Fibromyalgia is rated under diagnostic code 5025. A rheumatologist must evaluate and diagnose the condition for it to be rated under this code. Widespread pain is defined by the VA to mean pain in both the left and right sides of the body, that is both above and below the waist, and that affects both the axial skeleton (i.e. cervical spine, anterior chest, thoracic spine, or low back) and the extremities. A veteran with a diagnosis of fibromyalgia will receive either a 10%, 20%, or 40% rating.
- Require continuous medication for control – 10%
- Are episodic, with exacerbations often precipitated by environmental or emotional stress or by overexertion, but that are present more than 1/3 of the time – 20%
- Are constant, or nearly so, and refractory (resistant) to therapy – 40%
Norman Hanley is a United States Marine Corps Veteran and the founder of the Men With Fibromyalgia community. He lives in Southern Arizona with his loving wife Stephanie, their rescued beagles Winchester and Luna, as well as their two cats Missy and Muggins.
Brandi Clevinger is a Navy veteran living in South Carolina with her supportive husband and four sweet children. She is a fibromyalgia thriver, creator of Being Fibro Mom and contributor to the Fibromyalgia Magazine. Brandi cherishes the time with her family and enjoys reading, writing, cooking and baking.