M21-1, Part IIIFebruary 25, 2005
i. Subsequent Review. A claim for compensation based on radiation exposure as a consequence of service with the occupation forces of Hiroshima or Nagasaki, Japan, or in connection with nuclear testing that was denied prior to enactment of Public Law 98-542, “The Veterans' Dioxin and Radiation Exposure Compensation Standards Act,” on October 24, 1984, must receive a complete, new review if the claim is subsequently reopened. New and material evidence need not be submitted to reopen these claims. Handle this type of claim as if it were an initial ionizing radiation claim. Refer to subparagraph b for proper action to be taken.
5.13 ASBESTOS-RELATED DISEASES
a. General. Many people with asbestos-related diseases have only recently come to medical attention because the latent period varies from 10 to 45 or more years between first exposure and development of disease. In addition, exposure to asbestos may be brief (as little as a month or two) or indirect (bystander disease).
b. Responsibility. The rating activity is responsible for determining whether or not military records demonstrate evidence of asbestos exposure in service and ensuring that development is accomplished to determine if there is pre-service and post-service evidence of occupational or other asbestos exposure.
5.14 POST-TRAUMATIC STRESS DISORDER (PTSD)
a. Post-Traumatic Stress Disorder. Service connection for post-traumatic stress disorder (PTSD)
requires medical evidence diagnosing the condition in accordance with 38 CFR 4.125(a); a link, established by medical evidence, between current symptoms and an in-service stressor; and credible evidence that the claimed in-service stressor occurred. (38 CFR 3.304(f))
b. Evidence of a Stressor in Service. Obtain all available evidence from the service department showing that the veteran served where the stressful event occurred. Also obtain evidence supporting the veteran’s description of the event.
(1) Combat Stressors. The following individual decorations are examples of decorations which
may serve as evidence that the veteran engaged in combat:
Air Force Cross
Air Medal with "V" Device
Army Commendation Medal with "V" Device
Bronze Star Medal with "V" Device
Combat Action Ribbon
Combat Aircrew Insignia
Combat Infantry Badge
Combat Medical Badge
Distinguished Flying Cross
Distinguished Service Cross
Joint Service Commendation Medal with "V" Device
Medal of Honor
Navy Commendation Medal with "V" Device