An effective date of February 25, 2011 for an award of service connection for diabetic peripheral vascular disease, right lower extremity is granted.,An effective date prior to December 12, 2016 for an award of service connection for diabetic peripheral neuropathy, right lower extremity is denied.,An effective date prior to November 22, 2016 for an award of special monthly compensation (SMC) based on house bound status is denied.,A rating in excess of 10 percent, prior to September 25, 2013 for ischemic heart disease is denied.,A rating in excess of 30 percent, from September 25, 2013 to November 22, 2016 for ischemic heart disease is denied.,A rating in excess of 10 percent, effective December 12, 2016 for diabetic peripheral neuropathy, right lower extremity is denied.

The deciding factor: The Veteran's claim of service connection for diabetes mellitus was received on February 25, 2011. Service connection was granted for diabetes mellitus and several secondary disorders including ischemic heart disease.,In December 2016, the Veteran submitted an increased rating claim for diabetes. A VA examination indicated the Veteran had diabetic peripheral neuropathy as a complication of his existing diabetes diagnosis. The RO found CUE in the failure to grant service connection for peripheral vascular disease and assigned an effective date of October 17, 2014.,The Veteran was granted SMC based on housebound criteria effective November 22, 2016. There is no evidence of a claim for SMC prior to November 22, 2016 and the Veteran's claim was granted under 38 § 3.350 (h)(3)(i)(1) for the combination of his 100 percent rating for ischemic heart disease and additional service-connected disabilities independently ratable as 60 percent or more disabling, effective November 22, 2016.,During the period prior to September 25, 2013, the Veteran's ischemic heart disease has been characterized by no more than an ejection fraction of 65 percent and METs level limitation between three and five attributable to multiple disabilities, including the Veteran’s non-service-connected COPD and his service connected PVD.,During the period from September 25, 2013 to November 22, 2016, the Veteran's ischemic heart disease has been characterized by no more than an ejection fraction of 70 percent and METs level limitation between three and five attributable to multiple disabilities, including the Veteran’s non-service-connected COPD and his service connected PVD.,During the period effective December 12, 2016, the Veteran's diabetic peripheral neuropathy, right lower extremity has been characterized by no more than mild incomplete paralysis.

Claimed conditions

Diabetic Peripheral Vascular Disease, Diabetes Mellitus

How they argued it

Direct service connection

Exposure basis

None

Rating assigned

10%

Decision date

February 12, 2020

Citation

20011629

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 20011629.