Case 23033274: Back

DecisionVeterans-appeals decision document (court public records) · June 12, 2023 · Unknown

Outcome
Granted
Decision Date
June 12, 2023
Judge
Unknown
Service Era
Not specified

Conditions Claimed

BackShoulderSkinArthritis

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

BackShoulderSkinArthritis

Why It Was Decided This Way

At which time, the Board found new and material evidence had been received to warrant reopening the previously denied claim for entitlement to service connection for a left shoulder condition.

Subsequently, the Board remanded the claim for additional development, to include obtaining outstanding hospital records and for a VA examination with a medical nexus opinion.

Establishing direct service connection generally requires (1) medical evidence of a current disability; (2) medical, or in certain circumstances, lay evidence of in-service occurrence or aggravation of a disease or injury; and (3) medical evidence of a nexus between the claimed in-service disease or injury and the present disability.

A veteran is entitled to the benefit of the doubt when the evidence is in approximate balance or "nearly equal," and does not require that the evidence be in exact equipoise.

Ultimately, the examiner opined that it is less likely than not that the Veteran's left shoulder condition is due to service "as there is scant data supporting a nexus between the current diagnos[es].

On the one hand, the VA examiner initially rendered a negative nexus opinion in January 2023 but did not significantly consider the Veteran's lay statements of onset and persistence since separation which was the basis for the RO seeking to obtain an addendum opinion.

On the other hand, the same examiner rendered the opposite opinion in an April 2023 addendum opinion, but the rationale provided was merely speculative indicating a nexus "can be" possible to the Veteran's described injury.

(Continued on the next page) ? Nonetheless, the examiner did recant the prior negative nexus opinion and the Board finds the evidence as a whole to be, at a minimum, in approximate balance.

Authorities Cited

Davidson v. ShinsekiHare v. DerwinskiHickson v. WestJandreau v. NicholsonKahana v. ShinsekiLynch v. McRobinson v. PeakeSee Hood v. ShinsekiSee Layno v. BrownSee Miller v. WilkieSee Mozingo v. ShinsekiSee Russo v. BrownSee Scott v. McSee Stegall v. West

Regulations Cited (38 CFR / 38 USC)

38 CFR 20.130338 CFR 3.10238 CFR 3.30338 CFR 3.303(a)38 CFR 3.303(b)38 CFR 3.30738 USC 1110

Denial Type

Credibility|No Nexus|Not New Material

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Missing the medical evidence for your VA claim? REE Medical connects veterans with independent licensed providers for nexus letters and DBQs — $50 off through this link.

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.