Citation Nr: 1008698 Decision Date: 03/08/10 Archive Date: 03/17/10 DOCKET NO. 06-23 431 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Winston- Salem, North Carolina THE ISSUES 1. Entitlement to a higher rating for residuals, fracture right proximal tibia with relaxation of lateral collateral ligaments, currently evaluated as 30 percent disabling. 2. Entitlement to a higher rating for right knee limitation of motion, currently evaluated as 10 percent disabling. REPRESENTATION Appellant represented by: Disabled American Veterans ATTORNEY FOR THE BOARD Jason A. Lyons, Counsel INTRODUCTION The Veteran served on active duty from March 1957 to March 1963. This matter comes before the Board of Veterans' Appeals (Board) on appeal from a March 2005 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO) in Winston-Salem, North Carolina, which denied a rating higher than 30 percent for the residuals of a fracture, right proximal tibia, with relaxation of the lateral collateral ligaments. The Board previously remanded this case in January 2009, primarily to arrange for the Veteran to undergo a VA medical examination. The requested examination was completed on remand. Thereafter, a September 2009 RO rating decision awarded a separate 10 percent rating for right knee limitation of motion, effective June 17, 2009. See 38 C.F.R. § 4.14 (under the VA rating schedule, separate ratings may be granted for distinct manifestations, provided not contravening the principle against evaluating the same disability under different diagnoses). For the reason indicated below, the appeal is again REMANDED to the RO via the Appeals Management Center (AMC), in Washington, DC. VA will notify the Veteran if further action is required. REMAND Unfortunately, the Board does not have the complete record before it in order to make a reasoned decision in this case. The Board had remanded this case for the Veteran to undergo a VA Compensation and Pension examination. By all indication, including as explained in the RO's September 2009 Supplemental Statement of the Case (SSOC), the requested VA examination took place on June 17, 2009. As for the actual examination report, however, this is not on file. The Board must have an adequate record before it to issue a comprehensive decision. As a matter of due process, the June 2009 VA examination report should be obtained and associated with the record. A remand of this case is required for this purpose. Accordingly, the case is REMANDED for the following action: 1. The RO should obtain a complete copy of the report of the Veteran's June 17, 2009 VA Compensation and Pension examination, and then associate this examination report with the claims file. Any additional outstanding records of pertinent treatment or examination should also be obtained. 2. The RO should then review the claims file. If any of the directives specified in this remand have not been implemented, appropriate corrective action should be undertaken before readjudication. Stegall v. West, 11 Vet. App. 268 (1998). 3. Thereafter, the RO should readjudicate the claims on appeal based upon all additional evidence received. If any benefit sought on appeal is not granted, the Veteran and his representative should be furnished with a Supplemental Statement of the Case (SSOC) and afforded an opportunity to respond before the file is returned to the Board for further appellate consideration. The Veteran has the right to submit additional evidence and argument on the matters the Board has remanded. Kutscherousky v. West, 12 Vet. App. 369 (1999). (CONTINUED ON NEXT PAGE) These claims must be afforded expeditious treatment. The law requires that all claims that are remanded by the Board of Veterans' Appeals or by the United States Court of Appeals for Veterans Claims for additional development or other appropriate action must be handled in an expeditious manner. See 38 U.S.C.A. §§ 5109B, 7112 (West Supp. 2009). _________________________________________________ DENNIS F. CHIAPPETTA Veterans Law Judge, Board of Veterans' Appeals Under 38 U.S.C.A. § 7252 (West 2002), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Appeals for Veterans Claims. 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) (2009).