Citation Nr: 20021520 Decision Date: 03/26/20 Archive Date: 03/26/20 DOCKET NO. 18-42 490 DATE: March 26, 2020 REMANDED Entitlement to service connection for colon adenomas is remanded. REASONS FOR REMAND The Veteran served on active duty from February 1984 to February 1988. The Veteran contends that his colon adenomas are due to exposure to contaminated drinking water while stationed at Camp Lejeune. Service treatment records show that the Veteran was stationed at Camp Lejeune during active duty. Of note, colon or rectum conditions are not listed under 38 C.F.R. § 3.309(f) as associated with exposure to contaminants in the water supply at Camp Lejeune. Thus, service connection for a colon or rectum condition is not applicable on a presumptive basis under 38 C.F.R. § 3.309(f) in this case. However, while colon and rectum conditions are not presumptive diseases, the Veteran may be entitled to compensation based on a direct service connection theory. A VA treatment record dated in November 2016 shows that the result of a colonoscopy procedure showed that seven adenomas were removed, with one having focal high grade glandular dysplasia. It was noted that the Veteran did not have cancer. A June 2017 VA treatment note reflects that results of a colonoscopy procedure showed that two adenomas were removed. A review of the record indicates that the Veteran has not been afforded a VA examination specifically in connection with this claim. Generally, VA is required to provide an examination when the evidence of record indicates that a current disorder “may be associated” with a Veteran’s military service. See McLendon v. Nicholson, 20 Vet. App. 79 (2006); see also 38 C.F.R. § 3.159(c)(4)(i). This evidentiary requirement is a low threshold. Such evidence exists, and the Board finds that a VA examination and medical opinion are warranted to determine if any current colon or rectum disability is related to the Veteran’s military service. The matters are REMANDED for the following action: Schedule the Veteran for a VA medical examination to determine the nature and etiology of any current colon or rectum disability found on examination. The entire electronic claims file must be reviewed by the examiner. All tests deemed necessary should be conducted and the results reported in detail. The examiner is to provide an opinion as to whether it is at least as likely as not (a 50 percent or greater probability) that any current diagnosed disability had its onset during, or was otherwise related, to the Veteran’s active military service. A complete rationale must be provided for all opinions expressed and conclusions reached. A. C. MACKENZIE Veterans Law Judge Board of Veterans’ Appeals Attorney for the Board A-L Evans, Counsel The Board’s decision in this case is binding only with respect to the instant matter decided. This decision is not precedential and does not establish VA policies or interpretations of general applicability. 38 C.F.R. § 20.1303.