The Veteran's left thumb disability is currently rated as noncompensable due to a gap of less than one inch between the thumb pad and fingers. The appeal for an increased rating remains pending.,More development is needed regarding the Veteran's claims for service connection for hearing loss and tinnitus, including whether they are related to his military service.,The Veteran's claim for service connection for tinnitus was vacated by the Court, necessitating a new examination. The appeal for service connection for PTSD remains pending.,A psychiatric examination is needed to determine if the Veteran has any diagnosed psychiatric disorders and their relationship to service. If PTSD is found, it must be determined whether it is related to an in-service stressor or personal assault.,The claim for TDIU may need further development as it could be affected by the results of the above examinations.
The deciding factor: The Veteran's left thumb disability does not meet the criteria for a higher rating due to lack of limitation of motion, ankylosis, or amputation.,More evidence is needed regarding the etiology of the Veteran's hearing loss and tinnitus. The Court directed attention to potential qualifiers in a 2006 Institute of Medicine Report that may impact medical opinions.,The examination did not find PTSD but found anxiety disorders. A new examination is required as the current one was inadequate.,A psychiatric examination is needed to determine if any diagnosed psychiatric disorder, including PTSD, is related to service or an in-service stressor or personal assault.,The claim for TDIU may need further development as it could be affected by the results of the above examinations.
- Claimed conditions
- Osteoarthritis of the carpal metacarpal joint, left thumb, Bilateral hearing loss, Tinnitus, Psychiatric disorder (including PTSD)
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- May 27, 2021
- Citation
- 21032400
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 21032400.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Board denied service connection for bilateral hearing loss and tinnitus, finding that the Veteran's current conditions are not related to his military service.
- Granted
The Veteran's claim for a low back disorder was reopened, and his claims for increased ratings of bilateral knee instability were granted. His hearing loss claim was denied.
- Denied
The Board denied the veteran's claims for a higher rating for PTSD and dismissed his appeals regarding increased ratings for tinnitus and a right hand disability due to lack of timely filing of Notice of Disagreement.
- Denied
The Board has denied the Veteran's claims for service connection for various conditions, including GAD, MDD, bruxism, migraines/headaches, tinnitus, hip pain, iliotibial band syndrome, and leg stress fractures. The evidence does not support current diagnoses of these conditions during the appeal period.
Free starter guide for your own claim
Reading this because you were denied or under-rated? Get the plain-English next steps — your appeal options, the deadline that protects you, and how appeals like yours turn out. One email, no spam.
We will only use this to send the guide. No spam, unsubscribe any time. We never sell your information.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.