200330-86041

CourtBoard of Veterans' Appeals
DecidedMarch 31, 2021
Docket200330-86041
StatusUnpublished

This text of 200330-86041 (200330-86041) 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
200330-86041, (bva 2021).

Opinion

Citation Nr: AXXXXXXXX Decision Date: 03/31/21 Archive Date: 03/31/21

DOCKET NO. 200330-86041 DATE: March 31, 2021

ORDER

Severance being proper, restoration of service connection for the Veteran’s corneal scar of the left eye associated with herpetic keratosis of the left eye, healed; effective October 1, 2018; is denied.

Entitlement to a disability rating in excess of 50 percent prior to September 28, 2018 for posttraumatic stress disorder (PTSD) with alcohol disorder; is denied.

Entitlement to a disability rating of 70 percent from September 28, 2018 through October 28, 2020 for PTSD with alcohol disorder; is granted.

Entitlement to a disability rating in excess of 70 percent from September 28, 2018 for PTSD with alcohol disorder; is denied.

REMANDED

Entitlement to a compensable disability rating for herpetic keratosis of the left eye, healed; with corneal scar of the left eye; is remanded.

Entitlement to total disability rating based on individual unemployability (TDIU) is remanded.

FINDINGS OF FACT

1. The Veteran’s corneal scar of the left eye is not a visible skin condition but rather an eye disease.

2. Prior to September 28, 2018; the severity, frequency, and duration of the Veteran’s PTSD symptoms did not more closely approximate occupational and social impairment with deficiencies in most areas.

3. From September 28, 2018; the severity, frequency, and duration of the Veteran’s PTSD symptoms did more closely approximate occupational and social impairment with deficiencies in most areas.

4. From September 28, 2018; the severity, frequency, and duration of the Veteran’s PTSD symptoms did not more closely approximate total occupational and social impairment.

CONCLUSIONS OF LAW

1. The severance of service connection for the Veteran’s corneal scar of the left eye was proper. 38 U.S.C. § 5112; 38 C.F.R. § 3.105.

2. The criteria for a disability rating in excess of 50 percent for PTSD prior to September 28, 2018; have not been met. 38 U.S.C. §§ 1155, 5107; 38 C.F.R. §§ 4.1, 4.3, 4.7, 4.126, 4.130, Diagnostic Code 9411.

3. The criteria for a disability rating of 70 percent for PTSD from September 28, 2018 through October 28, 2020; have been met. 38 U.S.C. §§ 1155, 5107; 38 C.F.R. §§ 4.1, 4.3, 4.7, 4.126, 4.130, Diagnostic Code 9411.

4. The criteria for a disability rating in excess of 70 percent for PTSD from September 28, 2018; have not been met. 38 U.S.C. §§ 1155, 5107; 38 C.F.R. §§ 4.1, 4.3, 4.7, 4.126, 4.130, Diagnostic Code 9411.

REASONS AND BASES FOR FINDINGS AND CONCLUSIONS

The Veteran served on active duty in the United States Marine Corps from October 1965 until his honorable discharge in October 1969.

These matters come before the Board of Veterans’ Appeals (Board) on appeal from a July 2018 rating decision (August 1, 2018 notification) by the Regional Office (RO) of the United States Department of Veterans Affairs (VA).

As a preliminary matter, the Board notes that the Veteran perfected his appeal from the March 2020 Statement of the Case by filing a Decision Review Request: Board Appeal (Notice of Disagreement) (VA Form 10182) on March 30, 2020; opting into the Appeals Modernization Act (AMA). Within the March 30, 2020 VA Form 10182, the Veteran elected to have a hearing before a Veterans Law Judge and appealed the issues of the disability rating for PTSD, the disability for herpes scar on the center of the eye, Reverse of CUE for Eye [presumably the severance of service connection], and entitlement to TDIU.

In May 2020, the Veteran filed a subsequent VA Form 10182 electing a Direct Review by a Veterans Law Judge, effectively withdrawing his request for a hearing for the same issues on appeal from the March 2020 Statement of the Case. The Veteran was notified in the July 2020 correspondence that the appeal was changed from the hearing request docket to the direct review docket. See July 22, 2020 correspondence.

The following day, May 7, 2020, VA received an Appeal to Board of Veterans’ Appeals (VA Form 9) dated March 29, 2020; appealing the March 2020 Statement of the Case, electing not to have an optional Board hearing and providing arguments for his appeals. Because the Veteran already opted into the AMA by previously filing a VA Form 10182 in March 2020, the Veteran no longer has an option to appeal under the Legacy system. However, the Board shall consider the arguments submitted within the May 2020 VA Form 9.

Severance

Service connection will be severed only where evidence establishes that it is clearly and unmistakably erroneous (CUE) (the burden of proof being on the Government). 38 C.F.R. § 3.105(d).

When severance of service connection is considered warranted, a rating proposing severance will be prepared setting forth all material facts and reasons. The claimant will be notified at his or her last address of record of the contemplated action and furnished detailed reason(s) therefor and will be given 60 days for the presentation of additional evidence to show that service connection should be maintained. Unless otherwise provided in paragraph (i) of this section, if additional evidence is not received within that period, final rating action will be taken and the award will be reduced or discontinued, if in order, effective the last day of the month in which a 60-day period from the date of notice to the beneficiary of the final rating expires. 38 C.F.R. § 3.105(d).

A change in diagnosis may be accepted as a basis for severance action if the examining physician or physicians or other proper medical authority certifies that, in the light of all accumulated evidence, the diagnosis on which service connection was predicated is clearly erroneous. This certification must be accompanied by a summary of the facts, findings, and reasons supporting the conclusion. 38 C.F.R. § 3.105(d).

To establish that a grant of service connection was the product of CUE, VA must show that (1) either the correct facts as they were known at the time were not before the adjudicator, the adjudicator made an erroneous factual finding, or the statutory or regulatory provisions were incorrectly applied; (2) the alleged error was undebatable, not merely a disagreement as to how the facts were weighed or evaluated; and (3) the error manifestly changed the outcome of the prior decision. See Allen v. Nicholson, 21 Vet. App. 54, 58-59 (2007); Stallworth v. Nicholson, 20 Vet. App. 482, 487-88 (2006); cf. Bustos v. West, 179 F.3d 1378, 1380-81 (Fed. Cir. 1999); Damrel v. Brown, 6 Vet. App. 242, 245 (1994); Russell v. Principi, 3 Vet. App. 310, 313-14, 319 (1992) (en banc).

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200330-86041, Counsel Stack Legal Research, https://law.counselstack.com/opinion/200330-86041-bva-2021.