presenile dementia of the Alzheimer type frontotemporal dementia, and dementia with Lewy bodies depression moderate or severe award SC if depression manifested within three years after the TBI. mild award SC if depression manifested within one year after the TBI. a disease of hormone moderate or severe award SC if the condition deficiency that results from manifested within one year hypothalamo-pituitary after the TBI changes (any condition in the endocrine system section of the rating schedule, , or any condition evaluated analogous to one of those conditions) g. When evaluating TBI-related secondary conditions, avoid pyramiding when Considerations considering the initial TBI evaluation and symptoms that are now associated When with the five secondary conditions. Also, consider Notes 1 and 2 under , Establishing while ensuring that the claimant receives the highest overall evaluation under Secondary SC the provisions of (Combined Ratings Table). Depending on the most advantageous combined evaluation, it is permissible to reduce an existing TBI evaluation as long as the overall evaluation of both TBI and the separate secondary SC condition is not reduced. Use the combinator tool in VBMS-R to determine the combined evaluation of TBI and the secondary SC condition. Thoroughly explain the decision narrative in the rating decision. Use the table below to consider symptoms which apply to both TBI and the secondary conditions. If ... Then ... the symptoms associated consider removing evaluation of the facet, with one of the five and conditions were also used to use the next highest-evaluated facet as the provide the highest of evaluation for the TBI residuals, as long as evaluation for any facet the symptoms of that facet are not used to under establish SC for one of the five diagnosable conditions.
presenile dementia of the Alzheimer type frontotemporal dementia, and dementia with Lewy bodies depression moderate or severe award SC if depression manifested within three years after the TBI. mild award SC if depression manifested within one year after the TBI. a disease of hormone deficiency that results from hypothalamo-pituitary changes (any condition in the endocrine system section of the rating schedule, , or any condition evaluated analogous to one of those conditions) moderate or severe award SC if the condition manifested within one year after the TBI g. Considerations When Establishing Secondary SC When evaluating TBI-related secondary conditions, avoid pyramiding when considering the initial TBI evaluation and symptoms that are now associated with the five secondary conditions. Also, consider Notes 1 and 2 under , while ensuring that the claimant receives the highest overall evaluation under the provisions of (Combined Ratings Table). Depending on the most advantageous combined evaluation, it is permissible to reduce an existing TBI evaluation as long as the overall evaluation of both TBI and the separate secondary SC condition is not reduced. Use the combinator tool in VBMS-R to determine the combined evaluation of TBI and the secondary SC condition. Thoroughly explain the decision narrative in the rating decision. Use the table below to consider symptoms which apply to both TBI and the secondary conditions. If ... Then ... the symptoms associated with one of the five conditions were also used to provide the highest of evaluation for any facet under consider removing evaluation of the facet, and use the next highest-evaluated facet as the evaluation for the TBI residuals, as long as the symptoms of that facet are not used to establish SC for one of the five diagnosable conditions.
2-4-16_Key%20Changes_M21-1III_iv_4_SecG.docx