The Board remanded the claim for service connection for sleep apnea because competent evidence suggests a potential nexus between the Veteran's current sleep apnea diagnosis and an in-service event (dental surgery in April 1996 with subsequent hospitalization for pulmonary edema and respiratory failure). A VA examination is required to determine whether the sleep apnea began in service or is otherwise related to active service.
The deciding factor: The threshold for determining whether evidence indicates there may be a nexus between a current disability and an in-service event is low, and the evidence presented (private polysomnogram diagnosis, service treatment records from April 1996, and the Veteran's statements) met that threshold, necessitating a medical examination.
- Claimed conditions
- sleep apnea, obstructive sleep apnea, pulmonary edema, respiratory failure
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 23, 2020
- Citation
- 20005492
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Board granted service connection for obstructive sleep apnea, effective from the date of the February 2025 rating decision.
- Denied
The Board denied service connection for various conditions, including prostate cancer and related disabilities, urinary incontinence, sleep apnea, hypertension, varicose veins, lumbar spine disability, hip arthritis, shoulder arthritis, ankle arthritis, knee strain, knee replacement, and hand arthritis. The only condition granted was a 10 percent rating for a fracture of the right proximal first metacarpal.
- Dismissed
The Veteran withdrew the appeals for service connection for bilateral pes planus, obstructive sleep apnea, bilateral hearing loss, tinnitus, and chronic obstructive pulmonary disease (COPD).
- Denied
The Board denied the Veteran's claim for service connection for sleep apnea as there is no evidence of an in-service injury or disease, and no competent evidence linking the condition to service.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.