I was diagnosed with hypertension before I separated form the military and over the years I’ve developed chronic kidney disease (CKD) with eGFR of 54 sometimes int he 40’s. And, I am wanting to get this CKD or renal insufficiency service-connected. I’m 10% on the hypertension already but don’t know what the final outcome will be whether they’ll combine the disabilities or rate each separate.
So, I am wondering if I need a nexus letter from a physician or will the VA accept the doctor’s notes from a nephrologist that says Diagnosis “Hypertensive chronic kidney disease with stage 2 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. All the VA doctor’s notes have the lab eGFR’s at or near what the Nephrologist’s office obtained. So do I need a Nexus letter? i guess it would help but sometimes doctors just don’t want to prepare a letter.