DC 5203Musculoskeletal SystemCriteria from 38 CFR § 4.71a, DC 5203

Collarbone or shoulder blade impairment

The VA rates Collarbone or shoulder blade impairment under Diagnostic Code 5203, with separate ratings for the dominant and non-dominant arm: 10% to 20% for the dominant arm and 10% to 20% for the non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Catalog name: Clavicle or scapula, impairment of.

Rating schedule · DC 5203 at a glance

Dominant arm
10% to 20%

Major column of the published table

Non-dominant arm
10% to 20%

Minor column of the published table

CFR section
§ 4.71a

Where this code is published

Body system
Musculoskeletal System
Secondary conditions
0

None mapped

What are the VA rating criteria for Collarbone or shoulder blade impairment?

DC 5203 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5203 rating schedule from 38 CFR § 4.71a: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armMajorNon-dominant armMinor
Clavicle or scapula, impairment of:

Dislocation of

Dominant arm20%Non-dominant arm20%
Nonunion of:

With loose movement

Dominant arm20%Non-dominant arm20%

Without loose movement

Dominant arm10%Non-dominant arm10%

Malunion of

Dominant arm10%Non-dominant arm10%
InstructionOr rate on impairment of function of contiguous joint.

Source: 38 CFR § 4.71a, eCFR as of .

These diagnostic codes sit next to Collarbone or shoulder blade impairment in 38 CFR Part 4. The rating schedule is ordered anatomically, so neighbouring codes usually cover the same joint, organ, or system, and a claim often involves more than one of them.

  1. 5172Toes, other than great, amputation of, with removal of metatarsal head
  2. 5173Toes, three or four, amputation of, without metatarsal involvement
  3. 5200Scapulohumeral articulation, ankylosis of
  4. 5201Arm, limitation of motion of
  5. 5202Humerus, other impairment of
  6. 5205Elbow, ankylosis of
  7. 5206Forearm, limitation of flexion of
  8. 5207Forearm, limitation of extension of
  9. 5208Forearm, flexion limited to 100° and extension to 45°
  10. 5209Elbow, other impairment of Flail joint
All 139 musculoskeletal conditions

The tools, regulations and guides that pick up where the criteria above leave off.

Common Questions About Collarbone or shoulder blade impairment VA Ratings

What is the VA rating range for Collarbone or shoulder blade impairment?

Dominant arm: 10% to 20%; non-dominant arm: 10% to 20%, under DC 5203, 38 CFR § 4.71a. The applicable column depends on which arm is dominant under 38 CFR § 4.69.

Which 38 CFR diagnostic code does the VA use for Collarbone or shoulder blade impairment?

The VA rates Collarbone or shoulder blade impairment under Diagnostic Code (DC) 5203, published in 38 CFR § 4.71a. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.

What is the difference between a 10% and a 20% dominant-arm rating for Collarbone or shoulder blade impairment?

These figures are the dominant-arm column of DC 5203. A 10% dominant-arm rating is published for: Nonunion of: Without loose movement; or Malunion of. A 20% dominant-arm rating is published for: Dislocation of; or Nonunion of: With loose movement. The non-dominant arm is rated on its own column, 10% to 20%.

Can Collarbone or shoulder blade impairment qualify for TDIU?

Using the dominant-arm maximum: DC 5203 publishes up to 20% for the dominant arm and up to 20% for the non-dominant arm. That is below the single-disability TDIU threshold of 60%. Combined with other service-connected disabilities, TDIU may be achievable under 38 CFR § 4.16.

What evidence supports a higher rating for Collarbone or shoulder blade impairment?

The key evidence for Collarbone or shoulder blade impairment is documentation of how the condition affects daily functioning. For musculoskeletal conditions, range of motion measurements (active, passive, weight-bearing, and non-weight-bearing per Correia v. McDonald) and flare-up documentation are critical. A nexus letter from a qualified medical professional linking the current severity to service is essential for contested claims.

What happens at the C&P exam for Collarbone or shoulder blade impairment?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5203 rating criteria. Expect range of motion testing in multiple positions. Under Correia v. McDonald, the examiner must test active, passive, weight-bearing, and non-weight-bearing range of motion. Report your worst flare-up symptoms. If you cannot attend during a flare, request the exam be rescheduled.

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