During C&P exams, the VA finds another condition that wasn't initially claimed.. ?

vaquestionanonymous

PEB Forum Regular Member
Registered Member
While going through the mental health exam at the VA, if the doctor says you may have depression, even though depression was not the original claim, will this new condition (depression) end up being included in the VA's rating? What about the DoD's rating? Will this new condition affect whether or not I am found unfit or fit for service?
 
The name of the condition is inconsequential for a MH diagnosis.

If you never claimed a BH condition when your made the initial IDES claim, you will need to file for it immediately (or at least within 12 months) once you are released from active duty.

Any condition claimed within 12 months of release from active duty is retroactive to the day of discharge. After 12 months it is retroactive to the date it is filed.
 
The name of the condition is inconsequential for a MH diagnosis.

If you never claimed a BH condition when your made the initial IDES claim, you will need to file for it immediately (or at least within 12 months) once you are released from active duty.

Any condition claimed within 12 months of release from active duty is retroactive to the day of discharge. After 12 months it is retroactive to the date it is filed.

I don't understand your first sentence, what does it mean? Also, I have insomnia as a claim, which I think is a BH condition. The mental health exam at the VA was for my claimed insomnia, I believe.
 
Which C&P examiner said that you may may have depression? Was it the MH C&P exam?

I think was @gsfowler is saying is that, for the most part, all MH claims are rolled up in to one percentage. So if you claim anxiety or PTSD..... and the examiner thinks you also have depression; it is unnecessary to file a second claim for depression because most MH diagnoses are rated as one claim.
 
Insomnia is a tough condition to rate correctly.

Often when diagnosed, the ICD 10 code used is G47.00 to satisfy insurance billing purposes, in the DSM-5 it is characterized as a sleep-wake disorder. Here is a good read on the condition: https://www.theravive.com/therapedia/insomnia-disorder-dsm--5-780.52-(g47.00)

The C&P examiner performed a mental health exam to differentiate the diagnosis and more than likely is attributing it to depression and/or depression and anxiety. Depression is most commonly diagnosed because there are some well known scales and instruments that support the diagnosis with as few as 9 questions (PHQ-9).

Insomnia is not only a diagnosed condition, but it is also a symptom of many other known conditions that are located in the VASRD. Insomnia is a symptom of TBI, mental disorders, and the central nervous system as far as the VASRD is concerned.
 
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