Reading a VA Decision letter for fibromyalgia that might have combined or subsumed ratings?

 

Quote

Evaluation of fibromyalgia (to include claim of neck condition with diagnosis of cervicalmialgia and intermittent right upper extremity radiculopathy) currently evaluated as 40 percent disabling.

We have assigned a 40 percent evaluation for your fibromyalgia base on widespread musculoskeletal pain and tender points that:

  • Are constant
  • Are near constant

Additional symptom(s) include:

  • Headache
  • Irritable Bowel symptoms
  • Stiffness

I’ve also posted this over at PEB forums and I’d really like to get a clear answer because I think understanding what they mean in how this is written will be very helpful. 

So this is reproduced verbatim in text and format from a 2012 decision letter based on only my service records. In the heading, it says “(to include claim of neck condition…),” does that mean the neck condition could be rated at some % but they combined it or subsumed it with fibromyalgia to raise that rating to 40% and avoid pyramiding? 

What about the things listed under “Additional symptom(s) include:”? Were the combined somehow or are they just noting other symptoms? 

Thank you in advance! 

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