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I have a 20% rating for Fibromyalgia and a 10% rating for CFS so it is possible. Also, if you do a detailed search on BVA appeal decisions, you will find a few, not many but a few where the board granted service connection for both. My Rheumatoligist was very adamant about separating the two conditions in my progress notes over the last few years. I have pasted the rating criteria below for the two conditions:

5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome) 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....40%

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%

That require continuous medication for control...................10%
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6354 Chronic Fatigue Syndrome (CFS):

Debilitating fatigue, cognitive impairments (such as inability to
concentrate, forgetfulness, 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 to
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, the condition will be considered incapacitating only while it requires bed rest and treatment by a physician.

For VA purposes, a diagnosis of CFS must meet both of the following criteria:
New onset of debilitating fatigue that is severe enough to reduce or impair average daily activity below 50 percent of the patient's pre-illness activity level for a period of 6 months, and other clinical conditions that may produce similar symptoms must be excluded by thorough evaluation, based on history, physical examination, and appropriate laboratory tests.

It must also meet six or more of the following ten criteria:
Describe in detail:
1. Acute onset of the condition:
2. Low grade fever:
3. Nonexudative pharyngitis
4. Palpable or tender cervical or axillary lymph nodes:
5. Generalized muscle aches or weakness:
6. Fatigue following lasting 24 hours or longer after exercise:
7. Headaches (of a type, severity or pattern that is different from headaches in the premorbid state:
8. Migratory joint pains:
9. Neuropsychologic symptoms:
10. Sleep disturbance:
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In my case, I first filed a claim for Fibromyalgia due to widespread musculoskeletal pain and trigger points. After it was approved, I filed for CFS. I met at least six of the required criteria above for CFS without having to include numbers 5 and 8 which are symptoms of Fibromyalgia and the CFS claim was also approved.

Rat........