The Board dismissed the appeal for medical services from March 11-16, 2023 as moot due to administrative approval while the appeal was pending. The Board granted entitlement to payment or reimbursement for unauthorized private medical expenses incurred from March 17-23, 2023 under 38 U.S.C. § 1728.
The deciding factor: The Veteran's medical emergency treatment from March 17-23, 2023 met all criteria under 38 U.S.C. § 1728: the Veteran has service-connected PTSD rated 100 percent, a medical emergency existed (unconscious respiratory failure requiring intubation), and VA facilities were not feasibly available as the Veteran was transported via EMS while unconscious and not in control of hospital selection.
- Claimed conditions
- PTSD
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 100%
- Decision date
- October 22, 2025
- Citation
- A25091384
What this means for you
A partial grant means some issues were granted while others were denied or remanded — common in multi-issue claims. Look at which issues went which way, and how each was argued.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board remands the claim for service connection for an acquired psychiatric disorder to ensure a proper examination and etiology opinion are provided.
- Partly granted
The Board granted service connection for PTSD, generalized anxiety disorder, and somatic symptom disorder, as well as presumptive service connection for basal cell carcinoma under the PACT Act. Service connection was denied for chronic fatigue syndrome, irritable bowel syndrome, right restless leg syndrome, left restless leg syndrome, an increased rating for psychiatric disorder, bilateral hearing loss, a left forehead surgical scar, and allergic rhinitis.
- Denied
The Board denied service connection for an acquired psychiatric disorder, including PTSD, as the Veteran did not have a diagnosis of PTSD or any other psychiatric disorder during the appeal period.
- Granted
The Board granted service connection for multiple conditions, including an acquired psychiatric disorder, sleep apnea, hypertension, and various musculoskeletal and skin disabilities.
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