Jump to content
  • Donation Box

    Please donate to support the community.
    We appreciate all donations!
  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

Sponsored Ads

  •  ad-free-subscription-002.jpeg     fund-the-site.jpg

  • Searches Community Forums, Blog and more

  • 0
usocazy

How to go about requesting an disability increase due to sleep apnea

Question

Hi - I'm currently sitting at 90% SC disability with 50% for sleep apnea. My Apnea Hypopnea Index (AHI) score was 25 events/hour when I was awarded the 50% SC for sleep apnea (about 4 years ago) - I've been on a CPAP machine ever since.

I haven't been able to sleep consistently for the past 6-7 months so I went in for a 5 year follow up sleep study that showed my Apnea Hypopnea Index (AHI) score had increased to 62.3 events/hour - even while using the prescribed CPAP machine. I'm going back in this weekend to get the air level modified/increased by the sleep center that conducted the sleep study.

Question: Is the AHI increase sufficient enough to put in for an increase SC disability rating for sleep apnea?

Share this post


Link to post
Share on other sites

Recommended Posts

  • 0

Have you researched the SA 100% Rating "ORs?" If not, do that 1st, there is no Award between 50 or 100%.

You referenced your SA problems regarding awakenings, I didn't see any mention regarding P02 levels. Is there any indication in any of your SA treatment Notes or actual SA DX of you P02 falling below 90%?

Sleep P02 recordings below 90, will usually require the use of supplemental 02 while on Cpap or Bipap. That DX, would be New & Material Evidence supporting a chronic respiratory Failure SA Increase to 100%. Worked for me, this past 12/15.

Semper Fi

  • Like 2

Share this post


Link to post
Share on other sites

Ad

  • 0

Gastone - I haven't gotten the full report from the sleep study I just had, will be getting those late next week - I imagine - as I go in this weekend for the titration tweaking. 

From my sleep study in 2011, the AHI was 25/hour, Respiratory Event-Relate Arousal (RERA) index was 37.7/hour yielding Respiratory Disturbance Index (RDI) of 62.6/hour. Supine RDI was 98.5/hour & right side RDI was 1.2/hour. The lowest oxygen saturation during this portion of the study was 87% & I spent 0.3 minutes with an oxygen saturation below 89%.

Not sure if any other those numbers answer your question.

Thanks for your help on this!

Share this post


Link to post
Share on other sites
  • 0

Only the (1) P02 Desat event, could be an anomaly. Be sure to discuss it with your SA treating Clinician.

You didn't get an RX for an 02 Concentrator, to use at night while on Cpap? Request an over-nite P02 study from your Sleep specialist.

VA Dr will write the referral, 02 VA contract Supplier will bring out the over-nite P02 recorder. Usually only 1 night's readings are required, sometimes 2, if Dr wants data from both on & off cpap. Normal Sleep P02's are in the above 92% range.

Untreated SA, mild to severe can be a killer, combined with low P02's your looking at a Double Wammy. Better to be safe, than sorry.

Semper Fi

  • Like 1

Share this post


Link to post
Share on other sites
  • 0

I drifted, did you research the100% SA Rating Requirements? do you have any of those conditions?

If not, your SA is locked at 50% if DX'd Cpap or Bipap, regardless if you use it. If at some point you are DX'd with Pulmonary Hypertension, immediately file an FDC Secondary to your SC'd SA. VA recognizes the Nexus from SA to PH DX as SC.

Semper Fi

  • Like 1

Share this post


Link to post
Share on other sites
  • 0


Gastone,

You're chock full of helpful advise, especially in this particular arena.  Is Pulmonary Hypertension same/same as high blood pressure?  If you have SA secondary already, can you get the PH secondary to the secondary SA? Thanks.

Semper Fi

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Ads

  • Ad

  • Latest News
  • Our picks

    • So I've been in a basic power chair (Q6 Edge) since 2015. Late 2016 was also fitted for a TiLite TRA manual (also keeping powerchair). 2017 was approved by Tampa VA for clothing allowance for lower. 

       

      Moved to Battle Creek VA late 2017. Since then was issued new basic powerchair (Quickie P222-SE) to replace broken Q6. Still use TiLite also now can lightly ambulate with Forearm crutches.

      Use crutches 50%, and both chairs 25% each.

      Was approved for 1 clothing allowance this year for forearms crutches for upper.

       

      Was denied 2nd for chair/lower that was awarded last year because Chief Prosthetic states "powerchair takes precedence, you were issued that so you are to use only the powerchair".

      Also powerchair has gap between seat and leg mounts where clothes do get caught and tear. Clinician was I'll put it back in but"power chairs dont get clothing allowances", and "any review or appeal will only come back to me"

      I was approved for powerchair/custom manual combo clothing allowance last year; How do I word an appeal for the lower clothing allowance this year?

      My local DAV rep at the VA has no clue on how to handle this.

       
      • 1 reply
    • Thank you.  I’m not exactly sure of how I will file it.  If it is secondary to TBI, would it be pyramiding?
    • I understand what you are saying. Does it sometimes take awhile to update the VA letters and disabilities info online after it closes.....in my case on a Saturday ? Some on other posts on here says no and some say yes so I'm just curious about the inconsistency regarding that if it is yes and no.
    • I understand what you are saying. Does it sometimes take awhile to update the VA letters and disabilities info online after it closes.....in my case on a Saturday ? Some on other posts on here says no and some say yes so I'm just curious about the inconsistency regarding that if it is yes and no.
    • Disability Calculator: Veterans Compensation Rate Calculator
      Disability Calculator: Veterans Compensation Rate Calculator

      10 + 50 = 50 and other VA math mysteries explained.

      VA Math It’s Not Your Mother’s Arithmetic “VA Math” is the way that the VA computes combined impairment ratings for multiple conditions in a Veteran’s compensation benefits claim – and it requires that you unlearn real math. When a Veteran has multiple medical conditions that are service connected, and the Veterans Affairs rates each at a different percentage, it would seem that they should just add up your percentages to get to a total body impairment rating. Continue Reading

      Use our Ratings Calculator to add your percentages
      • 0 replies
×

Important Information

{terms] and Guidelines