Secondary Condition Claim · VASRD 5025
A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Degenerative Arthritis of Multiple Joints (5025 - Fibromyalgia Criteria) when it develops after Chronic Fatigue Syndrome (CFS).
Fatigue may coexist or be confused with muscle pain syndromes.
Primary condition · VASRD 6354
Chronic Fatigue Syndrome (CFS)
CFS causes persistent fatigue not improved by rest and worsened by physical or mental activity.
Secondary condition · VASRD 5025
Degenerative Arthritis of Multiple Joints (5025 - Fibromyalgia Criteria)
A chronic condition causing widespread joint and muscle pain, often overlapping with fibromyalgia.
The VA rates Degenerative Arthritis of Multiple Joints (5025 - Fibromyalgia Criteria) the same way whether it's claimed directly or as secondary to Chronic Fatigue Syndrome (CFS) — severity of Degenerative Arthritis of Multiple Joints (5025 - Fibromyalgia Criteria) itself determines the percentage.
Example combined rating
40% Chronic Fatigue Syndrome (CFS) + 20% Degenerative Arthritis of Multiple Joints (5025 - Fibromyalgia Criteria) = 52%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 40% and 20% combine to 52%, not 60%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Chronic Fatigue Syndrome (CFS) guide
Secondary condition
Full Degenerative Arthritis of Multiple Joints (5025 - Fibromyalgia Criteria) guide
See how Chronic Fatigue Syndrome (CFS) and Degenerative Arthritis of Multiple Joints (5025 - Fibromyalgia Criteria) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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