BVA9500737 DOCKET NO. 93-03 170 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in St. Petersburg, Florida THE ISSUE Entitlement to service connection for an abdominal condition, claimed as a stomach or intestinal tumor. Entitlement to service connection for residuals of removal of a papilloma of the right forearm. REPRESENTATION Appellant represented by: Veterans of Foreign Wars of the United States WITNESS AT HEARING ON APPEAL Appellant ATTORNEY FOR THE BOARD L. B. Wirt, Associate Counsel INTRODUCTION The veteran served on active duty from May 1945 to December 1946. This appeal arises from a October 1991 rating decision of the Department of Veterans Affairs (VA) St. Petersburg, Florida, Regional Office (RO), which denied the veteran entitlement to service connection for an abdominal condition, claimed as a stomach or intestinal tumor as well as for postoperative residuals of a papilloma of the right forearm. The Board of Veterans' Appeals (Board) notes that the veteran has raised the issue of entitlement to service connection for bilateral lower extremity skin ulcers on a radiation basis. This issue is referred to the RO for any appropriate action. REMAND The veteran contends that he was exposed to ionizing radiation in service and that this exposure has caused him to develop an abdominal condition, which he claims is a stomach or intestinal tumor. The claim for service connection for residuals of removal of a papilloma of the right forearm is likewise based on exposure to ionizing radiation. The veteran served with the occupational forces in Japan. From November 22-25, 1945 he was disembarked from his ship in Nagasaki. He apparently also served in other areas of Japan, and his service separation report shows that he spent 11 months in the Pacific Theater. His service medical records are negative for any evidence of treatment for or findings or diagnosis of an abdominal condition of any kind, and are likewise negative for a papilloma of the right forearm. He was diagnosed at a VA examination in January 1980 as having a partially reducible umbilical hernia, from which he still suffers. He has not been diagnosed as having any kind of abdominal tumor or other mass. Private clinical records reveal that in August 1987 a fibroepithelial papilloma was excised from the proximal ulna of the right forearm. During the pendency of this appeal, the United States Court of Appeals for the Federal Circuit determined that § 5 of the Veterans' Dioxin and Radiation Exposure Compensation Standards Act, Pub. L. No. 98-542, 98 Stat. 2725, 2727-29 (1984), did not preclude, or authorize the VA to preclude, a claimant from proving that he or she has a disability as a result of exposure to ionizing radiation in service under the provisions of 38 U.S.C.A. § 1110 (West 1991) and 38 C.F.R. § 3.303(d) (1993), despite the fact that the claimed disability is not a potentially radiogenic disability under 38 C.F.R. § 3.311(b) (now § 3.311) 1993. Combee v. Brown, No. 93-7107, 1994 WL 470364 (Fed. Cir. Sept. 1, 1994), reversing in part Combee v. Principi 4 Vet.App. 78 (1993). In such cases, a claimant must be given an opportunity to prove that his exposure to ionizing radiation during service actually caused the disability or disabilities for which he or she is claiming service connection, and that service connection is therefore warranted under 38 U.S.C.A. §§ 1110, 1131 (West 1991), and 38 C.F.R. § 3.303(d). In this case, the denial was predicated upon the fact that the conditions for which service connection was sought were not radiogenic conditions under 38 C.F.R. § 3.311. Therefore, this radiation claim must be readjudicated pursuant to Combee. Accordingly, this case is REMANDED for the following action: The RO should readjudicate the issue of service connection for an abdominal condition, claimed as a stomach or intestinal tumor, and the issue of service connection for residuals of removal of a papilloma of the right forearm, pursuant to Combee v. Brown. If the decision remains adverse to the veteran, notification of the denial via a statement of the case should include the holding in Combee. He should be specifically informed that claimants now have the opportunity to prove causation on a radiation basis for non-radiogenic conditions. In taking this action, the Board intimates no opinion as to the final outcome of this case. No action is required of the veteran until he receives further notice from the RO. BRUCE E. HYMAN 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).