Free · From a nonprofit · No account needed
Chronic fatigue syndrome (CFS)
Diagnostic code 6354 · Infectious diseases, immune disorders and nutritional deficiencies · 38 CFR 4.88b
Rating criteria: the exact regulation text
Quoted from 38 CFR 4.88b. The "Rating" column is the percentage VA assigns for that level.
| Criteria | Rating |
|---|---|
| 6354 Chronic fatigue syndrome (CFS): | |
| Debilitating fatigue, cognitive impairments (such as inability to concentrate, forgetfulness, or confusion), or a combination of other signs and symptoms: | |
| Which are nearly constant and so severe as to restrict routine daily activities almost completely and which may occasionally preclude self-care | 100 |
| Which are nearly constant and restrict routine daily activities to less than 50 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least six weeks total duration per year | 60 |
| Which are nearly constant and restrict routine daily activities from 50 to 75 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least four but less than six weeks total duration per year | 40 |
| Which are nearly constant and restrict routine daily activities by less than 25 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least two but less than four weeks total duration per year | 20 |
| Which wax and wane but result in periods of incapacitation of at least one but less than two weeks total duration per year; or symptoms controlled by continuous medication | 10 |
| Note: For the purpose of evaluating this disability, incapacitation exists only when a licensed physician prescribes bed rest and treatment. |
Notes for the whole table
Note: Rate any residual disability of infection within the appropriate body system as indicated by the notes in the evaluation criteria. As applicable, consider the long-term health effects potentially associated with infectious diseases as listed in § 3.317(d) of this chapter, specifically Brucellosis, Campylobacter jejuni, Coxiella burnetii (Q fever), Malaria, Mycobacterium Tuberculosis, Nontyphoid Salmonella, Shigella, Visceral Leishmaniasis, and West Nile virus.
The VA exam form for this condition
VA examiners record their findings on a Disability Benefits Questionnaire (DBQ). Reading it shows you what the exam will measure and ask.
Rules that apply to this body system
Where this comes from
38 CFR 4.88b, VA's Schedule for Rating Disabilities, from the official eCFR.
Regulation text current as of October 16, 2026.
Change history for this code (38 CFR Part 4, Appendix A): Added November 29, 1994; criterion August 30, 1996; title, criterion, note August 11, 2019.
Read it on eCFR.govInformation, not advice
This page shows the text of VA's rating regulation for information. It is not a rating estimate, and it is not legal or medical advice. VA decides every rating on the evidence in your file.
An accredited representative can help you with your claim for free. Find a VA-accredited representative.
File this claim for free
VetEZ Claim is a free app from VetClaims Alliance, a nonprofit. Start with an Intent to File (VA Form 21-0966): it can hold your effective date, the date back pay can start from, for up to a year while you get your claim ready. You review and sign each form, and the app sends it to VA. No subscriptions or paid upgrades.