Immune · 38 CFR 4.88b · DC 6354
Chronic Fatigue Syndrome VA Disability Rating
Chronic fatigue syndrome (CFS) rates under DC 6354 based on the degree to which symptoms restrict routine daily activities. Gulf War undiagnosed illness presumptive under 38 CFR 3.317 for veterans deployed to Southwest Asia from Aug 1990.
Rating criteria
| Rating | Criteria |
|---|---|
| 10% | Symptoms wax and wane but result in periods of incapacitation of at least 1 but less than 2 weeks total duration per year. |
| 20% | 2-4 weeks total duration per year, OR symptoms controlled by continuous medication. |
| 40% | 4-6 weeks total duration per year. |
| 60% | 6 weeks total duration per year, OR symptoms restrict routine daily activities to 50-75% of pre-illness level. |
| 100% | Symptoms nearly constant and so severe as to restrict routine daily activities to less than 50%, OR symptoms incapacitating for at least 6 weeks total per year. |
Common secondary conditions
Veterans rated for chronic fatigue syndrome frequently file secondary-service-connection claims for:
- Depression
- Fibromyalgia
- IBS
Use the calculator
Once you know the percentage assigned for this condition, plug it into the VA Combined Rating Calculator alongside any other service-connected ratings to see your combined percentage and 2026 monthly compensation.
Source citations
- 38 CFR 4.88b (eCFR)
- VA.gov current monthly compensation rates
- VA Office of General Counsel — Accreditation directory
VetDisabilityCalc is an independent reference site operated by Zoom Lifestyle LLC. We are not VA-accredited and we do not prepare or present VA claims. The information in this guide is reference material based on the cited regulations and is not legal advice. For representation, use the official VA OGC accreditation directory.