The Veteran's private medical treatment for right knee pain and arthritis was not authorized by VA, and the Board finds that it did not meet the criteria for reimbursement under 38 U.S.C.A. § 1725 or 38 C.F.R. § 17.1000-1008.
The deciding factor: The private treatment was not authorized by VA, and the Veteran's symptoms were not of such severity that a prudent layperson would have reasonably expected delay in seeking medical attention to be hazardous to life or health.
- Claimed conditions
- Right knee pain, Arthritis
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 24, 2015
- Citation
- 1531659
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 1531659.
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.
- Remanded (sent back)
The Board has remanded the Veteran's claims for service connection for right knee pain and right hip pain due to insufficient medical evidence on file regarding their etiology. The AOJ is required to obtain an adequate opinion from a qualified medical examiner.
- Remanded (sent back)
The Board has decided to remand the case due to a duty-to-assist error in previous examinations, requiring additional information on right shoulder ROM measurements without medication effects.
- Granted
The Veteran's disability ratings for low back disability and right lower extremity radiculopathy have been reduced from 40% and 10%, respectively, to 20% and 0%. The reduction was based on improvements shown in recent VA examinations.
- Denied
The Veteran's right knee strain with arthritis is currently rated at 10 percent, the maximum allowable rating under Diagnostic Code 5010 prior to February 7, 2021. The Veteran's GERD with hiatal hernia and irritable bowel syndrome is not rated higher than 30 percent.
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