SAF/MRBD (PDBR)
3351 Celmers Lane
JBA NAF Washington, MD 20762-6435

MEMORANDUM FOR THE DIRECTOR, ARMY REVIEW BOARDS AGENCY

SUBJECT:  Physical Disability Board of Review Recommendation on 
       XXXXXXXXXXXXXXXXX Case Number PD-2019-00251 

	In accordance with Title 10 § 1554a and in compliance with DoDI 6040.44, the Physical Disability Board of Review (PDBR) adjudicated the disability rating accompanying the medical separation of the covered individual from the United States Army.  After carefully reviewing the application and medical separation case file, the PDBR recommended no re-characterization of the separation or modification of the disability rating previously assigned.  I recommend you accept this proposed decision.

The covered individual was an active duty E3, Cryptologic Linguist, medically separated for “neurocardiogenic syncope” with a disability rating of 10%, analogously coded 8299-8210 (paralysis of tenth pneumogastric, vagus cranial nerve), citing moderate incomplete paralysis.  The VA also rated the neurocardiogenic syncope 10%, analogously coded 8299-8210, based on the Compensation & Pension examination, citing moderate incomplete paralysis.  The panel agreed that the condition was best analogized to code 8210.  The panel deliberated and agreed that the evidence did not more closely support severe incomplete paralysis for a 30% rating.  After due deliberation, considering all the evidence and mindful of VASRD §4.3 (reasonable doubt), the panel concluded there was insufficient cause to recommend a change in the PEB’s adjudication for the neurocardiogenic syncope.

AR20200004683, 

Dear XXXXXXXXXXXXXXXXXXXXX:

	The Department of Defense Physical Disability Board of Review (DoD PDBR) reviewed your application and found your separation disability rating and your separation from the Army for disability with severance pay to be accurate.  I have reviewed the Board’s recommendation and record of proceedings (copy enclosed), and I accept its recommendation.  I regret to inform you that your application to the DoD PDBR is denied.  

	This decision is final.  Recourse within the Department of Defense or the Department of the Army is exhausted; however, you have the option to seek relief by filing suit in a court of appropriate jurisdiction.