Fibromyalgia (DC 5025) | VA Rating Tool

Diagnostic Code5025
CategoryThe Musculoskeletal System
SubcategoryAcute, Subacute, or Chronic Diseases
Also Known AsFibromyalgia, fibro, widespread pain, chronic pain, body aches, tender points
CFR Section38 CFR ยง 4.71a
๐Ÿ“Š What Veterans Actually Get
20%
Most Common Rating
40.0%
of Vets Get This
55.0%
Approval Rate
#26
Most Claimed

Fibromyalgia is rated at 10%, 20%, or 40%. The most common rating is 20% (symptoms that require continuous medication for control). The 40% rating requires symptoms that are constant or nearly constant and refractory to therapy.

Pro Tip: Fibromyalgia is hard to prove but the 40% rating is achievable if your symptoms are documented as 'refractory to therapy' (treatment doesn't work). Document every medication you've tried and failed.
Rating Criteria
Rating Criteria
40% That are constant, or nearly so, and refractory to therapy
20% That are episodic, with exacerbations often precipitated by environmental or emotional stress or by overexertion, but that are present more than one-third of the time
10% That require continuous medication for control

Conditions Secondary to This

7 links
Chronic Fatigue Syndrome (CFS)
6354
Strong

Persistent fatigue is a hallmark of fibromyalgia

Generalized anxiety disorder
9400
Strong

Chronic widespread pain causes significant anxiety

Irritable bowel syndrome (IBS)
7319
Strong

Fibromyalgia and IBS frequently co-occur โ€” shared central sensitization

Major depressive disorder
9434
Strong

Fibromyalgia and depression are strongly comorbid

Migraine
8100
Strong

Central sensitization links fibromyalgia and migraines

Sleep Apnea Syndromes
6847
Moderate

Fibromyalgia severely disrupts sleep architecture

Temporomandibular disorder (TMD)
9905
Moderate

Jaw pain and TMJ commonly co-occur with fibromyalgia

This May Be Secondary To

No upstream secondary-condition mappings point to this diagnostic code yet.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.