COMDTINST M1850.2D COAST GUARD PERSONNEL MANUAL (MAY 19 2006)--Overview of the Disability Evaluation System
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CHAPTER 1. OVERVIEW OF PHYSICAL DISABILITY EVALUATION SYSTEM (PDES)
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D. System Process.
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1. Medical Evaluation Board (MEB). A member is introduced into the PDES when a commanding officer (or medical officer or higher authority as described in chapter 3) questions the member's fitness for continued duty due to apparent physical and/or mental impairment(s) and directs that an MEB be convened to conduct a thorough examination of the member's physical and/or mental impairment(s). The results of this examination, prepared in MEB format, should be as detailed as possible so as to provide a complete portrait of the member's physical and mental impairments for subsequent review.
2. Commanding Officer Endorsement. The MEB will then be sent to the evaluees unit for action set forth in articles 1.C.6 and 3.I. The unit commanding officer will prepare an endorsement. This endorsement shall reflect the commanding officer's observations of the evaluees working ability and any impact the injury or disease has on the evaluees ability to perform the military duties associated with his or her office, grade, rank, or rating. The commanding officer shall fully evaluate the more intangible aspects such as motivation and ability to adapt.
3. Evaluee Response to MEB. A copy of the MEB shall also be provided to the evaluee, who will be given an opportunity to comment on the report. To help the evaluee in reviewing the report, the evaluees commanding officer will arrange assistance by a qualified individual capable of explaining the meaning of the report and the evaluees rights.
4. Convening Authority Review. The commanding officer then forwards the entire record, properly endorsed, including the evaluees statement, if any, to Commander (CGPC-adm-1).
5. Commander (CGPC-adm) Referral to IPEB. CGPC-adm will then review the record and, if it is sufficient, refer the MEB to the IPEB. If an MEB is insufficient, CGPC-adm will hold the case in abeyance pending receipt of the required information.
Comentario: "IPEB" significa "Informal Physical Evaluation Board" (tribunal de evaluación física informal).
6. IPEB Action. The IPEB reviews the record of each case referred to it and evaluates the fitness and disability of the evaluee. IPEB findings and recommended disposition must be unanimous (article 4.A.6.). The findings and recommended disposition are initially only sent to the evaluee. If the evaluee elects counsel, the decision will be provided to the assigned legal counsel as well.
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Enclosure (1) to COMDTINST M1850.2D
Rating Principles. Disabilities are listed in VASRD diagnostic code number sequence. Instructions and explanatory notes are listed according to the diagnostic code number in the VASRD. Only those conditions which require special comment or those that have been the cause of misunderstanding in the past are included:
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5000, Osteomyelitis, Acute, Subacute, or Chronic
5002, Rheumatoid Arthritis
5003, Arthritis, Degenerative (Hypertrophic or Osteoarthritis)
5010, Arthritis, Due to Direct Trauma
5054, Total Hip Replacement
5055, Total Knee Replacement
5126-5151, Multiple Finger Disabilities
5171, Amputation of Great Toe
5200-5295, Ratings Involving Joint Motion (including the spine)
5205-5208, Absence or Limitation of Motion of Elbow and Forearm
5209-5212, Other Impairments of Elbow, Radius, and Ulna
5213, Impairment of Pronation and Supination
5214, Wrist, Ankylosis of
5235, Vertebral Fracture or Dislocation
5237, Lumbrosacral or Cervical Strain
5238, Spinal Stenosis
5239, Spondylolisthesis or Segmental Instability
5240, Ankylosing Spondylitis
5241, Spinal Fusion
5242, Degenerative Arthritis of the Spine
5243, Intervertebral Disc Syndrome
5251-5253, Limitation of Extension and Flexion of the Thigh
5255-5262, Defects of Long Bones of the Lower Extremity
5270, Ankle Ankylosis
5272, Subastragalar or Tarsal Joint Ankylosis
5296, The Skull
5297, Removal of Ribs
5299/5255, Hip Arthroplasty and Prostheses
5299/52xx, Dupuytrens Contracture
5301-5326, Muscle Injuries
6000-6092, Diseases of the Eye
6000-6009, Conditions Involving Structures of the Globe
6013, Glaucoma, Simple, Primary, Noncongestive
6029, Aphakia
6080, Field Vision, Impairment of
6081, Scotoma, Pathological
6090-6092, Diplopia
6100-6110, Impairment of Auditory Acuity
6200-6260, Diseases of the Ear
6200, Otitis Media, Supperative, Chronic
6207, Deformity of Auricle
6300-6354, Systemic Conditions
6309, Rheumatic Fever
6350, Lupus Erythematosus, Systemic
6351, Acquired Immunodeficiency Syndrome (AIDS)
6354, Chronic Fatigue Syndrome
6519, Aphonia, Organic
6600-6603, Diseases of the Trachea and Bronchi, and Pulmonary Emphysema
6721-6724 and 6731, Inactive Pulmonary Tuberculosis
6800-6802, 6811, 6812, and 6818, Non-Tuberculous Diseases
6814, Pneumothorax
6815, Pneumonectomy
6816, Lobectomy
6899, Sarcoidosis
7000 Rheumatic Heart Disease
7005-7006, Arteriosclerotic Heart Disease, Myocardial Infarction
7007-7101, Hypertensive Heart Disease and Hypertensive Vascular Disease
7007, Hypertensive Heart Disease
7015-7017, 7110, Surgical Procedures Associated with AV Block, Heart Valve
7099/7005, Aortic Grafts
7100, Arteriosclerosis, General
7114-7117, Peripheral Vascular Disease
7307, Gastritis, Hypertrophic
7308, Postgastrectomy Syndrome
7328-7329, Intestinal Resections
7332-7336, Ano-Rectal Conditions
7338, Hernia, Inguinal
7345, Hepatitis, Infectious
7347, Pancreatitis
7500-7531, The Genitourinary System
7703, Leukemia
7709, Lymphogranulomatosis (Hodgkins Disease)
7714, Hemoglobinopathies
7801, Scars, Burns, Third Degree
7802, Scars, Burns, Second Degree
7804, Scars, Superficial, Tender and Painful
7806, Eczema
7809, Lupus Erythematosus
7913, Diabetes Mellitus
8000-8046, Organic Diseases of the Central Nervous System
8017, 8018, 8023-8025, Progressive Muscular Atrophy and Myasthemia Gravis
8205-8412, Diseases of the Cranial Nerves
8510-8730, Diseases of the Peripheral Nerves
8599, Scalenus Anticus Syndrome
8910-8914, The Epilepsies
9201-9210, Psychotic Disorders