MusculoskeletalDC 5025

Fibromyalgia

Fibromyalgia is rated under 38 CFR § 4.71a, Diagnostic Code 5025. The VA rates it based on the extent of widespread musculoskeletal pain, fatigue, and the number of tender points or areas of pain, as well as response to therapy.

VA Rating Levels

10%

Pain controlled by continuous medication; tender points present but not preventing daily activities significantly.

20%

Pain not completely controlled by medication; episodic exacerbations with malaise and fatigue. Daily activities are noticeably impacted.

40%

Constant pain, multiple tender points across the body; marked malaise, fatigue, sleep disturbances. Significantly limits daily activity and work.

Exam Tips & Key Evidence

→Document the number and location of tender points (18 classical points)
→Fibromyalgia commonly occurs secondary to PTSD, MST, or other trauma
→Sleep disruption, fatigue, and cognitive issues ('fibro fog') are all ratable aspects

Commonly Related Conditions

PTSDDepressionInsomnia / Sleep DisordersArthritis

38 CFR Reference

38 CFR § 4.71a, Diagnostic Code 5025