Worrh trying for CRSC?

Kenbob22

Well-Known Member
PEB Forum Veteran
Registered Member
I was Air Force for 14 1/2 years. I was med-boarded and recieved 100% p&t. This was in 2022.

So the conditions I was med boarded for are Sarcoidosis 0% and EOE 30%.

This may be a long shot or I may have a legitimate case. I honestly dont know.

But what got me thinking about CRSC is the PACT act and being in Balad Iraq in 2010 which is before I was diagnosed with the EOE. I have no idea if the EOE was caused by the burn pits or not. I do know it CAN cause it. I dont know how I would prove or disprove the cause or establish a nexus event other than the timeline of diagnosis. Is it even worth filing? I do have a appointment with my GI doc tomorrow (previosly scheduled to treat my ongoing eoe) and plan to ask his opinion
 
That's the problem with EOE: it's not considered a PACT Act condition, although Sarcoidosis is even though you're only rated at 0%. Are there any other VA-rated conditions that could fall under The PACT Act i.e. that is a VA Presumptive as noted in the attached? Remember: CRSC can be approved for ANY VA-rated condition, NOT just what the PEB looked at as a referred condition. Either way, I'd still apply and let AF sort it out. Having a Nexus letter won't hurt imho. but AF can be sticklers when it comes to presumptive conditions.
 

Attachments

I didnt get a chance to read the attachment yet. But thank you for the info.

I think the only other condition that is rated that maybe I have a argument for is im rated 70% for anxiety disorder and it did start on my first deployment and that was my first ever appointment of mental health. That was also in balad Iraq and the only thing they did was give me a bottle of Xanax and sent me back to the flightline, no followup or anything.

About the sarcoidosis. When I was diagnosed they didnt do anything for treatment and assumed it was stable. Fast forward 3 years and my civilian doc put me on round of steroids for 6 months. Which I think might qualify it to go from 0% to 30%

This is what google says:
  • 30%: Chronic low-dose or intermittent corticosteroids.
  • 0%: Stable, asymptomatic conditions without functional impairment
Now I understand this is google and nothing official. But even if I would now qualify for the bump from 0% to 30% I am already at 100% with the VA and would be very scared to poke that bear.
 
Understandable, work with a VSO as there may be ways of doing it without poking the bear too much to get what you need for the sarcoidosis. It's worth exploring to see if the risk v reward is good enough. I can and will tell you that the AF are sticklers (I call them "dicks" for a reason lol) when it comes to CRSC, if you have any documentation from your Balad visit in your records, I would use that as supporting documentation. Usually, BH-related conditions need to have some sort of Armed Conflict (AC) associated with them and not just fear of or witnessing death.
 
That is great insight thank you.

I have a couple last questions because I had a thought.

It sounds like the EOE and MH are long shots to get approved and the sarcoidosis has a decent chance.

Would it make sense to go ahead and gather my evidence and submit for all 3 conditions. And let's say the EOE & MH get denied but the sarcoidosis gets approved. Does it being at 0% matter to them for approval? If it does get approved then could I possibly go back to the VA and put in for the increase? That way I wouldn't poke the va bear without already knowing the csrc is approved.

And lastly, im 30% DOD (0% sarcoid 30% eoe). If the sarcoid gets approved for csrc and becomes combat rated, would that change anything for me if the richard star act gets approved?

I really appreciate your knowledge! Its given me a good idea of what to expect.
 
I would put in for all 3 and being at 0% at least establishes that it's combat-related and subsequent increases in the sarcoidosis will increase your CRSC compensation. But understand it's not automatic, you'll need to do a reconsideration with the AF to get your CRSC increases enacted.

And, no, any change in VA rating will not change your DOD rating, however, under the current writing, MRSA is based on CRSC eligibility, not necessarily receiving it, so technically, you would be eligible for MRSA with even a 0% rating.
 
Hey Colonel Mike.

Im sorry to keep bothering you with questions but i was reviewing my VA ratings list and they have my Sarcoid & OSA listed together at 50%. I could have sworn they were separate. I am not sure how to interpret this or how this would affect the CSRC application.

my ratings list says:

"50% rating for obstructive sleep apnea, sarcoidosis
Effective date: February 01, 2023"


I am almost certain when i went through the med-board the dod rating was 0% for just sarcoid but the VA has it combined with sleep apnea. What do you make of this in how it applies to my case?
 
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Below is a AI generated letter i might tinker with and use for when i do submit. It didnt copy/paste perfectly, i would fix the formatting.






Personal Statement in Support of CRSC Claim: SarcoidosisApplicant: [Your Full Name]SSN/Service Number: [Your Number]Branch of Service: United States Air Force


Subject: Evidence of Combat-Related Exposure and Application of Precedent in Smoke et al. v. Driscoll


I am submitting this statement to request Combat-Related Special Compensation (CRSC) for sarcoidosis, which the VA has service-connected as a PACT Act-presumptive condition at [Your Rating]%. I contend that my condition was caused by exposure to toxic substances and particulate matter while serving at Joint Base Balad (JBB), Iraq, in the summer of 2010. This exposure qualifies as combat-related under the "Instrumentality of War" criteria, as reinforced by recent federal legal precedents.


1. Identification of the Instrumentality of WarDuring my deployment to Balad, my primary respiratory environment was dictated by the proximity of open-air burn pits. These pits were an essential military tool used to dispose of war-related hazardous waste (JP-8, munitions, medical waste, and military equipment) in a combat zone. Under 26 U.S.C. § 104 and DoD Directive 1332.18, an "instrumentality of war" includes any device designed for military use and intended for use in a period of war. The military-operated burn pits at JBB were unique to the combat theater and essential to the sustainment of combat operations.


2. Legal Precedent: Smoke et al. v. Driscoll (2026)The Air Force Board should be guided by the landmark settlement in Smoke et al. v. Driscoll (D.D.C. Mar. 6, 2026). In this case, the military transition from denying burn pit claims was codified into a formal policy acknowledgment: open-air burn pits located in combat zones are designated as "instrumentalities of war" for the purposes of combat-related disability findings.


This ruling clarifies that the definition of an instrumentality includes illnesses caused by the "fumes, gases, or explosion of military material" within those pits. As sarcoidosis is a systemic inflammatory disease linked specifically to the inhalation of these toxic particulates, my diagnosis meets the legal threshold for a combat-related finding. Under this precedent, the Air Force must acknowledge that the environment I was subjected to at Balad was a direct result of these instrumentalities.


3. Environmental Persistence in Summer 2010While active 24-hour burning at the primary JBB pit was phased out in late 2009, the combat-related hazard remained active during my 2010 tour:


  • Residual Toxicity: The 20-acre pit site remained a source of heavy metals, dioxins, and particulate matter. During the summer of 2010, high-heat winds and sandstorms "re-suspended" these settled toxins into the air.
  • Incineration Fallout: The transition to early-model incinerators at Balad in 2010 continued to release toxic fly-ash and particulate matter because they lacked modern filtration.
  • Combined Exposure: I was forced to inhale a "toxic cocktail" of soot from military waste and desert dust, a hazard that was exclusive to the combat environment of JBB.

Conclusion The Smoke v. Driscoll precedent established that veterans should not be denied CRSC for conditions the VA already recognizes as burn-pit related. My sarcoidosis is a direct consequence of hazardous conditions created by military instrumentalities necessary for combat operations. I respectfully request that the Air Force Board apply the current legal standard and approve my claim for CRSC.


Respectfully submitted,


[Your Signature][Your Printed Name][Date]
 
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