36C10X19Q0200-013.pdf

Patient: Case Identifier:

Clinical Appeal Case Report

CONFIDENTIAL

VISN: Case ID:

Case Identifier:

Facility: Station #:

Patient Name: SSN (4):

Date of Event:

Date(s) Range of the Episode of Care:

Specialty: Credential:

Review type: Clinical Appeal

Patient: Case Identifier: 003CA15DenverV19 vocalizations, unsteadiness, and vestibular and ocular findings are adjudged to not be service connected, and it appeared that they would not be so unless tied to PTSD, then they do not become symptoms under consideration for VA Caregiver Support Program, whether caregiver support might be clinically indicated or not.

in his note of opines that this veteran's conversion disorder (which could include non-epileptic seizures, tics, and memory impairment) are sequelae to the patient's PTSD. It is not clear to the reviewer that this was accurate to a reasonable degree of medical certainty. Conversion disorders can develop at any time in the life cycle. They do not require a prior diagnosis of PTSD and this reviewer knows of no peer-reviewed paper reporting a proven connection between PTSD and disorders such as non-epileptic seizures or tics. These two diagnoses are independent in Diagnostic and Statistical Manual of Mental Disorders – 5th Edition (DSM V). This reviewer believes that the connection between the two for this veteran was not proven to a reasonable degree of medical certainty. Since these "disabling symptoms” appeared to require caregiver support cannot be linked to the service connected disability. It appeared that the patient did not meet the VA requirements for the Caregiver Support Program as tendered in the denial assessment dated which was reviewed.

This reviewer was unable to determine a Tier level Rating based on the information provided.

Reviewed by:

Specialty: Date: