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What to Expect in a Hypertension C&P Exam

va disability rating hypertension

Hypertension, commonly known as high blood pressure, is a prevalent medical condition that affects a significant number of individuals, including veterans. For those seeking compensation and pension (C&P) exams for hypertension-related disability claims, understanding the process can be crucial. Leah will delve into what veterans may expect during a hypertension C&P exam.

Understanding Hypertension

Before we analyze the C&P exam process, it’s essential to have a basic understanding of hypertension. High blood pressure is defined as a sustained level of 140 or above for the systolic (top number) or over 90 for the diastolic (bottom number). There is also a prehypertension category, with slightly lower values in the 130s for the top number or 80 to 89 for the bottom number.

Eligibility for Service Connection

Veterans diagnosed with hypertension may seek service connection for their condition based on various factors. If the diagnosis occurred during military service, direct service connection may be established. Alternatively, if another service-connected disability is causing or aggravating hypertension, veterans can seek service connection through that link. Some Vietnam veterans may also be eligible for presumptive service connection due to Agent Orange exposure.

The Hypertension C&P Exam Process

When a veteran files a claim for VA disability related to hypertension, they may receive a notification for a compensation and pension (C&P) exam. This exam is a crucial step in assessing the severity and impact of the claimed disability. Below, we outline the key components and steps involved in the hypertension C&P exam.

Receiving the Exam Notification

Upon filing a claim, veterans can expect to receive a packet from the VA containing details about the scheduled C&P exam. This packet will include information such as the exam location, the name of the examiner (doctor, nurse practitioner, or physician assistant), their experience, and the appointment time.

Reviewing the Disability Benefits Questionnaire (DBQ)

The C&P examiner will use a Disability Benefits Questionnaire (DBQ) to assess the veteran’s hypertension. This questionnaire is available on va.gov and contains detailed questions about the veteran’s medical history, diagnosis, and the impact of hypertension on their daily life.

Hypertension DBQ Components

  1. Demographic Information: This section includes personal details such as name, social security number, and the date of the examination.
  2. Evidence Review: The examiner notes the evidence reviewed, including service treatment records, VA records, private records, and the date range of the information.
  3. Diagnosis Confirmation: The veteran’s hypertension diagnosis is confirmed based on specific criteria, including blood pressure readings taken on multiple occasions.
  4. Medical History: The examiner explores the history of the veteran’s hypertension, including onset, course, and treatment plans. They also inquire about any related conditions or complications.
  5. Medication Usage: The veteran’s current medications for hypertension are documented, providing insight into the severity of the condition.
  6. Blood Pressure Readings: The DBQ includes questions about the veteran’s blood pressure readings, ensuring that the initial diagnosis was confirmed through multiple readings on different days.
  7. Physical Findings and Complications: The examiner checks for any physical findings, complications, signs, symptoms, or scars related to hypertension.
  8. Functional Impact: The impact of hypertension on the veteran’s ability to work is assessed, with an explanation if applicable.
  9. Examiner Remarks: Additional remarks or comments may be included as needed.

DBQ Submission and Examiner’s Signature

Once the veteran completes the DBQ, the examiner signs the document, providing their specialty, contact information, National Provider Identifier (NPI), medical license number, and address. This marks the completion of the C&P exam.

VA Ratings and Compensation

The ultimate goal of the C&P exam is to determine the severity of the veteran’s hypertension and assign a disability rating. VA ratings are subject to change, and veterans are advised to consult with their accredited legal professionals for clarification. However, a brief overview of potential ratings includes:

  • 10% rating: Diastolic pressure 100-109 or systolic pressure 160-199.
  • 20% rating: Diastolic pressure 110-119 or systolic pressure 200 or higher.
  • 40% rating: Diastolic pressure 120-129.
  • 60% rating: Diastolic pressure 130 or higher.

It’s important to note that these ratings reflect the severity of hypertension and its impact on the veteran’s overall health.

Conclusion

Navigating the C&P exam process for hypertension can be complex, but understanding the key components of the examination and being prepared with the necessary documentation can significantly contribute to a successful claim. Veterans should actively participate in the process, providing accurate and detailed information to ensure an accurate assessment of their hypertension-related disability. Seeking guidance from accredited legal professionals can also help veterans navigate the intricacies of the VA disability claims process.

Also read: Hearing Loss and Veterans Disability

At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.

Our purpose is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.

Understanding the unique challenges veterans face, our commitment lies in delivering exceptional service and support.

Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.

Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.

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Danielle McClaskey

Client Relations Specialist U.S. Navy Veteran

In her active-duty service in the United States Navy, Danielle undertook a variety of responsibilities, ranging from essential administrative duties to providing crucial medical care. Her multifaceted contributions played a pivotal role in enhancing her fellow service members’ operational effectiveness and well-being.

As a disabled veteran, she developed a profound understanding of the unique challenges faced by her fellow service members. Now, in her civilian role, Danielle is a valued member of the Prestige Veteran Medical Consulting team, where she continues to leverage her extensive background and educational achievements to provide exceptional support to veterans.

Leticia

LETICIA

ADMINISTRATIVE ASSISTANT

Leticia has been in the medical field for nearly 14 years. She has always had a passion for medicine and caring for her community. Leticia has spent the last 4 years caring for veterans and first responders with alcohol and substance abuse in a medical rehabilitation setting whilst continuing her education working towards a degree in software development.

Someday she hopes to develop medical software that further enhances the patient’s experience in medical care. Leticia has a deep respect and love for those who have served as she comes from a family of law enforcement and military veterans.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Julie Pereira

JULIE PEREIRA:

ADMINISTRATIVE ASSISTANT

During her Active-Duty time in the US Navy as a Hospital Corpsman, Julie provided medical administration
and patient care services in the field, the hospital, and base medical office settings.  This military medical and
administrative background has given Julie the hands-on experience and extensive knowledge necessary to
provide unparalleled service to her fellow Veterans through the Prestige Veteran Medical Consulting team.

Julie’s educational achievements include a Bachelor of Arts with a minor in Human Services and a pre-nursing associate in arts and science.

Julie has been inspired by her firsthand knowledge of navigating the VA Benefits process. She has dedicated
most of her adult life to serving Veterans through her knowledge derived from her military and civilian medical
education and training.

Jennifer Januta

JENNIFER JANUTA

U.S ARMY VETERAN, CHIEF OPERATIONS OFFICER

During her Active-Duty service in the Army, Jennifer supported various research efforts centered on combat casualty care and Soldier performance. Her military background gave her unique insights into veterans’ distinct challenges, ultimately inspiring her to join the Prestige Veteran Medical Consulting team.

Jennifer’s educational achievements include a master’s in molecular biology from George Washington University and a master’s in data science from Texas Tech University. Jennifer wholeheartedly dedicates herself to utilizing her knowledge and expertise gained from 15 years of healthcare experience to impact the well-being of those who have served positively.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Leah - Meet the Team

LEAH BUCHOLZ, PA-C

U.S ARMY VETERAN, MEDICAL EXPERT & FORMER C & P EXAMINER

Meet Leah, the founder, and leader of our organization. ​​A combat veteran herself, she understands the unique challenges veterans face, making her mission about much more than running a successful business. It’s about the opportunity to provide a legacy of exceptional service for our heroes.​

​“It is essential to remember that there is no greater honor than caring for service members on the battlefield. Continuing to care for Veterans after separation is an opportunity that I have been afforded to extend that care in this new battlefield related to service-incurred disabilities.”

Her inspiration comes from years of military experience working alongside her fellow servicemembers, particularly key leaders who have influenced her journey, applying their wisdom to her path. She values her team deeply, most of whom are also disabled combat veterans, each member a trusted individual sharing her vision.

 “Driven by passion and purpose, I aim to create a sustainable change that empowers veterans and future generations.”

Leah’s journey hasn’t been without challenges. From overcoming and living with her service-related disabilities to navigating work-life balance, she’s learned to face each hurdle head-on with resilience.  Like many of her veteran brothers and sisters, her early background consisted of limited resources and opportunities. Her military service has helped shape her into a steadfast leader, offering relatable inspiration to others.

Join us in celebrating Leah, a compassionate leader, and resilient veteran, driving our mission to serve those who served our nation.