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6847
§ 4.97 Schedule of ratings—respiratory system.

Sleep apnea

A disorder where breathing repeatedly stops and starts during sleep.

What the rating means

VA rates sleep apnea syndromes — obstructive, central, and mixed — under diagnostic code 6847 in the respiratory system schedule. Four ratings are possible: 0%, 30%, 50%, and 100%.

A 0% rating applies when sleep-disordered breathing is documented but you have no symptoms. A 30% rating applies when you have persistent daytime hypersomnolence — meaning ongoing excessive sleepiness during the day. A 50% rating applies when your condition requires use of a breathing assistance device such as a CPAP machine. A 100% rating applies when you have chronic respiratory failure with carbon dioxide retention or cor pulmonale, or when your condition requires a tracheostomy.

Each level reflects a more severe impact on your breathing and overall health, moving from no symptoms at the lower end to serious, life-affecting respiratory failure or surgical intervention at the highest level.

Evidence that helps

The evidence that matters most depends on which rating level applies to you. For a 0% rating, a sleep study or other record that documents sleep-disordered breathing is the key piece. For a 30% rating, medical records or provider notes describing persistent daytime hypersomnolence support that level, and your own statements about how excessive daytime sleepiness affects your work or daily activities can help show that the symptom is ongoing.

For a 50% rating, a prescription or records showing that a CPAP or other breathing assistance device has been prescribed and is in use are central. For a 100% rating, pulmonary function tests or arterial blood gas results showing carbon dioxide retention, imaging or clinical findings of cor pulmonale, or surgical records documenting a tracheostomy would reflect that level. Statements from you or those who know you about how your symptoms affect daily functioning can also help give VA a fuller picture of your condition at any level.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.

  • High blood pressure
  • Ischemic heart disease