The Board remands the claim for a medical opinion under the PACT Act regarding the Veteran's kidney disorder and its potential relation to his service at Camp Lejeune, as well as an opinion on whether the Veteran's service-connected hepatocellular carcinoma with hepatectomy has aggravated his kidney disorder.
The deciding factor: The remand is necessary due to recent changes in law requiring a TERA opinion under the PACT Act and to cure pre-decisional duty to assist errors regarding secondary service connection for aggravation.
- Claimed conditions
- cystic kidney disease, chronic renal disease, renal mass
- How they argued it
- Reopened with new and material evidence
- Exposure basis
- Camp Lejeune water
- Rating assigned
- None in this decision
- Decision date
- May 15, 2025
- Citation
- A25043851
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.
- Granted
The Board granted an initial rating of 60 percent for chronic renal disease, resolving reasonable doubt in the Appellant's favor.
- Partly granted
The Board granted the reinstatement of a 30% rating for cystic kidney disease, denied service connection for supraventricular tachycardia and old myocardial infarction, and denied initial ratings in excess of 10% for bilateral hearing loss and tinnitus.
- Remanded (sent back)
The Board remands the claims for service connection for chronic renal disease, diabetic retinopathy, kidney transplant, and orthostatic hypotension to schedule VA examinations.
- Remanded (sent back)
The Board remands the Veteran's claim for service connection for chronic renal disease due to a need for an addendum medical opinion and to obtain private medical records.
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