Many vets become aware of medical conditions that appear to be service connected. Often the vet will walk into the local Veteran Affairs Regional Office and bring a physicians letter with them hoping to be awarded a disability rating in a few months.,
As most vets know, this approach will usually results in a denial.
What vet should have done is first is to review 38 CFR, Part C and work with the physicians to define his or her disability in VA terms.
Disjunctive v. conjunctive ratings
If the Vet has Diabetes Mellitus , he or she should check out The Endocrine System, 4.119 - Schedule of Ratings - Endocrine System
The vet would find these ratings for Diabetes Mellitus
7913 Diabetes mellitus
Requiring more than one daily injection of insulin, restricted diet,
and regulation of activities (avoidance of strenuous occupational
and recreational activities) with episodes of ketoacidosis or
hypoglycemic reactions requiring at least three hospitalizations per
year or weekly visits to a diabetic care provider, plus either
progressive loss of weight and strength or complications that
would be compensable if separately evaluated 100
Requiring insulin, restricted diet, and regulation of activities with
episodes of ketoacidosis or hypoglycemic reactions requiring one
or two hospitalizations per year or twice a month visits to a diabetic
care provider, plus complications that would not be compensable
if separately evaluated 60
Requiring insulin, restricted diet, and regulation of activities 40
Requiring insulin and restricted diet, or; oral hypoglycemic agent
and restricted diet 20
Manageable by restricted diet only 10
Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100 percent evaluation. Noncompensable complications are considered part of the diabetic process under diagnostic code 7913.
Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes.
Pay close attention to the notes and be aware that Diabetes Mellitus is rated conjucntivley. To be be rated 40 per cent, you have to meet all of the examples for the 10 and 20 per cent ratings as well.
Some endocrine rating are rating disjunctively. The top level ratings are inclusive of the lower level such as DC 7903 which addresses Hypothyroidism
Letters v. Disability benefits questionnaires
Get the right attorney
If you need an attorney, use Avvo.com to find a top rated attorney on VA or military law in your locality.
If you need some prepping for a C&P exams, you may want to peruse some of the VA physician and clinician guides. Most of these are older documents, but they are the most current Rightardia could find.
CLINICIAN’S GUIDE MARCH 2002
Amazon: Old Physician's Guide
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