been discontinued. If the Veteran does not return the and Note: VA Form 21-4142 VA within 60 days, initiate action to adjust the award Form 21-4142a under . 9 Following completion of development, the RO evaluates each case on the basis of facts found. The authorization activity dates, initials, and annotates the write-out or Work Item EP 680 promulgates the rating decision, if appropriate notifies the Veteran of the action taken PCLRs the EP 680, and if reduction in evaluation under is necessary, establishes EP 600 for control of the adverse action proposal period. , l. Use of an The term as used in the criteria for voiding dysfunction under appliance, Appliance and includes types of catheters, as well as any other assistive device for all Voiding urination. Dysfunction Appliances, including catheters, may be used to treat urine Important: leakage and/or urine retention. The rating activity should review the evidence carefully to determine whether the appliance is required to treat urine leakage or urine retention and evaluate on the predominant disability. A Veteran is SC for a bladder injury. Medical records show a Example 1: catheter is required for due to the bladder injury. urine leakage A 60-percent evaluation should be assigned for this disability based Result: on voiding dysfunction. A Veteran is SC for a bladder injury. Medical records show a Example 2: catheter is required for due to the bladder injury. urine retention A 30-percent evaluation should be assigned for this disability based Result: on obstructed voiding. For more information on ratings of the genitourinary system Reference: based on voiding dysfunction, see . m. Considering Kidney donation and any expected residual effects thereof are subject to not Claims for SC SC. Kidney donation is considered an elective surgery, and therefore, does not of Kidney meet the provisions of a disease or injury incurred coincident with service. Donation For more information about the principles relating to SC, see Reference: , and M21-1, Part IV, Subpart ii, 2.B.
been discontinued. Note: If the Veteran does not return the VA Form 21-4142 and VA Form 21-4142a within 60 days, initiate action to adjust the award under . 9 Following completion of development, the RO evaluates each case on the basis of facts found. The authorization activity dates, initials, and annotates the write-out or Work Item EP 680 promulgates the rating decision, if appropriate notifies the Veteran of the action taken PCLRs the EP 680, and if reduction in evaluation under is necessary, establishes EP 600 for control of the adverse action proposal period. l. Use of an Appliance and Voiding Dysfunction The term appliance, as used in the criteria for voiding dysfunction under , includes all types of catheters, as well as any other assistive device for urination. Important: Appliances, including catheters, may be used to treat urine leakage and/or urine retention. The rating activity should review the evidence carefully to determine whether the appliance is required to treat urine leakage or urine retention and evaluate on the predominant disability. Example 1: A Veteran is SC for a bladder injury. Medical records show a catheter is required for urine leakage due to the bladder injury. Result: A 60-percent evaluation should be assigned for this disability based on voiding dysfunction. Example 2: A Veteran is SC for a bladder injury. Medical records show a catheter is required for urine retention due to the bladder injury. Result: A 30-percent evaluation should be assigned for this disability based on obstructed voiding. Reference: For more information on ratings of the genitourinary system based on voiding dysfunction, see . m. Considering Claims for SC of Kidney Donation Kidney donation and any expected residual effects thereof are not subject to SC. Kidney donation is considered an elective surgery, and therefore, does not meet the provisions of a disease or injury incurred coincident with service. Reference: For more information about the principles relating to SC, see , and M21-1, Part IV, Subpart ii, 2.B.
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