The Veteran's unauthorized medical expenses incurred for treatment of a left tibia and fibula fracture were not authorized in advance by VA, and the claim is denied as he does not meet the criteria for reimbursement under 38 U.S.C.A. § 1728.
The deciding factor: The Veteran did not have service-connected disability that would qualify him for reimbursement under 38 U.S.C.A. § 1728, and his fracture was not a medical emergency requiring immediate attention as per the criteria set forth in 38 C.F.R. § 17.1002.
- Claimed conditions
- left tibia and fibula fracture
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- February 25, 2014
- Citation
- 1408011
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation 1408011.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
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- Remanded (sent back)
The Board has decided to remand the case due to inadequate examination reports and inconsistencies in medical opinions. The Veteran's left lower leg disability needs a new VA examination to assess its current severity, including range of motion testing.
- Granted
The Board has determined that the Veteran's service-connected conditions render him unable to secure or follow a substantially gainful occupation, and thus grants his claim for TDIU.
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