Citation Nr: 18150592 Decision Date: 11/15/18 Archive Date: 11/15/18 DOCKET NO. 16-47 762 DATE: November 15, 2018 REMANDED Entitlement to a compensable rating for hematuria is remanded. REASONS FOR REMAND The Veteran served on active duty from June 1964 to June 1990. Entitlement to a Compensable Rating for Hematuria is Remanded The Veteran contends that he is entitled to a compensable rating for his service-connected hematuria. The Veteran was afforded a VA examination in October 2015. The examiner noted that the Veteran had microscopic hematuria. The examination report stated that the Veteran did not have a voiding dysfunction, to include urinary frequency, nighttime voiding, or slow or weak stream. On his November 2015 Notice of Disagreement, the Veteran reported that he had a slow, weak, stream. He reported that he woke up about three times nightly to void, and needed to void every two hours during the day. He also reported periodically using absorbent materials. The Veteran stated that he was not asked about these issues during his October 2015 VA examination. The Veteran has a noncompensable rating for hematuria under 38 C.F.R. § 4.115b, Diagnostic Code 7516. Under Diagnostic Code 7516, the Veteran’s disability is rated as a voiding dysfunction or urinary tract infection, whichever is predominant. Therefore, any voiding dysfunction or urinary tract infection symptoms need to be explicitly addressed during a VA examination. If VA provides an examination that examination and opinion must be adequate. Barr v. Nicholson, 21 Vet. App. 303 (2007). Because the Veteran contends that the October 2015 examiner failed to discuss any symptoms associated with a voiding dysfunction, a remand is warranted for a supplemental VA examination and opinion. The matter is REMANDED for the following action: 1. Contact the Veteran and request that he provide information as to all post-service treatment for hematuria including the names and addresses of all health care providers whose records have not already been provided to VA. Upon receipt of the requested information and the appropriate releases, contact all identified health care providers and request copies of all available records pertaining to treatment of the Veteran, not already of record, for incorporation into the record. If identified records are not obtained, then notify the Veteran. 38 C.F.R. § 3.159(e). 2. Schedule the Veteran for an examination by an appropriate clinician to determine the current severity of his service-connected hematuria, specifically addressing any voiding dysfunction or urinary tract infection symptoms. The examiner should provide a full description of the disability and report all signs and symptoms necessary for evaluating the Veteran’s disability under the rating criteria. J.W. FRANCIS Veterans Law Judge Board of Veterans’ Appeals ATTORNEY FOR THE BOARD T. Fitzgerald, Associate Counsel