Bilateral facter

Discussion in 'Diabetes' started by Clydel49, Mar 12, 2007.

  1. Clydel49

    Clydel49 New Member

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    rating for PN using bilateral facter, srcondary to diabetes, 30% right upper extremity, 20% lower right extremity, 20% left upper extremity, 20% lower left extremity+ 10% for bilateral facter. What should my rating be.
  2. TinCanMan

    TinCanMan Active Member

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    That seems like a strange way of expressing the conditions. Where did you get them? Are they on your rating decision? My understanding is you can only be rated once for each extremity so upper and lower arms would usually be a single condition as I understand it.
  3. Clydel49

    Clydel49 New Member

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    I am rated 80% overall for pn, the doctor decided, 30% upper right. 20% lower right, 20% upper left, and 20% lower left, witch totals 90% when added together, but Va math says 80%. I also have 20% type II diabetes, 10% for hypertension, and 10% artho left knee. trying to determine my total percent of disability. going for 100% IU.
  4. TinCanMan

    TinCanMan Active Member

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    Doctors examine the condition and determine severity and other medically related issues. That's it. Well, they do submit their findings to the VA Regional Office (VARO) where the RVSR's work. VA C&P examiners usually use a C&P Exam Worksheet. Here's the worksheet for Peripheral Neuropathy.

    Ratings Veteran Service Officers (RVSR's) formerly Rating Specialists and Decision Review Officers (DRO's) evaluate the evidence, including medical evidence identified by doctors and C&P examiners, and decide just how disabling (a percentage) the condition is. Chev do this in part by comparing the doctors findings with the VA Schedule for Rating Disabilities (VASRD). Peripheral Neuropathy is evaluated under 38 CFR Part 4.124a. See Diagnostic Codes 8515 and 8516

    Doctors don't decide or evaluate ratings and RVSR's don't make medical determinations.


    If you read the worksheet you'll see there is no discussion of upper, lower or hand and if you examine 38 CFR part 4.124a Schedule of ratings--neurological conditions and convulsive disorders you'll see the same but there is discussion of two different nerve groups, the ulnar and the median which can be evaluated. You get the worst of either, not both.

    This is why I question where you got those numbers from. It doesn't make sense because PN isn't evaluated that way.

    Once the RVSR makes a decision, you will get a copy in the mail. Did the VA send you a decision for PN? Do you have a decision for diabetes and left knee? Are you receiving any money yet? These decisions MUST come from the VA Regional Office.
  5. Clydel49

    Clydel49 New Member

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    I am receiving pay at 80% for pn, rated 20% for diabetes no pay, rated 10%for hypertension no pay, rated 10% artho left knee no pay. I just get paid the 80% for the pn.
  6. Clydel49

    Clydel49 New Member

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    My work sheet from VA regional office is written as follows, sc for right upper extremity pn is granted with an evaluation of 30 percent, pn 20 percent left upper extremity, pn 20 percent lower right extremity, pn 20 percent lower left extremity. your overall combined is 80%
  7. TinCanMan

    TinCanMan Active Member

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    38 CFR 4.25 Combined Ratings Table

    OK, if that's what they wrote. the calculation is as follows:

    Combine, not add, all the bilateral conditions for PN

    30 combined with 20 = 44, combined with 20 = 55, combined with 20 = 64

    Now find 10 percent of 64 = 6.4, Add that 6.4 to 64 = 70.4, round to 70%

    Now combine 70% with the non-bilateral ratings:

    70 combined with 20 = 76, combined with 10 = 78, combined with 10 = 79

    79 rounds up to 80%


    Can you look at your decision papers and tell me what Diagnostic Code your PN was rated as? It will be a 4 digit number.

    No one at the Regional Office calculates percentages manually. Once the decision maker decides on the rating the information goes to post decision review and the ratings are entered in the computer which does the math, if you can call it that. It never makes a mistake.

    Getting to 100%, 10% at a time is tough. At 80%, you'd need more than 15, 10% ratings. My recommendation would be to apply for Individual ally unemployable (IU) status.
  8. Clydel49

    Clydel49 New Member

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    Pn

    Thanks Tin Can Man, I find no four digit number on my decision paper. I have already applied for IU, seven months ago, had two C&Ps, waiting on decision. Thanks again.
  9. TinCanMan

    TinCanMan Active Member

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    Thanks Clyde, no problem but I need to tell you that I've been full of crap about the upper arm/lower arm business. That isn't what you said at all. You said upper and lower extremity which means upper and lower leg, not upper and lower arm. Sheesh, I need to learn to read. Your decision is for PN in both arms and legs which makes perfect sense. One award in each extremity.
  10. Andrew

    Andrew New Member

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    Hey, I saw this helpful help. It combines the disability percentages with bilateral factor capability and calculates a current monthly payment. Check it out at www.VetCalc.com

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