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Query: (38 cfr 4.114)
the provisions of 38 C.F.R. § 4.114. According to 38 C.F.R. § 4.113, there are diseases of the digestive system, particularly within the abdomen, which, while differing in the site of pathology, produce
have been met throughout the appeal. 38 U.S.C.A. §§ 1155, 5103A, 5107 (West 2002); 38 C.F.R. § 4.114, Diagnostic Codes 7312, 7399-7345 (2010). REASONS AND BASES FOR FINDING AND CONCLUSION As provided
of "incapacitating episodes." 38 C.F.R. § 4.114. VA regulations provide that, for purposes of evaluating conditions in 38 C.F.R. § 4.114, the term "substantial weight loss" means a loss of greater
time during the appeal period. 38 U.S.C.A. §§ 1155, 5107 (West 2002); 38 C.F.R. §§ 3.159, 4.14, 4.114, Diagnostic Codes 7203, 7301, 7305- 7308, 7312, 7319, 7323, 7328-7330, 7332, 7333, 7334, 7336,
in excess of 20 percent for hiatal hernia with GERD and duodenal peptic ulcer disease have not been met. 38 U.S.C.A. §§ 1155, 5103, 5103A, 5107 (West 2002 & Supp. 2010); 38 C.F.R. § 4.114, Diagnostic
for residuals of duodenal ulcer with partial gastrectomy are not met. 38 U.S.C.A. §§ 1155, 5103, 5103A, 5107 (West 2002 & Supp. 2010); 38 C.F.R. §§ 3.102, 3.159, 3.321, 4.1, 4.3, 4.7, 4.114, Diagnostic
percent here). AB v. Brown, 6 Vet. App. 35, 38 (1993); see also 38 C.F.R. § 4.114, Diagnostic Code 7354. The Veteran indicated in June 2010, however, that he was satisfied with the assigned 40 percent
evaluation, but no higher, for the service-connected dyspepsia and GERD have been met. 38 U.S.C.A. §§ 1155, 5107 (West 2002); 38 C.F.R. §§ 3.102, 4.1, 4.7, 4.20, 4.113, 4.114 including Diagnostic Codes
and the law. This has been accomplished here, as will be discussed below. The May 2008 letter set forth the relevant diagnostic code (DC) for rating the disability at issue (38 C.F.R. § 4.114, DC 7336)
The criteria for an initial rating in excess of 10 percent for GERD with IBS have not been met. 38 U.S.C.A. §§ 1155, 5107 (West 2002); 38 C.F.R. §§ 3.159, 4.3, 4.7, 4.113, 4.114, Diagnostic Codes
for residuals of gastrectomy with posterior gastroenterostomy are not met. 38 U.S.C.A. §§ 1155, 5107 (West 2002); 38 C.F.R. § 4.114, Diagnostic Codes 7305, 7308 (2010). REASONS AND BASES FOR FINDING
the Veteran's service-connected focal colitis. 38 U.S.C.A. §§ 1155, 5103, 5103A, 5107 (West 2002 & Supp. 2010); 38 C.F.R. §§ 3.102, 3.159, 4.1-4.7, 4.21, 4.114, Diagnostic Code 7299-7219 (2010).
GERD, IBS and hiatal hernia, have been met during the entire appeal period. 38 U.S.C.A. §§ 1155, 5103, 5103A, 5107 (West 2002); 38 C.F.R. §§ 3.102, 3.159, 4.1-4.14, 4.20, 4.113, 4.114, Diagnostic Codes
time periods. Id. The rating schedule provides for a noncompensable (0 percent) rating for mild or moderate internal or external hemorrhoids. 38 C.F.R. § 4.114, Diagnostic Code 7336. Large or thrombotic
not been met. 38 U.S.C.A. §§ 1155, 5107 (West 2002); 38 C.F.R. § 4.114, Diagnostic Codes 7308, 7346 (2010). REASONS AND BASES FOR FINDING AND CONCLUSION I. Veterans Claims Assistance Act of 2000
pursuant to 38 C.F.R. § 4.114, Diagnostic Codes 7305 and 7308. Under 38 C.F.R. § 4.114, Diagnostic Code 7305, a moderately severe duodenal ulcer manifested by symptoms less than "severe" but with
history of gastritis, duodenitis, and hiatal hernia, are met. 38 U.S.C.A. §§ 1155, 5103, 5103A, 5107 (West 2002 & Supp. 2010); 38 C.F.R. §§ 3.102, 3.159, 4.1, 4.2, 4.3, 4.6, 4.7, 4.114 including Diagnostic
excess of 40 percent for residuals of gastrointestinal surgeries with GERD and constipation have not been met. 38 U.S.C.A. §§ 1155, 5103, 5103A, 5107 (West 2002); 38 C.F.R. §§ 4.1-4.14, 4.114, Diagnostic
have been met. 38 U.S.C.A. § 1155, 5107(b) (West 2002 & Supp. 2011); 38 C.F.R. §§ 4.1, 4.2, 4.3, 4.7, 4.10, 4.114, Diagnostic Code (DC) 7304 (2011). REASONS AND BASES FOR FINDINGS AND CONCLUSION I.
by substernal or arm or shoulder pain, productive of considerable impairment of health. 38 C.F.R. § 4.114, DC 7346. A 60 percent disability rating is warranted for symptoms of pain, vomiting, material
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