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Here’s the deal fellow veterans: The current 50 Percent CPAP VA Rating for Sleep Apnea is about to change.
Why?
Because the VA’s proposed changes to Sleep Apnea VA ratings could by coming by summer 2024.
I think the new effective date for the changes to VA Ratings for Sleep Apnea will be within 60 calendar days of the implementation date (summer 2024).
For example, let’s say the changes get implemented on August 1, 2024, the actual effective date of the change would be September 30, 2024 (60 days later).
What is the VA Rating for Sleep Apnea With CPAP?
Currently, the VA rating for Sleep Apnea with CPAP is 50%.
However, under the new rating criteria, Sleep Apnea with a CPAP is only rated at 10%.
We estimate these changes are coming summer 2024.
Pro Tip: If you already have a Sleep Apnea VA rating, you are “grandfathered” in at your current VA rating, regardless of any changes.
What are the Changes to VA Ratings for Sleep Apnea?
The new ratings for Sleep Apnea, if approved, would be 0%, 10%, 50%, and 100%.
The biggest change is the end to the automatic 50 Percent CPAP VA rating for sleep apnea if a veteran needs a breathing device.
The 30 percent rating for sleep apnea is also gone.
Overall, I think the proposed VA rating changes to sleep apnea are bad news for veterans because the 50% VA rating for Sleep Apnea with a CPAP is gone (most common rating now).
Under the new rating criteria, a veteran with a CPAP will only get a 10% VA rating.
The New CPAP VA Rating for Sleep Apnea is 10%
Under the new VA rating criteria for Sleep Apnea, a veteran who requires the use of a breathing device, such as a CPAP, will only get a 10 percent VA rating.
| DC 6847, New Sleep Apnea VA Ratings | VA Rating |
|---|---|
| Sleep apnea with ineffective treatment (as determined by sleep study) or unable to use treatment due to comorbid conditions; and with end-organ damage | 100% |
| Sleep apnea with ineffective treatment (as determined by sleep study) or unable to use treatment due to comorbid conditions; and without end-organ damage | 50% |
| Sleep apnea with incomplete relief (as determined by sleep study) with treatment. This includes Sleep apnea with a breathing device such as a CPAP machine. | 10% |
| Sleep apnea asymptomatic with or without treatment | 0% |
Note: Qualifying comorbidities are conditions that, in the opinion of a qualified medical provider, directly impede or prevent the habitual use of a recognized form of treatment shown by sleep study to be effective in the affected veteran’s case (e.g., contact dermatitis where the mask or interface touches the face or nares, Parkinson’s disease, missing limbs, facial disfigurement, or skull fracture).
About the Author
Brian Reese
Brian Reese is a world-renowned VA disability benefits expert and the #1 bestselling author of VA Claim Secrets and You Deserve It. Motivated by his own frustration with the VA claim process, Brian founded VA Claims Insider to help disabled veterans secure their VA disability compensation faster, regardless of their past struggles with the VA. Since 2013, he has positively impacted the lives of over 10 million military, veterans, and their families.
A former active-duty Air Force officer, Brian has extensive experience leading diverse teams in challenging international environments, including a combat tour in Afghanistan in 2011 supporting Operation ENDURING FREEDOM.
Brian is a Distinguished Graduate of Management from the United States Air Force Academy and earned his MBA from Oklahoma State University’s Spears School of Business, where he was a National Honor Scholar, ranking in the top 1% of his class.
