Chronic Fatigue Syndrome (CFS) is a complex and often misunderstood condition that can significantly impact veterans’ lives. For veterans experiencing CFS due to their service, navigating the VA disability claims process is an important step toward obtaining the benefits they need. In this guide, we’ll cover what CFS is, how to file a claim for VA disability benefits, and the essential medical evidence needed to support your claim.

Understanding Chronic Fatigue Syndrome (CFS)

Chronic Fatigue Syndrome, also known as Myalgic Encephalomyelitis (ME), is a condition characterized by severe fatigue that doesn’t improve with rest and can be worsened by physical or mental activity. Other symptoms may include joint and muscle pain, memory issues, sleep disturbances, and headaches. These symptoms can make it challenging for veterans to work or perform daily tasks, which is why it’s important to secure VA disability compensation for CFS when it stems from or is aggravated by military service.

VA Disability Ratings for CFS

The VA recognizes CFS as a potentially disabling condition and evaluates it under Diagnostic Code 6354. The VA’s rating criteria for CFS are based on the severity of the symptoms and their impact on daily functioning. Veterans may receive disability ratings for CFS as follows:

• 10% Rating: This rating is given for intermittent symptoms that don’t severely limit the veteran’s ability to perform daily activities.
• 20% Rating: Awarded when the veteran experiences more frequent symptoms, with periods of incapacitation lasting one to two weeks each year.
• 40% Rating: For more significant symptoms that lead to periods of incapacitation totaling at least four weeks each year.
• 60% Rating: Granted when symptoms are severe enough to cause incapacitation for six weeks or more per year.
• 100% Rating: Reserved for the most severe cases where symptoms make it impossible to perform daily activities for six months or more.

How to File a Claim for CFS

To start a VA disability claim for Chronic Fatigue Syndrome, follow these steps:

1. Gather Your Medical Records: Your medical history will be a crucial component of your claim. Gather any documentation that details your symptoms, the impact on your life, and any treatments or diagnoses of CFS.
2. File VA Form 21-526EZ: Veterans can initiate a claim by completing VA Form 21-526EZ, the application for disability compensation. You can submit this form online, in person at a VA office, or by mail.
3. Include Supporting Medical Evidence: The VA relies on evidence to assess the severity of CFS, so it’s essential to provide comprehensive medical documentation (more on this below).
4. Schedule a C&P Exam: After submitting your claim, the VA may schedule a Compensation & Pension (C&P) exam to evaluate your symptoms. Be prepared to discuss how your CFS affects your daily activities and work.

Medical Evidence Needed for a CFS Claim

When filing a claim for CFS, high-quality medical evidence can make a significant difference in obtaining an accurate rating. Here’s what the VA typically looks for in CFS claims:

• Diagnosis of CFS: You must have a formal diagnosis of CFS from a qualified healthcare provider. This diagnosis should align with VA standards, and the provider should note the severity of your symptoms and how they limit your daily activities.
• Symptoms and Severity: Documentation of specific symptoms, such as profound fatigue, joint pain, headaches, and memory loss, can help the VA assess the impact of CFS on your life. Providers should describe the frequency, duration, and intensity of these symptoms.
• Functional Impact: Detailed descriptions of how CFS affects your ability to work or carry out routine tasks will support your claim. If your condition has led to missed work or reduced capacity for household tasks, this information is valuable.
• Personal Statements: Statements from friends, family, and coworkers who have witnessed the effects of CFS can further strengthen your claim. These statements should highlight how your symptoms impact your daily life and any changes in your ability to participate in normal activities.

Tips for a Successful CFS Claim

1. Ensure Thorough Documentation: The more detailed your medical records, the stronger your claim will be. Make sure your healthcare provider fully documents the severity and impact of your symptoms.
2. Follow Through with Treatment: Consistent treatment records can demonstrate the persistence and severity of CFS. Attend appointments regularly and follow any prescribed treatments, as this will strengthen your claim.
3. Prepare for Your C&P Exam: The C&P exam is a vital part of your claim, and it’s essential to communicate the full extent of your symptoms. Be honest and specific about how CFS affects you on both good and bad days.
4. Consider Legal Assistance: VA claims can be complex, and errors or omissions can lead to delays or lower ratings. A VA-accredited attorney can provide valuable assistance to ensure your claim is properly filed and supported.

Get Help with Your VA Disability Claim for CFS

Navigating the VA disability claims process for Chronic Fatigue Syndrome can be challenging, but you don’t have to go through it alone. If you need help filing a claim or gathering the necessary medical evidence, VA Benefits Attorneys is here to support you. Our team specializes in helping veterans secure the benefits they deserve.

Contact VA Benefits Attorneys today to take the next step toward receiving the compensation you’re entitled to for your service-connected CFS.