Condition Rating Guides
Understand what the VA looks for at each rating level — loading conditions…
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Understand what the VA looks for at each rating level — loading conditions…
A condition where breathing repeatedly stops and starts during sleep. The VA rates sleep apnea primarily based on what treatment you require — the key threshold is whether you use a CPAP machine.
The VA rates this condition based on the type and intensity of treatment you require. Higher ratings correspond to more aggressive treatment regimens, such as daily medication, insulin dependence, or the need for ongoing medical management.
Diagnostic code
DC 6847
Rating range
0% – 100%
Rating levels
4
Rating criteria are defined in 38 CFR 4.97, DC 6847. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.
Proposed Sleep Apnea Rating Changes
The VA has proposed significant changes to sleep apnea ratings (SNPRM, Sep 2024). Key changes: CPAP use would no longer automatically qualify for 50%, the 30% level may drop to 10%, and ratings would shift focus to functional impact rather than treatment type. This is a proposed rule and has not taken effect.
View proposed rule →Your sleep apnea causes chronic respiratory failure with carbon dioxide retention, cor pulmonale (right-sided heart failure), or requires a tracheostomy.
What the VA looks for
Conditions commonly associated with Obstructive Sleep Apnea or rated under the same body system.
Hypertension (High Blood Pressure)
Major Depressive Disorder (MDD)
GERD (Gastroesophageal Reflux Disease)
PTSD (Post-Traumatic Stress Disorder)
Generalized Anxiety Disorder (GAD)
Bipolar Disorder
Traumatic Brain Injury (TBI)
Fibromyalgia
Chronic Fatigue Syndrome
Bronchial Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Chronic Sinusitis
Congestive Heart Failure
Hypothyroidism