DC 5206Musculoskeletal SystemCriteria from 38 CFR § 4.71a, DC 5206

Limited elbow bending (flexion)

The VA rates Limited elbow bending (flexion) under Diagnostic Code 5206, with separate ratings for the dominant and non-dominant arm: 0% to 50% for the dominant arm and 0% 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 flexion of.

Rating schedule · DC 5206 at a glance

Dominant arm
0% to 50%

Major column of the published table

Non-dominant arm
0% 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 bending (flexion)?

DC 5206 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5206 rating schedule from 38 CFR § 4.71a: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armMajorNon-dominant armMinor
Forearm, limitation of flexion of:

Flexion limited to 45°

Dominant arm50%Non-dominant arm40%

Flexion limited to 55°

Dominant arm40%Non-dominant arm30%

Flexion limited to 70°

Dominant arm30%Non-dominant arm20%

Flexion limited to 90°

Dominant arm20%Non-dominant arm20%

Flexion limited to 100°

Dominant arm10%Non-dominant arm10%

Flexion limited to 110°

Dominant arm0%Non-dominant arm0%

Source: 38 CFR § 4.71a, eCFR as of .

Notes for DC 5206

  • 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 bending (flexion) 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. 5200Scapulohumeral articulation, ankylosis of
  2. 5201Arm, limitation of motion of
  3. 5202Humerus, other impairment of
  4. 5203Clavicle or scapula, impairment of
  5. 5205Elbow, ankylosis of
  6. 5207Forearm, limitation of extension of
  7. 5208Forearm, flexion limited to 100° and extension to 45°
  8. 5209Elbow, other impairment of Flail joint
  9. 5210Radius and ulna, nonunion of, with flail false joint
  10. 5211Ulna, 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 bending (flexion) VA Ratings

What is the VA rating range for Limited elbow bending (flexion)?

Dominant arm: 0% to 50%; non-dominant arm: 0% to 40%, under DC 5206, 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 bending (flexion)?

The VA rates Limited elbow bending (flexion) under Diagnostic Code (DC) 5206, 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 0% and a 50% dominant-arm rating for Limited elbow bending (flexion)?

These figures are the dominant-arm column of DC 5206. A 0% dominant-arm rating is published for: Flexion limited to 110°. A 50% dominant-arm rating is published for: Flexion limited to 45°. The non-dominant arm is rated on its own column, 0% to 40%.

Can Limited elbow bending (flexion) qualify for TDIU?

Using the dominant-arm maximum: DC 5206 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 bending (flexion)?

The key evidence for Limited elbow bending (flexion) 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 bending (flexion)?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5206 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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