UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

NO. 14-2272

FREDERICK C. GAZELLE, APPELLANT,

V.

ROBERT A. MCDONALD,

SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued October 28, 2015 Decided February 2, 2016)

Kenneth M. Carpenter, of Topeka, Kansas, argued for the appellant. 

Debra L. Bernal, with whom Leigh A. Bradley, General Counsel; Mary Ann Flynn, Assistant

General Counsel; and Joan E. Moriarty, DeputyAssistant General Counsel, all of Washington, D.C.,

were on the brief for the appellee.

Before DAVIS, SCHOELEN, and MOORMAN, Judges.

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SCHOELEN, Judge: The appellant, Frederick C. Gazelle, through counsel, appeals a March

18, 2014, Board of Veterans' Appeals (Board) decision in which the Board denied entitlement to

special monthly compensation (SMC) under 38 U.S.C. § 1114(s)(1) (allowing for SMC when a

claimant has a total disability rating plus an "additional service-connected disability or disabilities

independently ratable at 60% or more"). Record of Proceedings (R.) at 3-7. This appeal is timely,

and the Court has jurisdiction to review the Board's March 2014 decision pursuant to 38 U.S.C.

§§ 7252(a) and 7266(a). This matter was referred to a panel of the Court with oral argument to

address whether the Board erred in applying the combined ratings table in 38 C.F.R. § 4.25 (2015)

when determining whether Mr. Gazelle had service-connected "disabilities independently ratable at

60% or more." 38 U.S.C. § 1114(s)(1). For the reasons discussed below, the Court holds that 2

 Judge Moorman is a senior Judge acting in recall status. 38 U.S.C. § 7257(b)(1). 1

Oral argument was held on October 28, 2015, at the University of Illinois College of Law in Champaign, 2

Illinois. The Court extends its appreciation to the law school for its hospitality. 
consistent with the plain meaning of subsection 1114(s), the Board appropriately applied the

combined ratings table to determine eligibility for SMC benefits, and the Court will affirm the

Board's March 2014 decision.

I. BACKGROUND

Mr. Gazelle served on active duty in the U.S. Army from March 1962 to March 1965. R. at

489, 1506. In December 2009, a decision review officer (DRO) increased the disability rating for 

Mr. Gazelle's service-connected post-traumatic stress disorder (PTSD) from 50% to 100%, effective

July 9, 2007. R. at 118-25. When the decision issued, Mr. Gazelle was also receiving disability

compensation for the following: Degenerative disc disease (DDD) and joint disease of the cervical

spine rated at 20%; DDD and spondylosis of the thoracolumbar spine rated at 20%; left upper

extremity radiculopathy rated at 10%; and left lower extremity radiculopathy rated at 10%. R. at

124-25. In February 2010, Mr. Gazelle filed a Notice of Disagreement (NOD) with the December

2009 decision, asserting that VA failed to award him SMC under the provisions of 38 U.S.C. §

1114(s)(1). R. at 95-98. 

A January 2011 Statement of the Case (SOC) denied entitlement to SMC under subsection

1114(s)(1) because, although Mr. Gazelle's PTSD was rated at 100%, he did not have "additional

service-connected disabilities independently ratable at 60% or more." R. at 90. The SOC explained

that when Mr. Gazelle's additional service-connected disabilities were combined underthe combined

ratings table in 38 C.F.R. § 4.25, those disabilities were rated only 50%. Id. In March 2011, Mr.

Gazelle perfected his appeal to the Board. R. at 72-76. 

In the March 2014 decision on appeal, the Board denied SMC. R. at 6-8. The Board found

that although Mr. Gazelle satisfied the requirement that he have a disability rated as total, his other

service-connected disabilities, when combined using the combined ratings table, were only rated at

50%. R. at 6. Therefore, the Board concluded that because Mr. Gazelle did not have additional

disabilities "independently ratable at 60% or more," SMC under subsection 1114(s)(1) was not

warranted. Id. This appeal followed.

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II. THE PARTIES' ARGUMENTS

Mr. Gazelle argues that the plain meaning of subsection 1114(s) clearly directs that when

considering eligibilityforSMC,VAshould arithmeticallyadd his additional disabilities to determine

whether they are "independently ratable at 60% or more." Appellant's Brief (Br.) at 3. Mr. Gazelle

asserts that the Board erred in applying the combined ratings table in § 4.25 because it is used only

when a veteran does not have one disability rated at 100%. Id. at 7. Here, Mr. Gazelle's PTSD is

rated 100%; consequently, he maintains that the combined ratings table does not apply to his claim

and that the plain meaning of "independently ratable" directs that his remaining disability ratings

should be added together. Reply Br. at 5-7.

Alternatively, Mr. Gazelle asserts that if the Court finds the language of the statute

ambiguous, VA's interpretation that the combined ratings table applies to subsection 1114(s) is not

entitled to deference. Id. at 11. He argues that the Secretary's implementing regulation, 38 C.F.R.

§ 3.350(I), in no way requires the application of § 4.25, and the Secretary's reliance on the Veterans

Benefits Administration Adjudication Procedures Manual Rewrite (M21-1MR) to support his

position that VA "combines" disability ratings is unpersuasive because the M21-1MR is not subject

to the formalities of notice-and-comment rulemaking. Id. at 9, 11. Mr. Gazelle emphasizes that the

words "combine" or "combination" do not appear in subsection 1114(s)(1). Id. at 12. Finally, he

argues that the Court should adopt his proposed method of arithmeticallyadding the disability ratings

because it comports with the pro-veteran principles underlying veterans law. Id. at 14-15.

The Secretary argues that the plain meaning of the statute directs VA to apply § 4.25 because

the only waymultiple disabilities may be rated together for purposes of VA disability compensation

is by using the combined ratings table. Secretary's Br. at 7-8. Alternatively, relying on 38 C.F.R.

§ 3.350, the M21-1MR, and the regulatory history of combined ratings, the Secretarymaintains that

VA's use of § 4.25 to combine additional disability ratings for purposes of subsection 1114(s)

presents a reasonable interpretation of the statute and is entitled to deference. Id. at 8-10.

III. ANALYSIS 

This case calls upon the Court to interpret the statutory and regulatory provisions related to

SMC eligibility under 38 U.S.C. § 1114(s). Questions of law are reviewed de novo. The Court must

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first analyze the language of the authorizing statute and determine "whether Congress has directly

spoken to the precise question at issue." Chevron U.S.A. Inc. v. Nat. Resources Defense Council,

Inc., 467 U.S. 837, 842 (1984). If, employing the traditional tools of statutory construction, the

Court finds that the "intent of Congress is clear, that is the end of the matter; for the [C]ourt, as well

as the agency, must give effect to the unambiguously expressed intent of Congress." Id. at 842-43. 

On the other hand, if the Court concludes that "the statute is silent or ambiguous with respect to the

specific issue, the question for the court is whether the agency's answer is based on a permissible

construction of the statute." Chevron, 467 U.S. at 843 (footnote omitted). When interpreting a

statute, the Court bears in mind the well-established interpretative canon that a "statute should be

construed so that effect is given to all its provisions, so that no part will be inoperative or

superfluous, void or insignificant, and so that one section will not destroy another unless the

provision is the result of obvious mistake or error." SINGER, SUTHERLAND ON STATUTORY

CONSTRUCTION § 46:06 (6th ed. 2000); see also Splane v. West, 216 F.3d 1058, 1068-69 (Fed. Cir.

2000). Additionally, the Court is mindful that statutes must be considered as a whole and in the

context of the surrounding statutory scheme. King v. St. Vincent's Hosp., 502 U.S. 215, 221 (1991); 

Imazio Nursery, Inc. v. Dania Greenhouses, 69 F.3d 1560, 1564 (Fed. Cir. 1995) (holding that all

parts of a statute must be construed together without according undue importance to a single or

isolated portion). 

A. Relevant Statutory Provisions

In order to understand how subsection 1114(s) fits into the statutory scheme, the Court must

start with three provisions of title 38 that relate to this case. First, 38 U.S.C. § 1155 authorizes the

Secretary to "adopt and apply a schedule of ratings of reductions in earning capacity from specific

injuries or combination of injuries." Second, section 1157, entitled "Combination of certain ratings,"

directs that "[t]he Secretary shall provide for the combination of ratings and pay compensation at the

rates prescribed in subchapter II of this chapter." 38 U.S.C. § 1157. Finally, subsection 1114(s) is

part of "Subchapter II: Wartime Disability Compensation," which sets the "[r]ates of wartime

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disability compensation" for specific rating percentages as well as the provisions affording 3

additional compensation for more severe or extraordinary disability pictures, known as "Special

Monthly Compensation." Subsections 1114(a) through (j) establish the rates of compensation for 4

disabilities rated from 10% to those rated as total. 38 U.S.C. § 1114(a)-(j). Subsections 1114(k)

through (t) establish additional rates of compensation based on specific circumstances. 38 U.S.C.

§ 1114(k)-(t). 

Thus, we begin with the text of subsection 1114(s)(1) and then consider the subsection in

concert with the surrounding statutory and regulatory scheme, including statutory provisions that

require the Secretary to account for the combination of injuries (38 U.S.C. § 1155) and to provide

for the combination of ratings (38 U.S.C. § 1157). 

B. Text of 38 U.S.C. § 1114(s)(1)

The Court's analysis begins with the language of the specific provision at issue:

38 U.S.C. § 1114(s)(1). See Myore v. Nicholson, 489 F.3d 1207, 1211 (Fed. Cir. 2007) ("'Statutory

interpretation begins with the language of the statute, the plain meaning of which we derive from its

text and structure.'" (quoting McEntee v. M.S.P.B., 404 F.3d 1320, 1328 (Fed. Cir. 2005))). 

Subsection 1114(s) states that "[i]f the veteran has a service-connected disability rated as total, and

(1) has additional service-connected disability or disabilities independently ratable at 60 percent or

more . . . then the monthly compensation shall be $2,993." 38 U.S.C. § 1114(s). Thus, there are 5

two criteria a veteran must satisfy to qualify for this benefit: The first criterion requires that the

veteran have a service-connected disability rated as total; multiple disabilities may not be combined

to achieve a 100% rating. Bradley v. Peake, 22 Vet.App. 280, 290 (2008) (finding that "Congress

did not intend that a 100% combined rating suffice[] for a 'service-connected disability rated as

 Although the title refers to wartime, section 1157 extends the compensation rates in subchapter II "to those 3

veterans who served during a period of war and during any other time, who have suffered a disability in the line of duty

in each period of service." 

Awards undersubsections (k) through (t) are commonly referred to as "Special MonthlyCompensation" even

4

though the phrase is not actually in the statute. See 38 U.S.C. § 1114.

When subsection 1114(s) was originally passed in 1960, the rate was $265. Pub. L. No. 86-663 (July 14,

5

1960).

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total'"). The second criterion requires that the veteran have "additional service-connected disability

or disabilities independently ratable at 60 percent or more." 38 U.S.C. § 1114(s)(1). 

Mr. Gazelle argues that the plain language of the phrase "additional disability or disabilities

independently ratable at 60% or more" directs that his additional disability ratings be added together

and not combined using the combined ratings table in 38 C.F.R. § 4.25. Appellant's Reply Br. at 4.

Specifically, he appears to argue that the subsection's requirement for a total disability, its use of the

term "independently," and the authorization to use multiple disabilities to satisfy the subsection's

60%-or-more requirement support his argument. 

1. A "Disability Rated As Total"

Mr. Gazelle argues that the Board should not have applied the combined ratings table because

a distinction in the monetary awards in subsections 1114(a) through (j) and 1114(k) through (t) – the

SMC subsections – implicitly bars its application. Specifically, he asserts that because subsections

(k) through (t) prescribe monetaryawards greater than the monetaryaward prescribed for a disability

rated as total in subsection (j), these subsections implicitly require that a veteran have a disability

rated as total. Oral Argument (Arg.) at 10:26. He maintains that the combined ratings table is

exclusively applied when a veteran does not have a disability already rated as total. Appellant's Br.

at 6-7. Therefore, Mr. Gazelle concludes that by making a disability rated as total a prerequisite for

SMC generally, and subsection 1114(s) benefits in particular, Congress implicitly precluded the

application of the combined ratings table to these subsections. Oral Arg. at 17:47. 

Mr. Gazelle's attempt to find implicit congressional intent to exclude the application of the

combined table to the SMC provisions based on the monetary awards lacks statutory support. First,

an implicit blanket requirement for a disability rated as total would render the explicit requirement

in subsection 1114(s) superfluous. See Splane, supra. Second, it is clear that the SMC provisions

– other than those in subsection 1114(s) – do not impose such a requirement and, in fact, often

expressly refer to disabilities that will not necessarily be rated as total. There is nothing implicit or 6

explicit in section 1114 that requires § 4.25 be applied to some subsections and not others. 

For example, subsection 1114(k) provides disability compensation for anatomical loss of or loss of use of one

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foot or one hand even though the schedular ratings for these disabilities may be as low as 40% and 60% respectively. 

See 38 C.F.R. § 4.71(a), Diagnostic Codes (DC) 5125 ("Hand, loss of use of"), 5167 ("Foot, loss of use of") (2015). 

6
Therefore, the Court declines to infer from the monetary awards any congressional intent to premise

SMC eligibility for subsections (k) through (t) on a veteran having a disability rated as total and

thereby limit application of § 4.25 to only subsections 1114(a)through (j). See Bradley, 22 Vet.App.

at 280 ("Where Congress introduces language in one section yet omits it in another, the disparate

inclusion or exclusion is deemed intentional." (quoting Norfolk Dredging Co., Inc. v. United States,

58 Fed. Cl. 167, 176 (2003)).

2. "Disabilities Independently Ratable at 60% or More"

The parties do not dispute that Congress created two criteria in subsection 1114(s) and

intended for the disability rated as total satisfying the first criterion to be independent – separate and

distinct – from those satisfying the second criterion. See Bradley, 22 Vet.App. at 290 (noting that

subsection 1114(s) provides two distinct criteria). Indeed, in briefing and at oral argument, Mr.

Gazelle agreed that the word "independently"delineates the two requirements. Appellant's ReplyBr.

at 5 ("The additional independently rated disabilities have no relationship to the veteran's totally

rated service[-]connected disability total."); id. at 7 ("An independently ratable single disability at

60 percent is a disability which is rated independently of the disabilitywhich the VA has rated totally

disabling."). Thus, once a claimant shows "a disability rated as total," the first requirement is

satisfied, and that disability is taken out of consideration for the second requirement. At that point,

the focus is solely whether the veteran has "additional service-connected disability or disabilities

independently ratable at 60% or more." 38 U.S.C. § 1114(s)(1). 

Focusing on the word "independently," Mr. Gazelle argues that the statute does not support

combining ratings because not only are the additional disabilities independent from the first criteria,

but they are also independent of one another. Appellant's Reply Br. at 8-9. Indeed, he asserts that

as each disability was independently rated based on the rating schedule, "there is no other math

function other than to determine whether the number 60 has been reached." Oral Arg. at 22:50. 

He maintains that the disability ratings should be added. Id. However, if, as he suggests, each

additional disability is to be considered independently, then the additional disabilities may not be

pooled at all. Rather, VA would look at each independent disability rating and award SMC under

subsection 1114(s) where at least one disability is rated at 60% or more. But, the text of the statute

does not support this interpretation. The first criterion requires a single disability "rated" as total (or

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a disability rating based on individual unemployability based upon a single disability). Combined

ratings of 100% will not suffice. Bradley, supra. By contrast, in the second criteria, Congress

allows for "additional service-connected disability or disabilities independently ratable at 60% or

more." 38 U.S.C. § 1114(s) (emphasis added). By including both the singular and plural for

disabilities, Congress clearly intended to allow a veteran to pool multiple disabilities to satisfy the

second criterion; any other reading would render "disabilities" superfluous. Thus, the additional

disabilities are not considered independently from one another.

Moreover, Mr. Gazelle confuses "independently rated" with "independently ratable."

Appellant's Reply Br. at 8-9; Oral Arg. at 22:53. "Rated" and "ratable" are not interchangeable and

the distinction here is significant. Unlike the first criterion, which requires a disability "rated" as

total, the second criterion requires only that the additional disabilities be "ratable" at 60% or more. 

Congress recognized that although a veteran with a disability rated as total may not receive a

schedular rating greater than 100% for any additional disabilities, if his additional disabilities are

sufficiently severe, he may receive SMC. Accordingly, Congress did not require that the additional

disabilities be actually rated at 60% or more; it required only that the disabilities be ratable – or

capable of being rated – at 60% or more. Reading the word "independently" in context, rather than 7

in isolation, the Court finds that it has one function: The word "independently" essentially walls off

the disability rated as total from the remaining disabilities. When considering subsection 1114(s)(1),

the question is whether, irrespective of the disability rated as total, these remaining disabilities are

capable of being rated at 60% or more. Consequently, the Court must consider how multiple

disabilities are capable of being rated together in the VA system, and in particular, what method VA

used to rate multiple disabilities when Congress enacted subsection 1114(s). For the reasons

discussed below, the Court finds that the combined ratings table is the only method VA employs to

rate multiple disabilities together currently, and it was also the method employed when subsection

1114(s) was enacted.

Mr. Gazelle's argument that his 100% disability rating precludes the application of § 4.25 and his attendant 7

reliance on Roper v. Nicholson, 20 Vet.App. 173 (2006) misses the mark. As noted above, the disability rated as total

is not pertinent to the second criteria. 

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C. Combined Ratings

The Secretary contends that Congress intended VA to apply the combined ratings table

because it is the only method VA employs to rate multiple disabilities together for compensation

purposes. Oral Arg. at 30:38. Indeed, Mr. Gazelle conceded at oral argument that there are no other

circumstances in the VA benefits system where multiple disabilities are rated together through

arithmetic addition. Oral Arg. at 19:00. Nevertheless, he argues that Congress intended to deviate

from the combined ratings system and, for purposes of section 1114(s) eligibility, arithmetically add

together the additional disability ratings. Before considering the parties' arguments, the Court will

summarize the statutory and regulatory development of VA's method of combining ratings using

§ 4.25 and providing SMC benefits. 

1. Regulatory Backdrop

When Congress enacted subsection 1114(s), the regulatory scheme addressing combined

ratings had been in place since at least 1945. 29 Fed. Reg. 6718-01 (May 22, 1964) (publishing "the 8

Schedule for Rating Disabilities, commonly referred to as the 1945 rating schedule, which became

effective April 1, 1946"). Unchanged since 1945, the "Combined Ratings" regulation, 38 C.F.R.

§ 3.323, directs that "[w]hen there are two or more service-connected compensable disabilities a

combined evaluation will be made following the tables and rules prescribed in the 1945 Schedule

for Ratings Disabilities." Id.; 38 C.F.R. § 3.323(a)(1) (2015) (emphasis added). The combined

ratings table in § 4.25 is one such table. 29 Fed. Reg. 6718-01. 

In creating this table, VA recognized that arithmetically adding disability ratings may result

in a rating greater than 100%, which is impermissible. Instead, the table is designed to capture "the

efficiency of the individual as affected first by the most disabling condition, then by the less disabling

condition, then by other less disabling conditions, if any, in the order of severity." 38 C.F.R. § 4.25

(emphasis added). Each disability receives its own rating, and then the multiple ratings are

combined using the formula in the table. The combined rating then dictates the appropriate monthly 9

 At oral argument, the Secretary asserted that the regulatory provisions have been in place since 1921. Oral 8

Arg. at 33:04.

As the Secretary explained at oral argument, VA devised the combined ratings table because treating the 9

impairment in earning capacity from service-connected disabilities as cumulative would not accurately represent a

veteran's actual disability level. Section 4.25 affords a reasonable balance between VA obligationsto maximize benefits

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compensation award as provided in section 1114. Section 4.25(b) establishes that all disabling

conditions are to be rated using this formula. 38 C.F.R. § 4.25(b) ("Except as otherwise provided in

this schedule, the disabilities arising from a single disease entity, e.g., arthritis, multiple sclerosis,

cerebrovascular accident, etc., are to be rated separately as are all other disabling conditions, if any. 

All disabilities are then to be combined as described in paragraph (a) of this section."). Reading

§ 3.323 and § 4.25 together, it is clear that when a veteran has multiple disabilities, VA's standard

means of rating those disabilities for disability compensation purposes is to apply the combined

ratings table. This is the method VA uses today, and, importantly, it was the method in place in 1958

when Congress consolidated the veterans benefits law in title 38. Pub. L. No. 85-857, 72 Stat. 1105

(Sept. 2, 1958).

2. Statutory Backdrop

As explained above, when interpreting a statute, the Court looks at the context and provisions

of law as a whole. See King, 502 U.S. at 221. In 1958, Congress unified the statutory provisions

affecting VA in title 38. The provisions enacted in 1958 included not only section 1114 but also

section 1155 and section 1157. As noted above, section 1155 authorizes the Secretary to create the

rating schedule to address disabilities arising from "specific injuries or combination of injuries."

38 U.S.C. § 1155 (emphasis added). Section 1157 directs that "[t]he Secretary shall provide for the

combination of ratings and pay compensation at the rates prescribed in subchapter II of this chapter."

38 U.S.C. § 1157 (emphasis added). By the time these provisions were enacted in 1958, VA had

been combining multiple disability ratings using the combined ratings table for more than a decade. 

Construing the statutory and regulatory scheme consistently, the word "combination,"

particularly in section 1157, refers to VA's method of combining ratings using § 4.25. See King, 502

U.S. at 221 ("The meaning of statutory language, plain or not, depends on context."). Therefore, the

1958 statutes did not alter VA's standard method of rating multiple disabilities by combining them. 

Instead, section 1157 affirmed the use of § 3.323 and § 4.25 throughout subchapter II to combine

ratings. Two years later, against this statutory backdrop, Congress enacted the provision at issue in

this case: subsection 1114(s).

and to assign ratings based on the average impairment in earning capacity. Compare Bradley, 22 Vet.App. at 294, with

38 C.F.R. § 3.321(a) (2015).

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D. Subsection 1114(s) In Context

Considering subsection 1114(s) within this statutory and regulatory context, the purpose,

placement, and language of subsection 1114(s) evidence congressional intent that subsection 1114(s)

should be applied consistently with the existing disability compensation rating scheme, including

the provisions related to the combined ratings table. See Holloway v. United States, 526 U.S. 1, 6

(1999) (noting that interpreting a statute requires consideration not only of bare meaning of the

critical word or phrase "but also its placement and purpose in the statutory scheme") (citing Bailey

v. United States, 516 U.S. 137, 145 (1995)). In 1960, Congress identified the need for an

intermediate rate of compensation for veterans whose disabilities prevented them from working but

did not entitle them to Aid and Attendance. S. Rep. 86-1745 (1960). Seeking to fill this gap in the 10

compensation rates, Congress enacted subsection 1114(s). In the act's stated purpose, Congress

invoked the disability compensation system: "To provide additional disability compensation for

certain seriously disabled veterans." Pub. L. No. 86-663 (July 14, 1960). As discussed above,

section 1157 directs that combined ratings apply to the rates set forth in subchapter II, which sets the

rates of disability compensation. 38 U.S.C. § 1157. Congress placed this new provision in

subchapter II, section 1114. At oral argument, Mr. Gazelle failed to identifyanything in the language

of section 1157 indicating that Congress did not intend section 1157 to applyto the SMC subsections

generally, or subsection 1114(s) in particular. Oral Arg. at 14:30, 1:02:42. The Court finds that

there is no rational argument grounded in the language of section 1157 supporting a finding that

Congress did not intend section 1157 to apply to the whole of section 1114.

Nevertheless, Mr. Gazelle maintains that congressional intent to limit the application of

§ 4.25 to subsections (a) through (j) is implicit in the language of section 1114. Id. The Court has

already rejected his contention that the monetary awards in subsections (k) through (t) and a total

rating requirement in some of those subsections indicate implicit congressional intent to prohibit the

The existing system had "no intermediate rate . . . for the veteran who is totally disabled . . . and whose 10

activities are greatly restricted, but who is not permanently bedridden or so helpless as to be in need of regular aid and

attendance." S. Rep. 86-1745 (1960). In particular, Congress acknowledged that although some veterans rated totally

disabled were able to "supplement their disability benefits through income from work, others . . . having the same total

rating are by the nature of their particular condition 'so permanently housebound' that they are unable to earn any outside

income[,] and yet[,] they are not able to qualify for one of the higher statutory awards." Id.

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application of § 4.25. To the extent that Mr. Gazelle still attempts to distinguish subsections (a)

through (j) from subsections (k) through (t), this distinction is without difference. The entirety of

section 1114 provides monthly disability compensation for service-connected disabilities. The text

does not distinguish between how multiple service-connected disabilities for a veteran are combined

and assigned a rating in (a) through (j) on the one hand, and in (k) through (t) on the other hand. 

Anyfurther argument that Congress implicitlyintended subsection 1114(s)to be an exception

to the established system is unpersuasive in light of the clear congressional intent evidenced in the

statute. As discussed above, the word "independently" delineates the disability rated as total and the

additional disabilities used to satisfy the second criterion. Therefore, once the first predicate is

satisfied using a disability rated as total, the remaining additional disabilities are evaluated as if the

total rated disability did not exist. Subsection 1114(s)(1) allows for the possibility of multiple

disability ratings being rated together at 60% or more. The only way multiple disabilities are ratable

– or capable of being rated – in the VA system requires combining them using § 4.25. See

38 U.S.C. § 1157. At the time subsection 1114(s) was enacted, Congress was aware of section 1157 

and VA's lone, longstanding method for rating multiple disabilities under the rating schedule: the

combined ratings table. McNary v. Haitian Refugee Ctr., Inc., 498 U.S. 479, 496 (1991) ("It is

presumable that Congress legislates with knowledge of [the] basic rules of statutory construction.");

see also Bradley, 22 Vet.App. at 291 (noting that "Congress is presumed to have enacted section

1114(s) with knowledge of [existing] ratings and in harmony with those ratings"). Yet in enacting

this new provision, Congress predicated SMC eligibilityon whether a veteran's remaining additional

disabilities were capable of being rated at 60% or more without expressly providing an alternative

method for rating multiple disabilities. Rather, the purpose, placement, and language of subsection

1114(s) all invoke the rating schedule and VA's established system of combining multiple disability

ratings. 

This finding is consistent with cases interpreting subsection 1114(s). Both this Court and the

U.S. Court of Appeals for the Federal Circuit have construed the phrase "additional disability or

disabilities independently ratable at 60% or more" to mean that the disabilities should be combined. 

See Guerra v. Shinseki, 642 F.3d 1046, 1048 (Fed. Cir. 2011) (finding that subsection 1114(s)

provides additional monthly compensation to a veteran with a disability rated as total "if the veteran

12
. . . has anotherindependently rated disability or combination of disabilities rated at 60%"); Bradley,

22 Vet.App. at 290 (noting that the phrase "'disability or disabilities independently' rated at 60% .

. . demonstrates congressional understanding that multiple disabilities can be combined into a single

rating, as well as congressional authorization for combined ratings to satisfy the second requirement

. . ."). Interpreting the words "combination" and "combined" consistently with statutes and VA 11

regulations, these decisions support applying the combined ratings table to subsection 1114(s).

Based on the foregoing, the Court must disagree with Mr. Gazelle's contention that nothing

in section 1114(s) requires the application of § 4.25. The Court finds no support in the text of the

statute for his arguments. Instead, when considered in the context of the statutory and regulatory

scheme in existence at the time Congress enacted section 1114(s), the plain meaning of subsection

1114(s) clearly requires VA's application of the combined ratings table. See John Hancock Mut. Life

Ins. Co. v. Harris Trust and Sav. Bank, 510 U.S. 86, 94-95 (1993) (statutory language should be

interpreted consonant with "the provisions of the whole law, and . . . its object and policy" (internal

quotation marks omitted)). Although the Court recognizes Mr. Gazelle's serious disabilities, it is

compelled to find that the Board properly applied the combined ratings table in § 4.25 in evaluating

Mr. Gazelle's eligibility for SMC under section 1114(s). Accord Disabled Am. Veterans, 234 F.3d

682, 692 (Fed. Cir. 2000) (noting that "a veteran cannot rely upon the generous spirit that suffuses

the law generally to override the clear meaning of a particular provision." (quoting Boyer v. West,

210 F.3d 1351, 1355 (Fed. Cir. 2000))). 

IV. CONCLUSION

Upon consideration of the foregoing, the March 2014 Board decision is AFFIRMED.

The Court notes that in Guerra, the Federal Circuit observed that the language of subsection 1114(s) "is not 11

entirely free from ambiguity." 642 F.3d at 1049. However, in Guerra, the Federal Circuit was interpreting the statutory

language in subsection 1114(s) establishing the first criterion: "If the veteran has a service-connected disability rated as

total." Id. Therefore, the Federal Circuit's finding that the first predicate in subsection 1114(s) is ambiguous does not

contradict the Court's finding here that the second predicate in subsection 1114(s)(1) has a plain meaning derived from

the text and structure of the statute and within the context of the statutory scheme.

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