Presumptive for CRSC

Baller24

PEB Forum Regular Member
Registered Member
Hello, I just recently medically retired and two of my conditions I believe qualify for CRSC. However, I do not have a combat code for them and on my Retirement orders it’s states No for combat related. But on my DD214 it’s stated combat related. The two conditions are Fibromyalgia and Migraines. I know Fibromyalgia will count, I wasn’t sure about Migraines since it’s due to burn pits. Will sending in my DD 214, Orders, and my DBQs, be enough to qualify me since this seem to be presumptive? Please see attached disability ratings, DBQ from migraines, and combat part on my DD214.
 

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Hello, I just recently medically retired and two of my conditions I believe qualify for CRSC. However, I do not have a combat code for them and on my Retirement orders it’s states No for combat related. But on my DD214 it’s stated combat related. The two conditions are Fibromyalgia and Migraines. I know Fibromyalgia will count, I wasn’t sure about Migraines since it’s due to burn pits. Will sending in my DD 214, Orders, and my DBQs, be enough to qualify me since this seem to be presumptive? Please see attached disability ratings, DBQ from migraines, and combat part on my DD214.
If covered by pact act then you are good. Migraines aren't covered. Your Fibro is so you will be automatically approved for the Fibro as long as you include all the information which shows you have deployed to the middle east. That's the only 2 conditions. Diagnosis and rating by the VA and proof that you were deployed to a qualifying country to get presumptive condition approval for CRSC. My wife was approved for Asthma, Chronic Sinusitis and Tinnitus. She was not approved for migraines since that is not a presumptive condition.
 
If covered by pact act then you are good. Migraines aren't covered. Your Fibro is so you will be automatically approved for the Fibro as long as you include all the information which shows you have deployed to the middle east. That's the only 2 conditions. Diagnosis and rating by the VA and proof that you were deployed to a qualifying country to get presumptive condition approval for CRSC. My wife was approved for Asthma, Chronic Sinusitis and Tinnitus. She was not approved for migraines since that is not a presumptive condition.
Thanks so much for the response and information. I thought it would be due to burn pit exposure, but it’s good to know I qualify for Fibro.
 
Also note that even though the VA and/or the PEB determines your conditions to be "combat-related", the law(s) they use for that determination are different from what is used by CRSC, you have to provide the substantive documentation to show the causal relationship between condition(s) and combat-related event(s). DBQ's do not fall into that "substantive category". But, for your Fibro presumptive, as long as it shows on your DD-214 that you were in the area of consideration during the time of consideration for being a presumptive under the VA, you're gtg, i.e., DD-214, eval reports, status reports, etc.
 
If covered by pact act then you are good. Migraines aren't covered. Your Fibro is so you will be automatically approved for the Fibro as long as you include all the information which shows you have deployed to the middle east. That's the only 2 conditions. Diagnosis and rating by the VA and proof that you were deployed to a qualifying country to get presumptive condition approval for CRSC. My wife was approved for Asthma, Chronic Sinusitis and Tinnitus. She was not approved for migraines since that is not a presumptive condition.
Thanks so much for this information. I thought migraines was covered as well, but good to know. Thank you!
 
Also note that even though the VA and/or the PEB determines your conditions to be "combat-related", the law(s) they use for that determination are different from what is used by CRSC, you have to provide the substantive documentation to show the causal relationship between condition(s) and combat-related event(s). DBQ's do not fall into that "substantive category". But, for your Fibro presumptive, as long as it shows on your DD-214 that you were in the area of consideration during the time of consideration for being a presumptive under the VA, you're gtg, i.e., DD-214, eval reports, status reports, etc.
Thank you so much for this information. I truly appreciate it!
 
Thanks so much for this information. I thought migraines was covered as well, but good to know. Thank you!
Also, I found this.
Also note that even though the VA and/or the PEB determines your conditions to be "combat-related", the law(s) they use for that determination are different from what is used by CRSC, you have to provide the substantive documentation to show the causal relationship between condition(s) and combat-related event(s). DBQ's do not fall into that "substantive category". But, for your Fibro presumptive, as long as it shows on your DD-214 that you were in the area of consideration during the time of consideration for being a presumptive under the VA, you're gtg, i.e., DD-214, eval reports, status reports, etc.
Also, I found this.
 

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Also, I found this.

Also, I found this.
Yeah so I filed for headaches, this under GW presumptive. The VA will go thru great lengths to find an etiology or cause. This cancel out “undiagnosed” They did such and then denied. I appealed and was granted but none under GW presumptive. Fibromyalgia yes, key decision should show it was granted due to such presumption. Works the same for Agent Orange, PACT. What did your decision letter say. Also filed for sleep disturbances. Found out/forgot had a TBI. Found a positive TBI screen at VA, a commanders statement regarding a vehicle accident, concussion that happened in theater. So what happened, whelp neither was granted as presumptive under GW. The headaches was granted as caused by the TBI and is an exception to the secondary/pyramiding rule as headaches are a TBI symptom, but can be rated separately under rhe subjective symptoms. So I was scored a 0 there as migrates for me were rated separately and service connected because of evidence of TBI not my gulf war service. TBI was also not separated from PTSD unfortunately as that would have given me a separate rating of 40%. But the sleep disturbances was enough to give me sleep apnea as there was evidence in my records of such and medications.
My point is very very very hard to get headaches as GW presumptive. There was a report about 7 years ago based on FOIA data, claims against Ga presumptive, especially the undiagnosed category had a very high denial rate.

Your decision letter would have to have stated you were granted such based on a presumption and will usually cite the CFRs. Share redacted decision letter or look at it. That is key. If just says headaches were granted because of x,y,z but not based on GW presumption, no mention of presumption in the decision paragraph, I don’t think they will grant.
 
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