BVA Case 220623-256040: Back

BVAReal Board of Veterans' Appeals decision · December 11, 2024 · Timothy Cothrel

Outcome
Granted / Denied / Remanded
Decision Date
December 11, 2024
Judge
Timothy Cothrel
Service Era
Not specified

Conditions Claimed

BackCervicalKneeAnkleDiabetesRespiratoryEyeArthritisFibromyalgia

What would this rating pay you? (2026 rates)

Official 2026 VA monthly compensation, including the 2.8% COLA increase.

per month ·  per year, tax-free

Dependent add-ons start at a 30% rating. Child-only and dependent-parent rates: see the full 2026 pay chart.

2026 base rates, all ratings (veteran alone)
RatingMonthly (2026, incl. 2.8% COLA)
10%$180.42
20%$356.66
30%$552.47
40%$795.84
50%$1,132.90
60%$1,435.02
70%$1,808.45
80%$2,102.15
90%$2,362.30
100%$3,938.58
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Issues on Appeal

BackCervicalKneeAnkleDiabetesRespiratoryEyeArthritis

Why It Was Decided This Way

In the November 2019 examiner opined the Veteran's current lumbar spine arthritis is less likely than not related to military service, reasoning the radiologic examination in 2004 had no evidence supporting such a connection.

Generally, to establish service connection, there must be competent, credible evidence of (1) a current disability, (2) in-service incurrence or aggravation of an injury or disease, and (3) a nexus, or link, between the current disability and the in-service disease or injury.

Therefore, the questions that remain are whether the Veteran had an in-service incurrence or aggravation of an injury or disease, and whether a nexus, or link, between the current disabilities and the in-service disease or injuries exists.

Thus, remand is warranted for an additional examination and medical nexus opinions to correct the pre-decisional duty-to-assist errors.

Under the PACT Act, VA is required to provide a disability examination and medical nexus opinion when a veteran submits a compensation claim and has evidence of a disability and participation in a TERA, but the evidence is not sufficient to establish service connection for the disability.

l examination under subparagraph (A)) as to whether it is at least as likely as not that there is a nexus between the disability and the toxic exposure risk activity [TERA].

�?1168(a) requires both a VA examination and a nexus opinion regarding whether the Veteran's current emphysema and diabetes are etiologically related to his conceded TERA.

Remand is warranted to correct a pre-decisional duty to assist error in failing to obtain a VA examination and medical opinion addressing the Veteran's neck claim.

Authorities Cited

Andrews v. McBrady v. BrownBrammer v. DerwinskiCorreia v. McDelrio v. WilkieEsteban v. BrownGrantham v. BrownLynch v. McMariano v. PrincipiMattox v. McMauerhan v. PrincipiMiller v. WilkieOrtiz v. PrincipiOverton v. ShinsekiPierce v. ShinsekiRodriguez v. PeakeSaunders v. WilkieSavage v. GoberScott v. McSee Saunders v. WilkieSee Walleman v. McSharp v. ShulkinShedden v. PrincipiSwain v. McThompson v. McWalker v. ShinsekiWise v. Shinseki

Regulations Cited (38 CFR / 38 USC)

38 CFR 20.130338 CFR 20.30038 CFR 20.30138 CFR 3.10238 CFR 3.103 (c)(2)(ii)38 CFR 3.250138 CFR 3.30338 CFR 3.303(a)38 CFR 3.303(b)38 CFR 3.304(c)38 CFR 3.309(a)38 CFR 3.400(o)(1)38 CFR 3.400(o)(2)38 CFR 4.138 CFR 4.1438 CFR 4.238 CFR 4.338 CFR 4.4038 CFR 4.4538 CFR 4.6

Denial Type

No Nexus|Duty To Assist

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Referral disclosure: VetAid earns a referral fee if you become a paying REE Medical client through this link — it helps keep this site free. REE Medical provides paid medical evidence; it is not a law firm, VSO, or claims agent, and VetAid has not independently verified its services. VSOs and VA-accredited representatives will help you file your claim at no cost, and no one can guarantee a rating increase.