Special Provisions Respiratory Ratings

[scottC]

I have Sleep Apnea with CPAP and Asthma use daily bronchiodialoater. Under 4.96 how would this be rated??

[Teac]

I have Sleep Apnea with CPAP and Asthma use daily bronchiodialoater. Under 4.96 how would this be rated??

You doctor would have to indicate which condition is more sever..... because you can only get one rating for respiratory conditions.. I suspect that you will be rated under sleep apnea with cpap 50%, because the asthma looks like a 10% rating based on daily bronchiodialoater use. JMHO

§4.96 Special provisions regarding evaluation of respiratory conditions.

(a) Rating coexisting respiratory conditions. Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. Where there is lung or pleural involvement, ratings under diagnostic codes 6819 and 6820 will not be combined with each other or with diagnostic codes 6600 through 6817 or 6822 through 6847. A single rating will be assigned under the diagnostic code which reflects the predominant disability with elevation to the next higher evaluation where the severity of the overall disability warrants such elevation. However, in cases protected by the provisions of Pub. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated.

6602 Asthma, bronchial:

FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than

40 percent, or; more than one attack per week with episodes of

respiratory failure, or; requires daily use of systemic (oral or

parenteral) high dose corticosteroids or immuno-suppressive

medications 100

FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55

percent, or; at least monthly visits to a physician for required

care of exacerbations, or; intermittent (at least three per year)

courses of systemic (oral or parenteral) corticosteroids.......................................... 60

FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70

percent, or; daily inhalational or oral bronchodilator therapy,

or; inhalational anti-inflammatory medication.......................................................... 30

FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80

percent, or; intermittent inhalational or oral bronchodilator therapy......................... 10

Note: In the absence of clinical findings of asthma at time of examination, a verified history of asthmatic attacks must be of record.

6847 Sleep Apnea Syndromes (Obstructive, Central, Mixed):

Chronic respiratory failure with carbon dioxide retention or cor

pulmonale, or; requires tracheostomy.................................................................. 100

Requires use of breathing assistance device such as continuous

airway pressure (CPAP) machine.........................................................................

. 50

Persistent day-time hypersomnolence ......................................................................... 30

Asymptomatic but with documented sleep disorder breathing 0

[scottC]

Daily Bronchiodiolater is 30% for asthma. Cpap is 50%. My question is will I just get the 50% or elevated percentege based on the asthma?

[Teac]

Daily Bronchiodiolater is 30% for asthma. Cpap is 50%. My question is will I just get the 50% or elevated percentege based on the asthma?

Your are correct daily bronchiodiloater is 30%... My first guess is that you will be rated at 50% for the CPAP and that it will not be elevated.

however, this may also depend on what your PFT (FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent,) is for the asthma. If you can meet the requirements for a 60% asthma rating then I suspect you will be rated at 60%.

Regardless I don't think you will be awarded 100% because overall you do not seem to meet the requirements of a 100% rating even though you have two diseases.

changed evaluated to elevated....

Edited July 28, 2008 by Teac (see edit history)

[Teac]

what happens during a c and p for lung condition

man. this guy is like a nat....... ;) just keeps coming back...