Pulmonary Embolism requiring indefinite Anticoagulation

calaway0203

New Member
Registered Member
Hello! I am an active duty army officer (36A, finance kfficer with over 11yrs of active service. I had an unprovoked pulmonary embolism in January 2020 and during my 6mo follow up appointment it was discovered that I have a genetic clotting disorder (Factor II, heterozygous). The hematologist recommended indefinite therapeutic anticoagulation, which I know is a disqualified for service under AR 40-501 Ch 3-25f. I now face a MEB and I have a few questions.

-I am assuming that most of the cases like mine result in the PEB recommendation for discharge. Is that a correct assumption? Has anyone had a waver approved for indefinite anticoagulation? Trying to gauge whether or not I should fight this.

-For disability, are most pulmonary embolism cases rated under the respiratory code 6817 for pulmonary vascular diseases? If so, have most folks been medically retired for this condition?

Thank you for the help and accepting me into the fold.
 

sinasasin

PEB Forum Regular Member
Registered Member
Hello! I am an active duty army officer (36A, finance kfficer with over 11yrs of active service. I had an unprovoked pulmonary embolism in January 2020 and during my 6mo follow up appointment it was discovered that I have a genetic clotting disorder (Factor II, heterozygous). The hematologist recommended indefinite therapeutic anticoagulation, which I know is a disqualified for service under AR 40-501 Ch 3-25f. I now face a MEB and I have a few questions.

-I am assuming that most of the cases like mine result in the PEB recommendation for discharge. Is that a correct assumption? Has anyone had a waver approved for indefinite anticoagulation? Trying to gauge whether or not I should fight this.

-For disability, are most pulmonary embolism cases rated under the respiratory code 6817 for pulmonary vascular diseases? If so, have most folks been medically retired for this condition?

Thank you for the help and accepting me into the fold.

Digging a bit deep, so may or may not be value added.

I underwent two consecutive MEBs, first I endured unprovoked DVT wil bilateral PEs. The doctor allowed me a trial period to come off of the blood thinners, this helped keep me active duty.

Second MEB due to other medical issues, though the DVT/PE was thrown back on the list. I now take Apixiban for life.

Medical retirement, as i recall they combined my sleep apnea and DVT/PE for a 60% combined rating. I wasn't expecting that, i anticipated separate ratings for each condition but was told because they were both applicable to the lungs it would be considering pyramidal to have individual ratings.
 

jordanthegimp

PEB Forum Regular Member
Registered Member
Digging a bit deep, so may or may not be value added.

I underwent two consecutive MEBs, first I endured unprovoked DVT wil bilateral PEs. The doctor allowed me a trial period to come off of the blood thinners, this helped keep me active duty.

Second MEB due to other medical issues, though the DVT/PE was thrown back on the list. I now take Apixiban for life.

Medical retirement, as i recall they combined my sleep apnea and DVT/PE for a 60% combined rating. I wasn't expecting that, i anticipated separate ratings for each condition but was told because they were both applicable to the lungs it would be considering pyramidal to have individual ratings.
I also take apixiban for life. 1st PEs I was given xeralto and it stopped working had PEs again 3 months later have been on apixiban/Eliquis since/ for life. Have you had an RFE appointment for rating yet. I was TDRL 60 to PDRL 60 for PEs /6817 then had RFE and VA is suggesting a reduction from 60- 30
 

sinasasin

PEB Forum Regular Member
Registered Member
I also take apixiban for life. 1st PEs I was given xeralto and it stopped working had PEs again 3 months later have been on apixiban/Eliquis since/ for life. Have you had an RFE appointment for rating yet. I was TDRL 60 to PDRL 60 for PEs /6817 then had RFE and VA is suggesting a reduction from 60- 30

I was medically retired in August, 100% VA/100% DoD PTRL. The DVT/PE rating stayed @ 60%, and still on Apixiban for life.
 
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