Condition Rating Guides
Understand what the VA looks for at each rating level — loading conditions…
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Understand what the VA looks for at each rating level — loading conditions…
A condition causing extreme tiredness that does not improve with rest and gets worse with physical or mental activity. The VA rates CFS based on how much your symptoms limit daily activities.
The VA rates this condition based on how much it affects your ability to work and carry out daily activities. The examiner will focus on the functional limitations your condition causes, not just the diagnosis itself.
Diagnostic code
DC 6354
Rating range
10% – 100%
Rating levels
5
Rating criteria are defined in 38 CFR 4.88b, DC 6354. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.
Your chronic fatigue symptoms are nearly constant and so severe that they restrict you to bed rest and being essentially housebound nearly all the time.
What the VA looks for
Conditions commonly associated with Chronic Fatigue Syndrome or rated under the same body system.
Major Depressive Disorder (MDD)
Fibromyalgia
Obstructive Sleep Apnea
Insomnia Disorder
Multiple Sclerosis
Lyme Disease
Gulf War Illness (Undiagnosed Illness)
Post-COVID Condition (Long COVID)