Citation Nr: 0813140 Decision Date: 04/21/08 Archive Date: 05/01/08 DOCKET NO. 04-19 608 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Detroit, Michigan THE ISSUE Entitlement to service connection for a lumbar spine disability. REPRESENTATION Appellant represented by: The American Legion ATTORNEY FOR THE BOARD Bridgid D. Cleary, Associate Counsel INTRODUCTION The veteran served on active duty from June 1993 to June 1997. This matter has come before the Board of Veterans' Appeals (Board) on appeal from a January 2004 rating decision of the Detroit, Michigan, Department of Veterans Affairs (VA) Regional Office (RO), which denied entitlement to service connection for disc space narrowing, lumbar spine. The veteran perfected an appeal of the decision. In November 2006, the Board remanded the case to the RO for further development. FINDING OF FACT The medical evidence of record does not show the veteran has a lumbar spine disability. CONCLUSION OF LAW A lumbar spine disability was not incurred or aggravated by the veteran's military service. 38 U.S.C.A. § 1110 (West 2002); 38 C.F.R. § 3.303 (2007). REASONS AND BASES FOR FINDING AND CONCLUSION The Veterans Claims Assistance Act The VCAA, codified at 38 U.S.C.A. §§ 5100, 5102, 5103A, 5106, 5107, 5126, was signed into law on November 9, 2000. Implementing regulations were created, codified at 38 C.F.R. §§ 3.102, 3.156(a), 3.159 and 3.326 (2007). VCAA notice consistent with 38 U.S.C.A. § 5103(a) and 38 C.F.R. § 3.159(b) must: (1) inform the claimant about the information and evidence not of record that is necessary to substantiate the claim; (2) inform the claimant about the information and evidence that VA will seek to provide; (3) inform the claimant about the information and evidence the claimant is expected to provide; and (4) request or tell the claimant to provide any evidence in the claimant's possession that pertains to the claim. Pelegrini v. Principi, 18 Vet. App. 112, 120-121 (2004) (Pelegrini II). This "fourth element" of the notice requirement comes from the language of 38 C.F.R. § 3.159(b)(1). Charles v. Principi, 16 Vet. App. 370, 373-74 (2002); Quartuccio v. Principi, 16 Vet. App. 183, 186-87 (2002). The Court held in Pelegrini II that VCAA notice, as required by 38 U.S.C.A. § 5103(a) (West 2002), to the extent possible, must be provided to a claimant before the initial unfavorable RO decision on a claim for VA benefits. Pelegrini II, 18 Vet. App. 112, 119-20 (2004). See, too, Mayfield v. Nicholson, 444 F.3d 1328 (Fed. Cir. 2006). In this case, the veteran was provided notice of the VCAA in September 2003, prior to the initial adjudication of his claims in the January 2004 rating decision. The veteran also received a second VCAA letter in November 2006 after the Board's remand earlier that month. The VCAA letters summarized the evidence needed to substantiate the claim and the VA's duty to assist. They also specified the evidence that the veteran was expected to provide, including the information needed to obtain both his private and VA medical treatment records. In this way, the VCAA letters clearly satisfied the first three "elements" of the notice requirement. In addition, the November 2006 letter stated: "If you have any evidence in your possession that pertains to your claim, please send it to us." This satisfies the fourth "element." During the pendency of this appeal, on March 3, 2006, the Court issued a decision in the consolidated appeal of Dingess/Hartman v. Nicholson, 19 Vet. App. 473 (2006), which held that the VCAA notice requirements of 38 U.S.C.A. § 5103(a) and 38 C.F.R. § 3.159(b) apply to all five elements of a service connection claim. Those five elements include: 1) veteran status; 2) existence of a disability; 3) a connection between the veteran's service and the disability; 4) degree of disability; and 5) effective date of the disability. The Court held that upon receipt of an application for a service connection claim, 38 U.S.C.A. § 5103(a) and 38 C.F.R. § 3.159(b) require VA to review the information and the evidence presented with the claim and to provide the claimant with notice of what information and evidence not previously provided, if any, will assist in substantiating or is necessary to substantiate the elements of the claim as reasonably contemplated by the application. Id. at 486. Additionally, this notice must include mention that a disability rating and an effective date for the award of benefits will be assigned if service connection is granted. Id. In this case, the veteran received Dingess notice as part of the November 2006 VCAA letter, including as it relates to the downstream disability rating and effective dates of his claim. The Board finds that all relevant evidence necessary for an equitable resolution of the issues on appeal has been identified and obtained, to the extent possible. The evidence of record includes service medical records, VA and private medical records and the report of a VA examination. Additionally, the veteran indicated a concern that the service medical records for himself and another veteran had become mingled. To this end, the service medical records of the other veteran were received and reviewed by the RO in June 2005. No records pertaining to the veteran were found in the service medical records of the named other veteran. The veteran has not indicated he has any further evidence to submit to VA, or which VA needs to obtain. There is no indication there exists any additional evidence that has a bearing on this case that has not been obtained. The veteran has been accorded ample opportunity to present evidence and argument in support of his appeal. All pertinent due process requirements have been met. See 38 C.F.R. § 3.103 (2007). Pertinent Law and Regulations In general, service connection may be granted for disability resulting from a disease or an injury incurred or aggravated by active military service. 38 U.S.C.A § 1110 (West 2002); 38 C.F.R. § 3.303(a) (2007). In addition, service connection may be granted for any disease diagnosed after discharge, when all the evidence, including that pertinent to service, establishes the disease was incurred in service. 38 C.F.R. § 3.303(d) (2007). In order to establish a service connection for the claimed disorder, there must be (1) medical evidence of a current disability; (2) medical or, in certain circumstances, lay evidence of the in-service incurrence or aggravation of a disease or injury; and (3) medical evidence of a nexus between the claimed in-service disease or injury and the current disability. See Hickson v. West, 12 Vet. App. 247, 253 (1999). Service connection presupposes a current diagnosis of the claimed disability. See Brammer v. Derwinski, 3 Vet. App. 223, 225 (1992). The current disability requirement for a service connection claim is satisfied if the claimant has a disability at the time the claim is filed or during the pendency of that claim. See McClain v. Nicholson, 21 Vet. App. 319 (2007). Analysis With respect to Hickson element (1), there is no evidence of a current lumbar spine disability. The medical records in evidence predate the veteran's claim. The veteran has provided no other medical evidence concerning his lumbar spine disability during the relevant time period. In August 2007, a VA medical examination found that the veteran did not have a current back condition. Thus, the preponderance of the evidence is against the finding of a current disability. In order for a claimant to be granted service connection for a claimed disability, there must be evidence of a current disability. See Wamhoff v. Brown, 8 Vet. App. 517, 521 (1996); Brammer, 3 Vet. App. 223, 225 (1992) (service connection is limited to cases wherein the service incident has resulted in a disability, and in the absence of proof of a present disability, there can be no valid claim). See also Rabideau v. Derwinski, 2 Vet. App. 141, 144 (1992) (service connection claim must be accompanied by evidence establishing the claimant currently has the claimed disability). In the absence of confirmed diagnosis of a lumbar spine disability, meaning medical evidence showing the veteran has the condition alleged, service connection is not warranted. In short, Hickson element (1) has not been met as to this claim. So service connection must be denied on this basis alone - irrespective of any other Hickson considerations. The preponderance of the evidence is against the claim of entitlement to service connection for a lumbar spine disability. The benefit sought on appeal is accordingly denied since there is no reasonable doubt to resolve in the veteran's favor. See Alemany v. Brown, 9 Vet. App. 518, 519 (1996). ORDER Entitlement to service connection for a lumbar spine disability is denied. ____________________________________________ DEBORAH W. SINGLETON Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs