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To make your case with the VA, you'll need what's known as a \u201cnexus\u201d letter from a doctor. A nexus letter is a letter simply states that your sleep apnea is as likely as not to have been caused by your service-connected PTSD, or another service-connected condition.
Veterans can also prove service connection for sleep apnea by showing that their sleep apnea began in service using service medical records, or by providing a nexus opinion from a medical professional that links their current diagnosis of sleep apnea to signs or symptoms they experienced in service.
In order to establish direct service connection for sleep apnea, a claimant must show that they have a current, diagnosis of sleep apnea, an in-service event or illness/injury, and a medical nexus or link that shows the veteran's sleep apnea is related to their in-service event, injury/illness.
It is not necessary to also complete a Scars DBQ. NOTE - If diagnostic test results are in the medical record and reflect the veteran's current sleep apnea condition, repeat testing is not required.
The most common rating for service-connected sleep apnea is 50 percent based on needing a CPAP.
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The Department denies these claims because they do not have sufficient evidence to conclusively say that a Veteran is suffering from sleep apnea without a diagnosis, even if the Veteran exhibits the symptoms of the disorder.
What Happens During C&P Exams for Sleep Apnea? During the C&P exam for sleep apnea, the examiners will ask questions about your condition and how it affects you. VA examiners might complete a Disability Benefits Questionnaire (DBQ) for sleep apnea as well.
b) To prove the onset of sleep apnea occurred while you were in service, you need to bridge the gap from \u201cthen\u201d to \u201cnow.\u201d Without an in-service diagnosis, now you must prove that you had symptoms during your time in service. This is the most common route of veterans' claims for sleep apnea.
The short answer to whether you'll lose VA benefits if you don't use your CPAP machine is no. The VA will not track your compliance, and they will not revoke your disability benefits if you don't use your machine. However, it is important to use your CPAP machine as prescribed so you can get the best results possible.
According to the VA, if you currently have a rating for sleep apnea, the proposed changes will not affect your rating. But if you're going to retire at some point in the future, the magic 50% from sleep apnea may be at risk.

dbq for sleep apnea secondary to ptsd