Do rate multiple disabilities as a single disability if there is a possibility of a. When not Multiple entitlement to Disabilities Should Not Be SMC under , or Evaluated as a an intermediate or next higher rate of SMC Single , or Disability . The assignment of a single evaluation of 100 percent for a multisystem b. Evaluating a Multisystem disorder, based on LOU of two extremities, may overlook the disorder’s Disorder involvement in other body systems. This involvement might meet requirements for an intermediate rate under , or the next higher rate . c. Example: A Veteran has lost the use of both lower extremities due to SC Situation: Rating Decision multiple sclerosis. Involving a Multisystem Assign Result: Disorder a 100-percent evaluation for the LOU of both lower extremities under hyphenated diagnostic code (DC) 8018-5110, and separate evaluations under the appropriate DCs for the involvement of any other body system so that possible entitlement to a higher level of SMC will not be overlooked. Assume the disabilities shown below are all related to Coded Conclusion: multiple sclerosis. SUBJECT TO COMPENSATION (1.SC) 8018-5110 MULTIPLE SCLEROSIS, WITH LOSS OF USE BOTH LOWER EXTREMITIES 100 percent from 06/14/1996. 6516 DYSARTHRIA, DUE TO MULTIPLE SCLEROSIS 30 percent from 06/14/1996. 7332 IMPAIRMENT OF ANAL SPHINCTER CONTROL DUE TO MULTIPLE SCLEROSIS 10 percent from 06/14/1996. 7512 LOSS OF BLADDER CONTROL, MODERATE, DUE TO MULTIPLE SCLEROSIS percent from 06/14/1996. 10 6016 NYSTAGMUS DUE TO MULTIPLE SCLEROSIS
a. When Multiple Disabilities Should Not Be Evaluated as a Single Disability Do not rate multiple disabilities as a single disability if there is a possibility of entitlement to SMC under , or an intermediate or next higher rate of SMC , or . b. Evaluating a Multisystem Disorder The assignment of a single evaluation of 100 percent for a multisystem disorder, based on LOU of two extremities, may overlook the disorder’s involvement in other body systems. This involvement might meet requirements for an intermediate rate under , or the next higher rate . c. Example: Rating Decision Involving a Multisystem Disorder Situation: A Veteran has lost the use of both lower extremities due to SC multiple sclerosis. Result: Assign a 100-percent evaluation for the LOU of both lower extremities under hyphenated diagnostic code (DC) 8018-5110, and separate evaluations under the appropriate DCs for the involvement of any other body system so that possible entitlement to a higher level of SMC will not be overlooked. Coded Conclusion: Assume the disabilities shown below are all related to multiple sclerosis. SUBJECT TO COMPENSATION (1.SC) 8018-5110 MULTIPLE SCLEROSIS, WITH LOSS OF USE BOTH LOWER EXTREMITIES 100 percent from 06/14/1996. 6516 DYSARTHRIA, DUE TO MULTIPLE SCLEROSIS 30 percent from 06/14/1996. 7332 IMPAIRMENT OF ANAL SPHINCTER CONTROL DUE TO MULTIPLE SCLEROSIS 10 percent from 06/14/1996. 7512 LOSS OF BLADDER CONTROL, MODERATE, DUE TO MULTIPLE SCLEROSIS 10 percent from 06/14/1996. 6016 NYSTAGMUS DUE TO MULTIPLE SCLEROSIS
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