DC 5207Musculoskeletal SystemCriteria from 38 CFR § 4.71a, DC 5207

Limited elbow straightening (extension)

The VA rates Limited elbow straightening (extension) under Diagnostic Code 5207, with separate ratings for the dominant and non-dominant arm: 10% to 50% for the dominant arm and 10% to 40% for the non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Catalog name: Forearm, limitation of extension of.

Rating schedule · DC 5207 at a glance

Dominant arm
10% to 50%

Major column of the published table

Non-dominant arm
10% to 40%

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 Limited elbow straightening (extension)?

DC 5207 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5207 rating schedule from 38 CFR § 4.71a: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armMajorNon-dominant armMinor
Forearm, limitation of extension of:

Extension limited to 110°

Dominant arm50%Non-dominant arm40%

Extension limited to 100°

Dominant arm40%Non-dominant arm30%

Extension limited to 90°

Dominant arm30%Non-dominant arm20%

Extension limited to 75°

Dominant arm20%Non-dominant arm20%

Extension limited to 60°

Dominant arm10%Non-dominant arm10%

Extension limited to 45°

Dominant arm10%Non-dominant arm10%

Source: 38 CFR § 4.71a, eCFR as of .

Notes for DC 5207

  • Note: In all the forearm and wrist injuries, codes 5205 through 5213, multiple impaired finger movements due to tendon tie-up, muscle or nerve injury, are to be separately rated and combined not to exceed rating for loss of use of hand.

These diagnostic codes sit next to Limited elbow straightening (extension) 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. 5201Arm, limitation of motion of
  2. 5202Humerus, other impairment of
  3. 5203Clavicle or scapula, impairment of
  4. 5205Elbow, ankylosis of
  5. 5206Forearm, limitation of flexion of
  6. 5208Forearm, flexion limited to 100° and extension to 45°
  7. 5209Elbow, other impairment of Flail joint
  8. 5210Radius and ulna, nonunion of, with flail false joint
  9. 5211Ulna, impairment of
  10. 5212Radius, impairment of
All 139 musculoskeletal conditions

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

Common Questions About Limited elbow straightening (extension) VA Ratings

What is the VA rating range for Limited elbow straightening (extension)?

Dominant arm: 10% to 50%; non-dominant arm: 10% to 40%, under DC 5207, 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 Limited elbow straightening (extension)?

The VA rates Limited elbow straightening (extension) under Diagnostic Code (DC) 5207, 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 50% dominant-arm rating for Limited elbow straightening (extension)?

These figures are the dominant-arm column of DC 5207. A 10% dominant-arm rating is published for: Extension limited to 60°; or Extension limited to 45°. A 50% dominant-arm rating is published for: Extension limited to 110°. The non-dominant arm is rated on its own column, 10% to 40%.

Can Limited elbow straightening (extension) qualify for TDIU?

Using the dominant-arm maximum: DC 5207 publishes up to 50% for the dominant arm and up to 40% for the non-dominant arm. That alone does not meet the single-disability TDIU threshold of 60%. With other service-connected disabilities combining to 70% or more, one of them at 40% or more, TDIU under 38 CFR § 4.16(a) may apply, and extraschedular TDIU under § 4.16(b) is available if the condition alone prevents work regardless of rating.

What evidence supports a higher rating for Limited elbow straightening (extension)?

The key evidence for Limited elbow straightening (extension) 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 Limited elbow straightening (extension)?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5207 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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