Fibromyalgia VA Rating Guide

Overview

A chronic condition characterized by widespread musculoskeletal pain, fatigue, and cognitive difficulties. Often develops after physical trauma, infections, or psychological stress. Recognized as a Persian Gulf War presumptive condition.

• VA Disability Code: 5025
• ICD Code: M79.7
• Category: Musculoskeletal

Rating Percentages & Criteria

40% Rating

Criteria: With widespread musculoskeletal pain and tenderness, characteristic of fibromyalgia, that is constant, or nearly so, and refractory to therapy

Examples:

• Constant severe pain
• Not responsive to treatment

20% Rating

Criteria: With widespread musculoskeletal pain and tenderness, characteristic of fibromyalgia, with episodic flare-ups that occur at least six times a year

Examples:

• Frequent flare-ups
• Regular symptom exacerbations

10% Rating

Criteria: With widespread musculoskeletal pain and tenderness, characteristic of fibromyalgia

Examples:

• Diagnosed fibromyalgia with typical symptoms

Symptoms & Functional Impact

Common symptoms associated with this condition:

• Widespread chronic pain
• Severe fatigue
• Cognitive difficulties (fibro fog)
• Sleep disturbances
• Morning stiffness
• Headaches
• Sensitivity to temperature, light, and noise
• Numbness or tingling in extremities
• Digestive problems

Evidence Requirements for Your Claim

To support your claim, gather the following evidence:

• Medical records of fibromyalgia diagnosis
• Tender point examination results
• Treatment records
• Sleep study results if applicable
• Rheumatology evaluations

Secondary Conditions Commonly Connected

This condition often leads to secondary disabilities:

Depression (Strong Connection)

Chronic widespread pain increases depression risk

Anxiety (Strong Connection)

Unpredictable pain flares cause chronic anxiety

Migraines (Strong Connection)

Fibromyalgia and migraines commonly co-occur

Compensation & Pension (C&P) Exam Tips

Prepare for your C&P exam with these strategic tips:

• Keep a symptom and flare-up diary
• Document treatments tried and their effectiveness
• Describe impact on daily functioning
• Note frequency of flare-ups
• Bring records from rheumatologist

Frequently Asked Questions

Is fibromyalgia presumptive for Gulf War veterans?

Yes. Fibromyalgia is a presumptive condition for qualifying Gulf War veterans under certain circumstances.

Key Points for Your Claim

When filing for Fibromyalgia:

1. Document everything - Every medical visit, treatment, and symptom counts
2. Get a nexus letter - A medical opinion linking your condition to service is crucial
3. Be thorough - Don't downplay your symptoms in your claim
4. Track progression - Show how the condition has worsened over time
5. Claim secondary conditions - Fibromyalgia often causes other disabilities

Ready to File Your Claim?

The VA disability system is complex, but you don't have to navigate it alone. We help veterans understand their benefits, gather strong evidence, and maximize their ratings.

Related Rating Guides:

• Depression VA Rating Guide
• Anxiety VA Rating Guide
• Migraines VA Rating Guide