VASRD 5025 · Musculoskeletal System
Fibromyalgia at 20% VA Disability Rating
Data last updated September 23, 2026
Flares triggered by stress or overexertion, present more than a third of the time
20% combined rating: single veteran, no dependents
$356.66
$4,279.92/year · tax-free · effective December 1, 2025
VA pays on the combined rating, not per condition: this is the amount when 20% is the veteran's combined rating, after all separate ratings are combined under 38 CFR 4.25.
The full 20% pay chart, with dependentsCombine this rating with others
VA Rating Criteria for 20%
With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: 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
20% Pay by Household (2026)
Monthly compensation at a 20% combined rating. Additional compensation for dependents starts at a combined rating of 30% (38 U.S.C. § 1115), so below that the single rate applies whatever the household.
| Single (no dependents) | $356.66 |
Lower tier
10% Fibromyalgia
$180.42 /mo single
Higher tier
40% Fibromyalgia
$795.84 /mo single
Common questions about 20% for Fibromyalgia
How much does a 20% VA rating for Fibromyalgia pay?
VA pays on the combined rating, not per condition: this is the amount when 20% is the veteran's combined rating, after all separate ratings are combined under 38 CFR 4.25. At a 20% combined rating, a single veteran receives $356.66 per month ($4,279.92/year) under the 2026 VA rates, effective December 1, 2025. VA disability compensation is tax-free. Additional compensation for dependents starts at a combined rating of 30% (38 U.S.C. § 1115), so below that the single rate applies whatever the household.
What does it take to get a 20% rating for Fibromyalgia?
With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: 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.
What's the difference between 20% and 40% for Fibromyalgia?
20%: With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: 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. 40%: With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: that are constant, or nearly so, and refractory to therapy.
Can a secondary condition raise my rating above 20%?
Yes, up to 100%. A condition service-connected as secondary to Fibromyalgia gets its own rating, which VA combines with your other ratings under 38 CFR 4.25, so your combined rating can end up higher than 20%.
Official sources
- 38 CFR § 4.71a, Schedule of ratings, musculoskeletal system (Diagnostic Code 5025)
- VA.gov, 2026 veteran disability compensation rates, effective December 1, 2025
Pay amounts on this page were last checked against VA.gov on September 22, 2026.
How these figures are checked: our methodology and the open dataset.
See all rating tiers and evidence guidance
Full VASRD criteria, best evidence, exam pitfalls, and secondary conditions for Fibromyalgia are on the main condition page.
View full Fibromyalgia guideVA Calc: Disability Pay
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