considered the evidence of record prior to the issuance of the RAMP rating decision, The Veteran timely appealed this RAMP rating decision to the Board of Veterans Appeals (Board) and requested direct review of the evidence considered by the Agency of Original Jurisdiction (AOJ).

In the August 2018 RAMP decision, the AOJ found that new and relevant evidence was submitted to warrant readjudication of the claim for a compensable disability rating for the service-connected ankle sprain, service connection for low back sprain, degenerative disc disease of the lumbar spine, cervical spine sprain, and degenerative disc disease of the cervical spine. The Board is bound by these favorable findings. AMA, Pub. L. No. 115-55 § 5104A, 131 Stat. 1105, 1106-07.

1. Entitlement to an initial compensable disability rating for residuals of a right ankle strain

The Veteran contends that she is entitled to a compensable disability rating for her right ankle strain. The Veteran’s right ankle disability is currently rated non-compensable effective January 29, 2013. The Board notes that this is a claim for an initial compensable disability rating.

Disability ratings are determined by applying the criteria set forth in the VA’s Schedule for Rating Disabilities, 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.

In determining the severity of a disability, the Board is required to consider 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 the Veteran’s disability. 38 C.F.R. § 4.1, 4.2; Schafrath v. Derwinski, 1 Vet. App. 589, 595. If the disability more closely approximates the criteria for the higher of two ratings, the higher rating will be assigned; otherwise, the lower rating is assigned. 38 C.F.R. § 4.7. When after careful consideration of all procurable and assembled data, a reasonable doubt arises regarding the degree of disability such doubt will be resolved in favor of the claimant. 38 C.F.R. § 4.3.

The evaluation of the same disability under several diagnostic codes, known as pyramiding, must be avoided. 38 C.F.R. § 4.14. Separate ratings may be assigned for distinct disabilities resulting from the same injury so long as the symptomatology for one condition is not duplicative of or overlapping with the symptomatology of the other condition. Id.

Disability of the musculoskeletal system is primarily the inability, due to damage or infection in parts of the system, to perform the normal working movements of the body with normal excursion, strength, speed, coordination, and endurance. It is essential that the examination upon which ratings are based adequately portray the anatomical damage, and the functional loss, with respect to all these elements. The functional loss may be due to absence of part, or all, of the necessary bones, joints and muscles, or associated structures, or to deformity, adhesions, defective innervations, or other pathology, or it may be due to pain, supported by adequate pathology and evidenced by the visible behavior of the claimant undertaking the motion. Weakness is as important as limitation of motion, and a part that becomes painful on use must be regarded as seriously disabled. A little used part of the musculoskeletal system may be expected to show evidence of disuse, either through atrophy, the condition of the skin, absence of normal callosity or the like. 38 C.F.R.

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181010-624, Counsel Stack Legal Research, https://law.counselstack.com/opinion/181010-624-bva-2019.