BVA9500334 DOCKET NO. 93-05 628 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Buffalo, New York THE ISSUES 1. Entitlement to restoration of 40 percent and 10 percent evaluations, respectively, for a low back disability and a hiatal hernia. 2. Whether recoupment of the veteran's Armed Forces severance pay from his disability compensation constitutes the recovery of a debt that would subject such recoupment to the provisions of the bankruptcy code. REPRESENTATION Appellant represented by: Disabled American Veterans ATTORNEY FOR THE BOARD R. A. Caffery, Counsel INTRODUCTION The veteran served on active duty from September 1970 to October 1987. In a February 1991 rating action, the Department of Veterans Affairs (VA) Regional Office Buffalo, New York, reduced the evaluation for the veteran's low back disability from 40 percent to 20 percent and reduced the evaluation for his hiatal hernia from 10 percent to no percent. The veteran disagreed with those determinations. He also appealed from a May 1992 decision by the regional office holding that recoupment of his Armed Forces severance pay did not constitute the recovery of a debt that would subject such recoupment to the provisions of the bankruptcy code. REMAND By a rating dated in June 1988, service connection was established for residuals of a lumbar laminectomy with left sciatica and degenerative arthritis, rated 40 percent disabling and a hiatal hernia, rated 10 percent disabling. When the veteran was examined by the VA in May 1990, there were lumbosacral tenderness and some limitation of motion of the lumbar spine. It was indicated that there was no muscle spasm. On gastrointestinal examination, reference was made to barium studies made in 1987 reportedly showing no dismotility in the esophagus. The study showed no evidence of esophageal reflux and the stomach and duodenum were clear. There was a small sliding esophageal hiatus hernia. However, a current gastrointestinal X-ray study was not performed. A report by Gerald S. Weinstein, M.D., received in May 1991, reflected the veteran had been his patient since March 1991 and that he had been sent to a medical center for tests which had been positive for gastroesophageal reflux disease. He stated that the veteran was being maintained on Zantac, 150 milligrams three times a day. A June 1991 statement by Michael P. Owen, M.D., reflected that he had been responsible for the care of the veteran since 1987. He stated that the veteran had undergone a left L4-L5 laminectomy and diskectomy from which he showed a moderate degree of improvement. It was stated that the veteran had subsequently developed a recurrent disc herniation at L4-L5 on the left that had not been treated surgically. It was indicated that the veteran continued to have low back pain radiating into the left leg on an intermittent basis. In a November 1992 statement, the veteran indicated that he had muscle spasm and low back pain all the time. He related that he had arthritis in his low back and had no relief from his back condition. He stated that he had numbness of his left leg and ankle. He also reported that he suffered from chest pain and regurgitation. In February 1993, the veteran's accredited representative maintained that the reduction in the evaluations for the veteran's low back condition and hiatal hernia was inappropriate based on the May 1990 examination. It was requested that the veteran be afforded another examination. In view of the foregoing matters and in order to afford the veteran every consideration, findings of fact and conclusions of law are being deferred pending a REMAND for the following action: 1. The veteran should be afforded special orthopedic and gastrointestinal examinations in order to determine the current nature and severity of his low back disability and hiatal hernia. All indicated special studies, including an X-ray study of the lumbar spine and a gastrointestinal X-ray series should be performed. The claims file should be made available to the examiners for review. 2. The veteran's claim should then be reviewed by the regional office. If the denial is continued, the veteran and his representative should be sent a supplemental statement of the case and be afforded the appropriate time in which to respond. When the above action has been completed, the case should be returned to the Board for further appellate consideration, if otherwise in order. No action is required of the veteran until he receives further notice. The purpose of this REMAND is to obtain clarifying information. The Board intimates no opinion as to the disposition warranted in this case pending completion of the requested action. JAMES R. ANTHONY Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. Under 38 U.S.C.A. § 7252 (West 1991), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Veterans Appeals. This remand is in the nature of a preliminary order and does not constitute a decision of the Board on the merits of your appeal. 38 C.F.R. § 20.1100(b) (1993).