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Whole decision: Denied

The Veteran's PTSD is currently rated as 50 percent disabling, which does not meet the criteria for a higher rating.,Diabetes mellitus type II is currently rated as 20 percent disabling, which meets the criteria for one or more daily injections of insulin and restricted diet.,Right upper extremity peripheral neuropathy is currently rated as 30 percent disabling, meeting the criteria for moderate incomplete paralysis of a major extremity.,Left upper extremity peripheral neuropathy is currently rated as 20 percent disabling, meeting the criteria for moderate incomplete paralysis of a minor extremity.,Right lower extremity peripheral neuropathy is currently rated as 20 percent disabling, meeting the criteria for moderate incomplete paralysis.,Left lower extremity peripheral neuropathy is currently rated as 20 percent disabling, meeting the criteria for moderate incomplete paralysis.,Erectile dysfunction is not compensably disabling.,Hypothyroidism is currently rated as 10 percent disabling, which does not meet the criteria for a higher rating.,Sebaceous cyst of the thoracic area is not compensably disabling.,Hiatal hernia (previously rated as a chronic digestive condition) is currently rated as 30 percent disabling.

The deciding factor: The Veteran's diabetes mellitus type II requires one or more daily injections of insulin and restricted diet, meeting the criteria for a 20 percent rating. The other conditions do not meet the criteria for higher ratings based on their specific diagnostic codes.

Claimed conditions
Posttraumatic Stress Disorder (PTSD), Diabetes Mellitus type II, Peripheral Neuropathy - Right Upper Extremity, Peripheral Neuropathy - Left Upper Extremity, Peripheral Neuropathy - Right Lower Extremity, Peripheral Neuropathy - Left Lower Extremity, Erectile Dysfunction, Hypothyroidism, Sebaceous Cyst of the Thoracic Area, Hiatal Hernia
How they argued it
Direct service connection
Exposure basis
None
Rating
Not verified here — check the original decision
Decision date
April 26, 2023
Citation
A23008179

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 A23008179.

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).

Related decisions

Other Board decisions on a similar condition or argued the same way.

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