Conditions/Infectious Diseases

Chronic Fatigue Syndrome

Diagnostic Code 6354Infectious Diseases

Persistent fatigue disorder

VA Rating Criteria (38 CFR)
100%

Debilitating fatigue that is nearly constant and so severe as to restrict routine daily activities almost completely and which may occasionally preclude self-care

60%

Debilitating fatigue that waxes and wanes but results in periods of incapacitation of at least six weeks total duration per year

40%

Debilitating fatigue that waxes and wanes but results in periods of incapacitation of at least four but less than six weeks total duration per year

20%

Debilitating fatigue that waxes and wanes but results in periods of incapacitation of at least two but less than four weeks total duration per year, or symptoms not controlled by continuous medication

10%

Debilitating fatigue that waxes and wanes but results in periods of incapacitation of at least one but less than two weeks total duration per year, or symptoms controlled by continuous medication

Evidence You'll Need

Medical Evidence

Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history

Service Connection

Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)

Personal Statement

Your detailed account of how chronic fatigue syndrome affects your daily life and when symptoms began

Lay Evidence

Buddy letters from fellow service members or family who can corroborate your symptoms

C&P Exam Tips Preview

During your Compensation & Pension exam for chronic fatigue syndrome, examiners will assess your symptoms against the rating criteria above.

Be specific: Describe your worst day, not your average day

Document everything: Bring copies of all medical records and evidence

Functional impact: Explain how symptoms affect work, sleep, and daily activities

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