181228-2051

CourtBoard of Veterans' Appeals
DecidedNovember 30, 2020
Docket181228-2051
StatusUnpublished

This text of 181228-2051 (181228-2051) 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
181228-2051, (bva 2020).

Opinion

Citation Nr: AXXXXXXXX Decision Date: 11/30/20 Archive Date: 11/30/20

DOCKET NO. 181228-2051 DATE: November 30, 2020

ORDER

A 10 percent evaluation, but no higher, for chronic headaches is granted.

A 10 percent evaluation, but no higher, for enlarged prostate with lower urinary tract symptoms is granted.

A 10 percent evaluation, but no higher, for gastroesophageal reflux disease (GERD) is granted.

REMANDED

Entitlement to service connection for a left knee disorder is remanded.

Entitlement to service connection for a right knee disorder is remanded.

Entitlement to service connection for a thoracolumbar spine disorder (claimed as thoracic, mid, and lower back pain) is remanded.

Entitlement to service connection for a neurological disorder of the left lower extremity (claimed as lower back radiating pain to the left leg), to include as secondary to claimed thoracolumbar spine disorder, is remanded.

Entitlement to service connection for right elbow disorder (claimed as pain) is remanded.

Entitlement to service connection for left elbow disorder (claimed as pain) is remanded.

Entitlement to service connection for a left foot disorder is remanded.

Entitlement to service connection for a right foot disorder is remanded.

Entitlement to service connection for left hip disorder (claimed as pain) is remanded.

Entitlement to service connection for slow transit constipation, to include as secondary to the service-connected GERD, is remanded.

FINDINGS OF FACT

1. The Veteran’s headaches more closely approximate characteristic prostrating attacks averaging one in two months over the last several months.

2. The Veteran’s enlarged prostate with lower urinary tract symptoms more closely approximates urinary frequency requiring daytime voiding interval between two and three hours or awakening to void two times per night.

3. Although the Veteran’s GERD manifests as epigastric distress with dysphagia, pyrosis, regurgitation, and is accompanied by substernal or arm or shoulder pain, these symptoms do not result in considerable impairment of health.

CONCLUSIONS OF LAW

1. The criteria for a 10 percent evaluation, but no higher, for chronic headaches are met. 38 U.S.C. §§ 1155, 5103, 5107(b); 38 C.F.R. §§ 4.1, 4.2, 4.3, 4.7, 4.10, 4.124a, Diagnostic Code 8100.

2. The criteria for a 10 percent evaluation, but no higher, for enlarged prostate with lower urinary tract symptoms are met. 38 U.S.C. §§ 1155, 5103, 5107(b); 38 C.F.R. §§ 4.1, 4.2, 4.3, 4.7, 4.10, 4.115a, 4.115b, Diagnostic Code 7527.

3. The criteria for a 10 percent evaluation, but no higher, for GERD have been met. 38 U.S.C. §§ 1155, 5103, 5107(b); 38 C.F.R. §§ 4.1, 4.2, 4.3, 4.7, 4.10, 4.114, Diagnostic Codes 7315-7346.

REASONS AND BASES FOR FINDINGS AND CONCLUSIONS

The matters come before the Board of Veterans’ Appeals (Board) on appeal from a September 2018 Rapid Appeals Modernization Program (RAMP) rating decision of a Department of Veterans Affairs (VA) Regional Office (RO). Prior to this decision, the Veteran elected to opt into RAMP via a May 2018 election form. An August 2018 letter informed the Veteran that VA had withdrawn his Legacy appeal and that it would continue the issues on appeal, under his selected Supplemental-review lane.

After the September 2018 RAMP decision, the Veteran selected the Board Hearing Docket lane under the Appeals Modernization Act (AMA) review system by submitting a new RAMP selection and VA Form 10182 (Decision Review Request: Board (Notice of Disagreement)). Thereafter, in September 2019, the Veteran testified before the undersigned. Accordingly, the Board’s current review is limited to the evidence of record at the time the Veteran opted into RAMP in May 2018, as well as his hearing testimony and within 90 days of the hearing.

Disability ratings are determined by applying a schedule of ratings that is based on average impairment of earning capacity. Separate diagnostic codes identify the various disabilities. 38 U.S.C. § 1155; 38 C.F.R., Part 4. Each disability must be viewed in relation to its history and the limitation of activity imposed by the disabling condition should be emphasized. 38 C.F.R. § 4.1. Examination reports are to be interpreted in light of the whole recorded history, and each disability must be considered from the point of view of the veteran working or seeking work. 38 C.F.R. § 4.2. All reasonable doubt will be resolved in the claimant’s favor. 38 C.F.R. § 4.3. Where there is a question as to which of two disability evaluations shall be applied, the higher evaluation is to be assigned if the disability picture more nearly approximates the criteria required for that rating. Otherwise, the lower rating is to be assigned. 38 C.F.R. § 4.7.

Separate ratings can be assigned for separate periods based on the facts found a practice known as “staged” ratings. Fenderson v. West, 12 Vet. App. 119 (1999); Hart v. Mansfield, 21 Vet. App. 505 (2007). Staged ratings are appropriate whenever the factual findings show distinct periods where the service-connected disability exhibits symptoms that would warrant different ratings. Id.

When there is an approximate balance of positive and negative evidence regarding the merits of an issue material to the determination of the matter, the benefit of the doubt in resolving each such issue shall be given to the claimant. 38 U.S.C. § 5107(b); 38 C.F.R. § 3.102. When all of the evidence is assembled, VA is responsible for determining whether the evidence supports the claim or is in relative equipoise, with the Veteran prevailing in either event, or whether a fair preponderance of the evidence is against the claim, in which case the claim is denied. Gilbert v. Derwinski, 1 Vet. App. 49 (1990).

Chronic Headaches

The Veteran asserts the severity of his service-connected chronic headaches warrant a compensable rating. His headaches are currently rated pursuant to 38 C.F.R. § 4.124a, Diagnostic Code 8100.

Diagnostic Code 8100 provides that migraine headaches with less frequent attacks are rated as noncompensable. Migraine headaches with characteristic prostrating attacks averaging one in two months over the last several months are rated at 10 percent. Migraine headaches with characteristic prostrating attacks occurring on an average once a month over the last several months are rated at 30 percent.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Bruce W. Pierce v. Anthony J. Principi
18 Vet. App. 440 (Veterans Claims, 2004)
Clarence W. Kowalski v. R. James Nicholson
19 Vet. App. 171 (Veterans Claims, 2005)
James P. Barr v. R. James Nicholson
21 Vet. App. 303 (Veterans Claims, 2007)
Brian J. Hart v. Gordon H. Mansfield
21 Vet. App. 505 (Veterans Claims, 2007)
Gilbert v. Derwinski
1 Vet. App. 49 (Veterans Claims, 1990)
Fenderson v. West
12 Vet. App. 119 (Veterans Claims, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
181228-2051, Counsel Stack Legal Research, https://law.counselstack.com/opinion/181228-2051-bva-2020.