10-18 936
10-18 936
| Board of Vet. App. | Jun 15, 2017Background
- Veteran served on active duty from October 1991 to September 2008 and appealed VA RO decisions from December 2008 regarding lumbar degenerative disc disease and entitlement to TDIU.
- Issues were previously remanded by the Board in February 2014 and July 2016 for additional development.
- At an October 2016 VA examination the Veteran reported receiving Social Security Administration (SSA) disability benefits; however, SSA records are not in the VA file.
- Veteran’s representative in April 2017 requested a new VA examination claiming the back condition had worsened.
- The Board found no objective or specific evidence of worsening since the October 2016 exam and declined to obtain a new VA examination based solely on generalized representative comments.
- The Board remanded the appeal to the AOJ for further development: obtain private/VA records since January 2017 and complete SSA disability records, then readjudicate and, if denial remains, issue a supplemental statement of the case and return to the Board.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Initial rating >10% for lumbar degenerative disc disease | Veteran: condition has worsened; new exam needed | VA/Board: no evidence of material worsening since Oct 2016 exam | Remanded for development (records); no new VA exam ordered absent evidence of worsening |
| Entitlement to TDIU | Veteran: unemployability due to service-connected disabilities; SSA award indicates disability | VA/Board: SSA records not in file, need to obtain them before readjudication | Remanded to obtain complete SSA records and other recent medical records before readjudication |
Key Cases Cited
- Golz v. Shinseki, 590 F.3d 1317 (Fed. Cir. 2010) (SSA records are potentially relevant and should be obtained when VA records indicate SSA disability benefits)
- Palczewski v. Nicholson, 21 Vet. App. 174 (2007) (mere passage of time does not by itself require a new VA examination)
- Kutscherousky v. West, 12 Vet. App. 369 (1999) (claimant retains the right to submit additional evidence and argument after remand)
