Is Fibromyalgia a Qualifying Disability?

Yes—but fibromyalgia is not listed as a disability in the SSA’s official “Listing of Impairments.” That means you must prove that your symptoms are severe enough to prevent you from working, and that they meet specific SSA criteria.

In 2012, the SSA issued a ruling (SSR 12-2p) outlining how it evaluates fibromyalgia claims. To qualify, you must show:

• A medical diagnosis of fibromyalgia from a licensed physician
• Evidence that you experience widespread pain for at least three months
• At least 11 positive tender points on physical examination
  or
  Repeated manifestations of six or more fibromyalgia symptoms (e.g., fatigue, memory issues, depression, IBS, etc.)
• Evidence that other conditions have been ruled out

How to Build a Strong Fibromyalgia Disability Case

To improve your chances of approval, it’s crucial to present a well-documented, medically supported case. Here’s how:

• Get Diagnosed by a Rheumatologist: SSA gives more weight to specialists. A diagnosis from a rheumatologist carries more credibility than a general practitioner.
• Maintain Ongoing Treatment: Regular visits and a consistent treatment history show the SSA that your condition is serious and persistent.
• Document Functional Limitations: Keep a daily journal or obtain a functionality report from your doctor that describes how fibromyalgia impacts your ability to work, move, think clearly, and perform everyday activities.
• Include Mental Health Symptoms: Fibromyalgia is often accompanied by depression, anxiety, and cognitive dysfunction, all of which should be included in your claim if applicable.
• Comply with Prescribed Treatments: Follow your doctor’s recommendations, even if treatments haven’t helped. Non-compliance may be used against you.

Why Fibromyalgia Claims Get Denied

Fibromyalgia claims can be difficult to win for several reasons:

• Symptoms are subjective and don’t always show up on lab tests or scans
• SSA examiners may not fully understand the condition
• Lack of detailed medical records or functional limitations
• Inconsistent treatment or missed appointments

If your claim has already been denied, you’re not alone. Many fibromyalgia claims are initially rejected, but you still have options through the appeals process.