The Veteran's OSA is granted as secondary to his service-connected PTSD.,A 60% rating for right knee replacement (previously rated as chondromalacia, patellofemoral syndrome) is granted.,Hypertension is denied as there is no evidence of diastolic pressure predominantly 100 or more or systolic pressure predominantly 160 or more.,A 10% rating for left upper anterior chest costochondritis (claimed as chest pain) is granted.,An initial 50% rating for PTSD with unspecified depressive disorder is granted.,TDIU is granted.

The deciding factor: The evidence supports that the Veteran's OSA is proximately due to, the result of, or aggravated by his service-connected PTSD and musculoskeletal disabilities.,The VA examiner found chronic residuals consisting of severe painful motion or weakness in the right knee since total knee replacement.,There is no evidence of diastolic pressure predominantly 100 or more or systolic pressure predominantly 160 or more for hypertension, thus not warranting a compensable rating.

Claimed conditions

{"condition_name":"Obstructive Sleep Apnea (OSA)"}, {"condition_name":"Right Knee Replacement"}, {"condition_name":"Left Upper Anterior Chest Costochondritis (claimed as chest pain)"}, {"condition_name":"Posttraumatic Stress Disorder (PTSD) with unspecified depressive disorder"}

How they argued it

Secondary to another service-connected condition

Exposure basis

None

Rating assigned

60%

Decision date

October 19, 2020

Citation

20067521