How do I get approved for sleep apnea in VA?

In order to establish direct service connection for sleep apnea, a claimant must show that they have:
  1. a current, diagnosis of sleep apnea.
  2. an in-service event or illness/injury.
  3. a medical nexus or link that shows the veteran's sleep apnea is related to their in-service event, injury/illness.
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How do I prove sleep apnea to the VA?

NOTE: The diagnosis of sleep apnea must be confirmed by a sleep study; provide sleep study results in Diagnostic testing section. If other respiratory condition is diagnosed, complete the Respiratory and / or Narcolepsy Questionnaire(s), in lieu of this one.
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Is it hard to claim sleep apnea with VA?

But there are several challenges to winning veterans (VA) disability for sleep apnea, and many veterans receive denials after they apply. The legal team at Chisholm Chisholm & Kilpatrick LTD can help you file an appeal and prove your sleep apnea is a result of an in-service illness, injury, or event.
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Is it a mandatory 50% if issued a CPAP by the VA?

Yes, Sleep Apnea is a VA disability and it's rated under diagnostic code 6847, Sleep Apnea Syndromes (Obstructive, Central, Mixed). The most common VA rating for Sleep Apnea is 50%, which requires the use of a breathing assistance device such as Continuous Positive Airway Pressure (CPAP) machine.
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Why does the VA deny sleep apnea claims?

VA may deny a sleep apnea claim based on different aspects, whether there's not enough medical evidence of sleep apnea or perhaps no logical connection between your military service and your current sleep apnea.
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VA Rating for Sleep Apnea Secondary to PTSD



Do you need a C&P exam for sleep apnea?

Medical evidence and documented medical records from a VA C&P exam will be necessary for the process of filing your claim and could even reveal other secondary conditions. A C&P exam and a sleep apnea diagnosis are crucial to qualifying for the upper tiers of compensation.
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How long does a VA sleep study take?

In addition to the pressure of falling asleep amid watching eyes, you may be concerned about the actual VA sleep study process. How do they get all those monitoring wires on you and will the connections hurt? This is a completely painless procedure that usually takes between 45 and 60 minutes.
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Does mild sleep apnea qualify for VA disability?

Does mild sleep apnea qualify for VA disability? Yes. Veterans with mild service-connected sleep apnea can receive benefits. Veterans with mild service-connected sleep apnea may receive up to a 30% or 50% VA sleep apnea rating.
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How much does VA pay for sleep apnea?

If sleep apnea causes disordered breathing but no other symptoms, the veteran will be assigned a 0 percent rating, meaning the veteran will not receive any monthly payment amount for sleep apnea. If the veteran experiences persistent excessive sleepiness during the day, he or she will receive a 30 percent rating.
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What does the VA look for in a sleep study?

A computer will track heart rate, breathing, oxygen level, brain activity, and other body functions. This information will help doctors diagnose any sleeping disorders that you may have.
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What happens at a VA sleep study?

Sleep studies (polysomnograms) generally take place in a sleep lab during a person's normal sleeping period. The study records brain waves, breathing and and body activity that occur during sleep with the purpose of diagnosing and treating various sleep disorders.
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What not to say at C&P exam?

Don't Lie or Stretch the Truth. This is a big one. Don't ever lie or stretch the truth when it comes to your VA disability claim. At your C&P exam, you should think, look, act, and speak as you would on a normal day.
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How do I pass the C&P exam?

Important Tips for C&P Exams to Remember
  1. Tip #1. Always Attend Your Exam. ...
  2. Tip #2. Know What the Purpose of the Exam is Before You Attend. ...
  3. Tip #3. Be Honest. ...
  4. Tip #4. Don't Downplay the Severity of Your Symptoms. ...
  5. Tip #5. Don't Exaggerate. ...
  6. Tip #6. Bring a Companion. ...
  7. Tip #7. Request a Copy of Your Exam. ...
  8. Tip #8.
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What are the easiest VA claims to win?

While changes are possible, here are the easiest claims to get approved in 2022, according to the most recent Veterans Benefit Administration Report to Congress.
  • Tinnitus. ...
  • Hearing Loss. ...
  • Mental Health Conditions. ...
  • Musculoskeletal Conditions.
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What triggers a C&P exam?

#1 Q: What is a VA claim exam, also known as a Compensation and Pension (C&P) exam? If you've filed a claim with the U.S. Department of Veterans Affairs (VA) for disability compensation or pension benefits, VA may ask you to go to an examination as part of the claim process.
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Do they watch you sleep during a sleep study?

“You arrive around 9 o'clock at night, meet with a technician and they hook you up with a whole lot of electrodes on your scalp, chin, chest and legs, and they watch you while you sleep,” says sleep medicine physician Aris Iatridis, M.D. Most patients are discharged early the next morning.
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What can you not do during a sleep study?

Avoid these common sleep study mistakes
  • DON'T WEAR TOUPEES, WIGS OR HAIR WEAVES Some of the electrodes attached during your sleep study will be attached directly to your scalp. ...
  • DON'T WEAR NAIL POLISH, USE LOTIONS, OILS, SPRAYS, OR HAIR CARE PRODUCTS.
  • DON'T NAP THE DAY OF THE STUDY.
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How long does it take to get a CPAP from the VA?

Most requests are answered in less than an hour, though in rare cases a request could take up to two days.
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How do I get my VA to pay for my CPAP machine?

The VA and CPAP Machines

If you have a breathing machine, you need to provide medical evidence that it was prescribed by the doctor. As well as a letter from your doctor stating that this device is medically necessary for your sleep apnea. No longer is it sufficient to just provide the records for a breathing machine.
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Can I go to the bathroom during a sleep study?

“Most people sleep better than they expect. The technicians are very reassuring too.” If you have to use the bathroom during the study, just say so. The technician monitoring your sleep will disconnect the wires for you.
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Do you have to sleep on your back during a sleep study?

“For the most accurate home sleep apnea reading, it's best to have sleep time on your back and side,” Patil says. Sleep apnea is typically worse when sleepers are on their backs, and side sleeping can ease apnea.
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Can I watch TV during a home sleep study?

Sensors will be placed on the forehead, chin, and face to monitor brain waves and vital signs. These sensors are taped on and should not be painful. You can read or watch TV until you are ready to sleep.
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What not to do before a sleep apnea test?

Avoid caffeine or stimulants for 12 hours before your scheduled time of arrival at the Sleep Center, unless prescribed by the doctor. Maintain your normal sleep schedule until your test date. Please refrain from napping on the day of your study. Make sure your skin and hair are clean.
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Do you wear pajamas to a sleep study?

Make sure to bring everything you would normally take to spend the night away from home. Pajamas are required. Men may wear shorts.
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Can you wear a bra during a sleep study?

Pajamas or top and bottom sleep clothes. Women may wear a bra underneath. Favorite pillow, toothbrush, toothpaste, soap, shampoo, and any other toiletries you may need after the study, plus a change of clothes if needed.
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