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Partly granted

The Veteran's appeal of the rating assigned for internal hemorrhoids has been denied as his symptoms do not meet the criteria for a compensable rating.,Service connection claims for hypertension and coronary artery disease are remanded due to new statutory duties under the PACT Act regarding toxic exposure risk activity (TERA).,The Veteran's appeals of the ratings assigned for left ankle strain and right ankle strain have been remanded as the April 2021 examination report is inadequate.,The issue of entitlement to TDIU has been remanded due to the need for further development regarding the Veteran's unemployability.

The deciding factor: The evidence does not establish a compensable level of impairment for internal hemorrhoids, as they are consistent with moderate internal hemorrhoids manifest by anal itching/discomfort, swelling, and bleeding with occasional bowel disturbance during flare-ups.,Remand is necessary to ensure compliance with the PACT Act's new statutory duties regarding toxic exposure risk activity (TERA).,The April 2021 examination report is inadequate for a fully informed decision on the Veteran's appeals of the ratings assigned for his service-connected bilateral ankle disabilities, as it does not provide an estimate of additional range-of-motion loss during flare-ups.,Remand is necessary to ensure all relevant private treatment records have been obtained regarding the ankles and to develop the issue of entitlement to TDIU.

Claimed conditions
internal hemorrhoids, hypertension, coronary artery disease, left ankle strain, right ankle strain
How they argued it
Direct service connection
Exposure basis
None
Rating assigned
None in this decision
Decision date
November 30, 2023
Citation
23063421

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 23063421.

What this means for you

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