The Veteran's coronary artery disease is rated at 10 percent, which does not meet the criteria for a higher rating.,The Veteran's peripheral neuropathy of the left upper extremity and right upper extremity are both rated at 20 percent, which do not meet the criteria for a higher rating.,The Veteran's peripheral neuropathy of the left lower extremity is rated at 20 percent, which does not meet the criteria for a higher rating. The same applies to his right lower extremity.,Prior to October 9, 2012, the Veteran's diabetes mellitus type 2 was rated at 20 percent and did not meet the criteria for a higher rating.,The Veteran's posttraumatic stress disorder is rated at 70 percent, which does not meet the criteria for a higher rating.
The deciding factor: There is no evidence of cardiac hypertrophy or dilatation, congestive heart failure, ejection fraction below 60 percent, surgical treatment, or impairment of METS during the period of the claim.,The Veteran's diabetic neuropathies do not result in worse than moderate nerve impairment. The manifestations are largely sensory with no significant motor dysfunction noted on examination.,The Veteran's diabetes mellitus type 2 does not require insulin and restricted diet or oral hypoglycemic agent and restricted diet, nor does it meet the criteria for a higher rating based on episodes of ketoacidosis or hypoglycemic reactions requiring hospitalizations or visits to diabetic care providers.
- Claimed conditions
- Coronary artery disease, Peripheral neuropathy of the left upper extremity, Peripheral neuropathy of the right upper extremity, Peripheral neuropathy of the left lower extremity, Peripheral neuropathy of the right lower extremity, Diabetes mellitus type 2
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- November 20, 2018
- Citation
- 18151831
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. Read the original VA decision (opens in a new tab) using citation 18151831.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Granted
The Veteran's claim for service connection for heart condition was granted with an effective date of August 1, 2019. The decision is based on evidence showing exposure to diesel and gas fuel during service.
- Whole decision: Granted
The Veteran's claim for an initial 70 percent rating for service-connected peripheral neuropathy of the right upper extremity is granted. The Board also remanded the issue of entitlement to SMC based on a need for aid and attendance.
- Whole decision: Granted
The Board has granted service connection for peripheral neuropathy of the upper extremities and remanded the issue of esophageal cancer.
- Whole decision: Granted
The Veteran's service-connected PTSD has prevented him from securing or following substantially gainful employment since September 27, 2010. Additionally, he is in receipt of a 60 percent disability rating for coronary artery disease, which meets the criteria for SMC at the housebound rate.
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