The Veteran's PTSD is rated at 70 percent, which does not meet the criteria for a higher rating.,A 10 percent disability rating for an epidermal cyst prior to April 23, 2019 has been granted.,A disability rating in excess of 10 percent for residual status post epidermal cyst excision scar is denied.,The Veteran's lichen simplex chronicus was rated as noncompensable before October 15, 2020 and at 10 percent thereafter. The claim for a higher rating remains pending.,TDIU has been denied based on the evidence not showing total occupational and social impairment due to service-connected disabilities.,Left shoulder degenerative arthritis with impingement syndrome and partial rotator cuff tear is rated at 20 percent, which does not meet the criteria for a higher rating.,Left knee degenerative arthritis remains rated at 10 percent.
The deciding factor: The Veteran's PTSD did not demonstrate total occupational and social impairment as required for a 100% disability rating under Diagnostic Code 9411. The symptoms were considered to be less severe than what would warrant such a high rating.,Prior to April 23, 2019, the epidermal cyst was tender and painful but did not meet the criteria for a higher rating as it was not deep or nonlinear with an area exceeding 6 square inches (39 sq.cm.).,The residual status post epidermal cyst excision scar does not meet the criteria for a disability rating in excess of 10 percent due to its characteristics being stable and nonpainful.,Lichen simplex chronicus was rated as noncompensable before October 15, 2020 and at 10 percent thereafter. The evidence did not show that it met the criteria for a higher rating based on its current condition.,TDIU was denied because there is no evidence showing total occupational and social impairment due to service-connected disabilities.,Left shoulder degenerative arthritis with impingement syndrome and partial rotator cuff tear does not meet the criteria for a disability rating in excess of 20 percent as it did not demonstrate significant functional impairment or additional symptoms beyond those already considered under the current rating criteria.,Left knee degenerative arthritis remains rated at 10 percent due to its current condition.
- Claimed conditions
- Posttraumatic Stress Disorder (PTSD), Epidermal Cyst, Lichen Simplex Chronicus
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- November 16, 2021
- Citation
- 21068941
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 21068941.
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Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Veteran's claim for service connection for PTSD is granted as the evidence shows a current diagnosis of PTSD, an in-service stressor, and a medical link between the two.
- Denied
The Veteran's PTSD has been rated at 50% since March 23, 2004. The Board found that a higher rating is not warranted prior to February 15, 2005 due to the severity of his symptoms and their impact on his social and occupational functioning.
- Denied
The Board denied the Veteran's claims for service connection for PTSD and any acquired psychiatric disorder, finding that there was no evidence to support a link between his current mental health conditions and his military service.
- Granted
The Veteran's PTSD resulted in occupational and social impairment with reduced reliability and productivity, warranting a 70% disability rating. The Veteran also met the criteria for a TDIU due to his service-connected disabilities preventing him from securing or following a substantially gainful occupation.
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