Secondary Condition Claim · VASRD 6847
Sleep Apnea Syndromes Secondary to Deviated nasal septum
A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Sleep Apnea Syndromes when it develops after Deviated nasal septum.
Primary condition · VASRD 6209
Deviated nasal septum
A deviated septum is a physical displacement of the wall between the nostrils, which can partially or fully block airflow through one or both sides of the nose and make breathing, especially through the nose, difficult. The rating depends specifically on how much nasal airflow is obstructed, not just whether a deviation is visible on exam.
Secondary condition · VASRD 6847
Sleep Apnea Syndromes
Sleep apnea is a disorder where breathing repeatedly stops or becomes shallow during sleep, fragmenting rest and often leading to loud snoring, daytime fatigue, and difficulty concentrating. Left untreated, it's also linked to higher blood pressure and heart strain, which is part of why the VA rates it based on treatment need rather than just the diagnosis.
Sleep Apnea Syndromes VA Rating Tiers
The VA rates Sleep Apnea Syndromes the same way whether it's claimed directly or as secondary to Deviated nasal septum — severity of Sleep Apnea Syndromes itself determines the percentage.
| Rating | Criteria |
|---|---|
| 50% | Must use a CPAP machine to sleep safely. |
| 0% | Sleep apnea present, but no machine needed. |
Example combined rating
10% Deviated nasal septum + 50% Sleep Apnea Syndromes = 55%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 10% and 50% combine to 55%, not 60%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Evidence for a Sleep Apnea Syndromes Secondary Claim
- •A polysomnography (sleep study) confirming the diagnosis - this is the evidence the rating schedule specifically requires.
- •A CPAP prescription along with compliance or usage reports, since device use is what supports the 50% tier.
- •Medical notes describing sleep-related symptoms like loud snoring, witnessed breathing pauses, or excessive daytime sleepiness.
Common questions about Sleep Apnea Syndromes secondary to Deviated nasal septum
- Can Sleep Apnea Syndromes be service-connected as secondary to Deviated nasal septum?
- Yes. Under 38 CFR § 3.310, a condition that is caused or aggravated by an already service-connected disability can be granted secondary service connection. You'll need a current Sleep Apnea Syndromes diagnosis and a medical nexus opinion linking it to your service-connected Deviated nasal septum — the same standard th…
- What VA rating can I get for Sleep Apnea Syndromes as a secondary condition?
- Sleep Apnea Syndromes is rated under VASRD diagnostic code 6847 using the same criteria whether it's a direct or secondary claim: possible ratings are 50%, 0%. The rating depends on the severity of Sleep Apnea Syndromes itself, not on the severity of Deviated nasal septum.
- How does a secondary Sleep Apnea Syndromes claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 10% rating for Deviated nasal septum combined with a 50% rating for Sleep Apnea Syndromes (example figures) produces a combined rating of 55%, not 60%. Approving Sleep Apnea Syndromes as secondary still typically raises y…
- What evidence do I need to service-connect Sleep Apnea Syndromes as secondary to Deviated nasal septum?
- Strong evidence for the underlying Sleep Apnea Syndromes diagnosis includes: A polysomnography (sleep study) confirming the diagnosis - this is the evidence the rating schedule specifically requires.; A CPAP prescription along with compliance or usage reports, since device use is what supports the 50% tier.; Medical n…
Primary condition
Full Deviated nasal septum guide
Secondary condition
Full Sleep Apnea Syndromes guide
Estimate your combined rating
See how Deviated nasal septum and Sleep Apnea Syndromes combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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