Urinary/Bladder ratings

[thepencilthief]

Just curious here.
My husband's urology medical records list so many diagnostic codes. Some are:
neurogenic bladder
nocturia
urinary frequency
BPH stage 1
voiding obstruction
history of urethral stricture (fixed 20 years ago)

How are these all rated? I sort of understand pyramiding so I am going to assume that these all will just render one rating rather than say 20% for neurogenic bladder, and another 20% for frequency and 10% for obstruction...

 

[gsfowler]

I too was rated for this. All of those condition(s) will be rated as voiding disfunction. Each of those diagnosis are related so they will be combined to avoid anti-pyramiding rules.

As far as the rating goes, there are two ways to get a percentage, here is the standard: http://www.gpo.gov/fdsys/pkg/CFR-2011-title38-vol1/pdf/CFR-2011-title38-vol1-sec4-115a.pdf


Look at absorbent materials and post void residual. If you have not had a urodynamics study, just concentrate on the absorbent materials. You can keep a log of how frequently you must change pads. It is a good idea to save them and write the date/time on them. Do this for a week a photograph it. I was given this advice by my DAV rep prior to entering the MEB process.

20% is a realistic percentage to shoot for.