BVA Case 24026388: Shoulder

BVAReal Board of Veterans' Appeals decision · July 16, 2024 · David Gratz

Outcome
Granted / Denied / Remanded
Decision Date
July 16, 2024
Judge
David Gratz
Service Era
April 1979 to January 2000

Conditions Claimed

ShoulderHipSkinRespiratoryEyeErectile DysfunctionHypertension

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

ShoulderHipSkinRespiratoryEyeErectile DysfunctionHypertension

Why It Was Decided This Way

New and material evidence not having been received, the request to reopen the claim of entitlement to service connection for chronic obstructive pulmonary disease (COPD), also claimed as shortness of breath, is denied.

The Veteran's squamous cell carcinoma is at least as likely as not related to in-service sun exposure.

New and material evidence has not been received to reopen the claim of service connection for chronic obstructive pulmonary disease (COPD), also claimed as shortness of breath.

Regarding nexus, the Veteran's VA oncologist submitted a report stating the Veteran has been under the care of the medical oncology clinic since July 2015.

The Veteran's private examiner provided a nexus opinion in September 2020 in which she opined that it is highly likely and definitely more than likely that the Veteran's sun exposure during military service contributed to the development of cutaneous squamous cell carcinoma and forequarter amputation.

30, 33 (1993)) (medical opinion expressed in terms of "may" also implies "may or may not" and is too speculative to establish medical nexus.

The Veteran has three positive opinions (September 2020, February 2020, and January 2017) from private and VA clinicians favoring a nexus between the Veteran's squamous cell carcinoma and sun exposure during active-duty service.

The Board acknowledges the May 2017 VA examiner's unfavorable opinion; however, the opinion was outweighed by the reasoning within the positive nexus opinions, including the positive nexus opinion rendered by the Veteran's treating oncologist.

Authorities Cited

Lendon v. NicholsonObert v. BrownSaunders v. WilkieSee Bostain v. WestSee Meyer v. BrownShade v. ShinsekiShedden v. PrincipiSpicer v. McVelez v. Shinseki

Regulations Cited (38 CFR / 38 USC)

38 CFR 20.130338 CFR 3.10238 CFR 3.15638 CFR 3.156(a)38 CFR 3.159(c)(4)38 CFR 3.30338 CFR 3.310 (a)38 USC 111038 USC 510738 USC 510838 USC 7104(b)

Denial Type

Credibility|No Nexus|Not New Material

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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.