two VA ratings for one unfit condition

[TGV]

I just need to know if anyone has been in this situation and knows what happens

Situation: I have one unfitting condition (Chronic Left Knee Pain). I called the DAV, he stated that the VA give me to ratings for my know. (50% for flexion and 10% for extention). Now do they take one or the other or do they combine them in to one rating? If they do take one or the other Do they give you the lower for the unfit rating or the higher? If they had to choose I know they would use the lower. lol lol

 

[grizz13]

I just need to know if anyone has been in this situation and knows what happens

Situation: I have one unfitting condition (Chronic Left Knee Pain). I called the DAV, he stated that the VA give me to ratings for my know. (50% for flexion and 10% for extention). Now do they take one or the other or do they combine them in to one rating? If they do take one or the other Do they give you the lower for the unfit rating or the higher? If they had to choose I know they would use the lower. lol lol

They give you the worse rating, so you will get the 50% for flexation. When the VA combines any rating the combine them language wise and the apply the rating for the worse condition of the conditions.

 

[Warrior644]

I just need to know if anyone has been in this situation and knows what happens

Situation: I have one unfitting condition (Chronic Left Knee Pain). I called the DAV, he stated that the VA give me to ratings for my know. (50% for flexion and 10% for extention). Now do they take one or the other or do they combine them in to one rating? If they do take one or the other Do they give you the lower for the unfit rating or the higher? If they had to choose I know they would use the lower. lol lol

They give you the worse rating, so you will get the 50% for flexation. When the VA combines any rating the combine them language wise and the apply the rating for the worse condition of the conditions.

Welcome to the PEB Forum!

Indeed, my thoughts also in referencing to DoVA combined ratings procedure.

Albeit, in my opinion, it's interesting to see how the DoVA D-RAS coded the single unfitting medical condition with two rating evaluations. To that extent, your receipt of the forthcoming IPEB findings inclusive of DoD and DoVA proposed ratings shall definitely often a detailed explanation; hopefully.

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!

 

[Damien1985]

They give you the worse rating, so you will get the 50% for flexation. When the VA combines any rating the combine them language wise and the apply the rating for the worse condition of the conditions.

Actually, for evaluation of certain joints we are to assign separate compensable evaluations based on impairment of range of motion in different areas. In the knee, a compensable evaluation may be assigned for limitation of flexion and another compensable evaluation assigned for limitation of extension. The relevant diagnostic codes are 5260 and 5261.

Now, limitation of flexion caps out at 30% for DC 5260 whereas extension maxes out at 50% under 5261. As such your VSO may have gotten the two mixed up, original poster.

Regardless, if you have compensable limitations of both flexion and extension you should and will get both ratings. As such your combined referred evaluation would be 60% if the knee is your only referred issue.

 

[TGV]

Actually, for evaluation of certain joints we are to assign separate compensable evaluations based on impairment of range of motion in different areas. In the knee, a compensable evaluation may be assigned for limitation of flexion and another compensable evaluation assigned for limitation of extension. The relevant diagnostic codes are 5260 and 5261.

Now, limitation of flexion caps out at 30% for DC 5260 whereas extension maxes out at 50% under 5261. As such your VSO may have gotten the two mixed up, original poster.

Regardless, if you have compensable limitations of both flexion and extension you should and will get both ratings. As such your combined referred evaluation would be 60% if the knee is your only referred issue.

Thank you. I see what you are saying. I asked the question because it was weird. Everyone told me I would only get at best 20% for my knee including my peblo and the peblo supervisor. I would have assumed the Army would only accept the 10% because they don't want to retire me with just a knee unfitting. Yes my knee was my only unfitting. Its cool because I can dodge ObamaCare until the government decides to take Tricare from us. I did get the flexion and extension mixed up. My preliminary ratings were done on 2 May. Im wondering if that's the reason my 199 is taking so long. DAV told me rating were done and gave them to me but Ebenefits still say review of evidence. I assumed they (PEB) didn't want to retire me for a knee so the pushed my claim and rating to the side

 

[grizz13]

Actually, for evaluation of certain joints we are to assign separate compensable evaluations based on impairment of range of motion in different areas. In the knee, a compensable evaluation may be assigned for limitation of flexion and another compensable evaluation assigned for limitation of extension. The relevant diagnostic codes are 5260 and 5261.

Now, limitation of flexion caps out at 30% for DC 5260 whereas extension maxes out at 50% under 5261. As such your VSO may have gotten the two mixed up, original poster.

Regardless, if you have compensable limitations of both flexion and extension you should and will get both ratings. As such your combined referred evaluation would be 60% if the knee is your only referred issue.

I see, good research on your part and welcome to the forum!

 

[Warrior644]

Actually, for evaluation of certain joints we are to assign separate compensable evaluations based on impairment of range of motion in different areas. In the knee, a compensable evaluation may be assigned for limitation of flexion and another compensable evaluation assigned for limitation of extension. The relevant diagnostic codes are 5260 and 5261.

Now, limitation of flexion caps out at 30% for DC 5260 whereas extension maxes out at 50% under 5261. As such your VSO may have gotten the two mixed up, original poster.

Regardless, if you have compensable limitations of both flexion and extension you should and will get both ratings. As such your combined referred evaluation would be 60% if the knee is your only referred issue.

Indeed, your information is supportable as annotated within my IPEB finding inclusive of DoD and DoVA proposed ratings.

To that extent, upon additional review of my DoVA proposed ratings, proposed entitlement to service connection is as follows:

• Hip strain, left; extension of the thigh
• Hip strain, right; extension of the thigh
• Hip strain, right; flexion of the thigh
• Hip strain, left; flexion of the thigh
• Hip strain, left; impairment of the thigh
• Hip strain, right; impairment of the thigh

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!

 

[thunderchuck]

Actually, for evaluation of certain joints we are to assign separate compensable evaluations based on impairment of range of motion in different areas. In the knee, a compensable evaluation may be assigned for limitation of flexion and another compensable evaluation assigned for limitation of extension. The relevant diagnostic codes are 5260 and 5261.

Now, limitation of flexion caps out at 30% for DC 5260 whereas extension maxes out at 50% under 5261. As such your VSO may have gotten the two mixed up, original poster.

Regardless, if you have compensable limitations of both flexion and extension you should and will get both ratings. As such your combined referred evaluation would be 60% if the knee is your only referred issue.

Damien, do you mind if ask you a question regarding my very similar case? (TGV sorry to steal your thread)-

I too have 1 unfitting condition for my knee, except my main condition is septic arthritis sustained from a bone infection that was the result of a gunshot wound to my leg/knee in Afghanistan. Can you provide any insight to how something like septic arthritis is rated? The VASRD is very vague and I don't have flare ups or "exacerbations" but chronic knee pain and range of motion issues from the arthritis. Any thoughts you could provide as an SME would be very helpful. Thanks.