The Veteran's initial rating for coronary artery disease (CAD) prior to April 2, 2013 was denied as his condition did not meet the criteria for a higher rating.,The effective date for a 100% rating for CAD was also denied due to lack of factual ascertainability.,The Veteran's entitlement to SMC based on housebound status prior to April 2, 2013 was denied.
The deciding factor: The evidence did not show that the Veteran’s coronary artery disease met the criteria for a higher rating (60%) prior to April 2, 2013. The condition did not result in more than one episode of acute congestive heart failure or left ventricular dysfunction with an ejection fraction between 30-50%.,The effective date for a 100% rating was denied as the evidence did not show that the Veteran’s CAD warranted such a rating at any point prior to April 2, 2013. The claim is also factually ascertainable that a 100% rating was not warranted.,The effective date for SMC based on housebound status was denied as the Veteran did not meet the criteria of having a single service-connected disability rated at 100%, and additional disabilities or conditions.
- Claimed conditions
- Coronary artery disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 30%
- Decision date
- October 19, 2020
- Citation
- 20067539
What this means for you
A denial is a starting point, not the end of the road. You can see why this claim fell short — and, if you are still inside the one-year window, the appeal lanes that may remain open to you.
What you can do next
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