Sleep and breathing

Sleep apnea

Sleep apnea syndromes (obstructive, central, mixed). Diagnostic Code 6847.

Veticare EducationUpdated October 2026Source: 38 CFR 4.97

Overview

Sleep apnea causes breathing to stop and start during sleep, which can lead to loud snoring, poor sleep, and daytime sleepiness. A sleep study is how it is usually diagnosed.

How VA rates it

Diagnostic Code 6847 · 38 CFR 4.97

Here is a plain language summary of the rating levels in the regulation. Read the official text for the exact wording.

RatingSummary of the criteria
100%Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or requires tracheostomy.
50%Requires use of a breathing assistance device such as a CPAP machine.
30%Persistent daytime hypersomnolence (sleepiness).
0%Asymptomatic but with documented sleep disordered breathing.

Always check the current rule on eCFR.

Common secondary connections

These are conditions often discussed in connection with Sleep apnea. A secondary claim generally needs medical evidence that one condition caused or worsened another. This list is general education, not a suggestion about any claim.

  • Often discussed as secondary to PTSD, rhinitis, or sinusitis
  • Hypertension
  • Weight related conditions

Presumptive notes

VA does not list this condition on its main presumptive lists covered in this library. Service connection is generally shown with evidence of a current condition, an in service event, and a link between them. See VA hazardous materials exposure for other presumptive programs.

Evidence veterans generally gather

VA describes evidence types in its evidence guide. For this condition, veterans often collect:

  • A sleep study result
  • CPAP prescription and use records
  • Statements from a spouse or roommate about snoring or breathing pauses
  • A current diagnosis from a medical provider
  • Service treatment records and personnel records
  • VA and private treatment records
  • Statements from you, family, or fellow service members (lay statements)
  • A Disability Benefits Questionnaire (DBQ) completed by a provider, if available

Official source

Rating levels: 38 CFR 4.97 on eCFR. Rules change; always confirm the current text.

Back to the conditions library

Education only. This page explains how VA publishes its rating rules in plain language. It is not advice about your claim, and it does not predict or promise any rating or outcome. Only VA decides ratings. Veticare is not a VA accredited representative and has no referral partnerships. For help with a claim, find free accredited help at the VA accreditation search.
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