I have a question about painful motion of the knee. I know that both 5260 limitation of flexion and 5261 limitation of extension can both be granted for one knee and not considered pyramiding. However, I just got a 10% rating for painful motion of the knee. They didn’t say if it was for flexion or extension. Does the painful motion of joint in 38 CFR 4.59 only allow for one rating of the joint? I would think that since both flexion and extension are rated differently that I should be getting 10% for both since my C&P exam states that it was noted on both.
Should I NOD, CUE, or ask for DRO review?