Is a nexus letter for sleep apnea secondary to sinusitis your missing link? If you’ve received a denied claim, you’ll want to understand the significant impact a nexus letter can make.
In this guide, we’ll cover how a nexus letter impacts your VA disability claim, the steps to get service connected for sleep apnea secondary to sinusitis, and what VA rating you deserve.
The VA claims process can be challenging, but we’re here to help guide you.
A nexus letter for sleep apnea secondary to sinusitis is vital evidence when applying for VA benefits.
Sinusitis can contribute to sleep apnea by causing sinus congestion and inflammation that blocks the nasal passages. But is your military service the culprit?
Many veterans are susceptible to sinusitis due to burn pit exposure and other hazards. Obtaining a nexus letter is highly recommended if you want a better chance of winning your claim.
A Nexus Letter establishes a connection between your service-connected sinusitis and the development or worsening of sleep apnea.
It outlines a healthcare provider’s medical reasoning and professional opinion, clearly stating that sleep apnea results from sinusitis and makes you eligible for benefits.
Sleep apnea and sinusitis can be connected in several ways, so it’s essential to understand what is causing your condition.
Here’s a look at common reasons why sleep apnea can be secondary to sinusitis:
Managing sinusitis and addressing nasal congestion can be important components of sleep apnea treatment, as improving nasal airflow may help reduce the severity of sleep apnea symptoms and improve overall sleep quality.
In order to win a VA disability claim for sleep apnea secondary to sinusitis you must be able to prove service connection. Service connection requires:
A current medical diagnosis (documented in a medical record) of the secondary VA disability you’re attempting to link (Sleep Apnea) to the current service-connected disability (Sinusitis) AND
A current service-connected primary disability (Sinusitis) ANDMedical nexus evidence establishing a connection between the service-connected primary condition (Sinusitis) AND the current disability you’re trying to connect secondary (Sleep Apnea)
You will likely be required to attend a sleep study to receive an accurate sleep apnea diagnosis. A sleep study is vital in finding evidence of irregular breathing, gasping, and other obvious signs of sleep apnea.
The VA rates sleep apnea secondary to sinusitis at 0%, 30%, 50%, and 100%, depending on the severity, frequency, and duration of symptoms.
The highest VA rating for sleep apnea secondary to sinusitis is 100%, with most veterans receiving a 50% rating for obstructive sleep apnea.
The VA rating for sleep apnea is under 38 CFR § 4.97, Diagnostic Code 6847 Schedule of Ratings – Sleep Apnea Syndromes (Obstructive, Central, Mixed).
If you receive a 50% or greater VA rating for sleep apnea, you’ll require one of the following qualifying breathing assistance devices: