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Whole decision: DeniedPACT Act

The Veteran's tinnitus was not related to his active service and did not manifest within one year after separation from active service.,The Veteran's diabetes mellitus is presumed due to exposure to contaminated water at Camp Lejeune, but it is not considered a presumptive condition. The Board found no evidence that the diabetes caused by exposure to contaminated water was related to his active service.,The Veteran's right leg amputation is not causally or etiologically related to his service-connected cellulitis and is presumed due to his diabetes mellitus, which is also presumed due to Camp Lejeune exposure. The Board found no evidence that the amputation was caused by cellulitis.,The Veteran's hypertension is not considered a presumptive condition based on exposure to contaminated water at Camp Lejeune.

The deciding factor: The VA examiners provided opinions stating that the tinnitus did not have an onset in service and is not related to noise exposure during service. The Veteran’s STRs were silent for any concern, diagnosis, or treatment of tinnitus.,The VA examiner stated that diabetes mellitus was less likely caused by Camp Lejeune exposure as it is not considered a presumptive condition under the law. The Veteran's diabetes was diagnosed in 2000, almost two decades after service separation.,The VA examiner concluded that the right leg amputation is not due to cellulitis but rather related to the Veteran’s diabetes mellitus which developed from Camp Lejeune exposure and is presumed as a chronic disease under the law. The Board found no evidence of cellulitis causing the amputation.,The VA examiner stated that hypertension was not considered a presumptive condition based on exposure to contaminated water at Camp Lejeune.

Claimed conditions
tinnitus, diabetes mellitus, right leg amputation, hypertension
How they argued it
Presumptive (no nexus needed)
Exposure basis
Camp Lejeune water
Rating
Not verified here — check the original decision
Decision date
July 15, 2020
Citation
20047462

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 20047462.

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).

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