DC 5306Musculoskeletal SystemCriteria from 38 CFR § 4.73, DC 5306

VA Rating Criteria — DC 5306

The VA rates Muscle group VI injury under Diagnostic Code 5306, with separate ratings for the dominant and non-dominant arm: 0% to 40% for the dominant arm and 0% to 30% for the non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Catalog name: Group VI.Extension of elbow (long head of triceps is stabilizer of shoulder joint).(1) Triceps; (2) anconeus. Function: Extensor muscles of the elbow.

Rating schedule · DC 5306 at a glance

Dominant arm
0% to 40%

Dominant column of the published table

Non-dominant arm
0% to 30%

Nondominant column of the published table

CFR section
§ 4.73

Where this code is published

Body system
Musculoskeletal System
Secondary conditions
0

None mapped

This diagnostic code covers a muscle group or general rating formula rather than a specific medical condition. The rating criteria below apply when the VA evaluates injuries to this muscle group.

What are the VA rating criteria for Muscle group VI injury?

DC 5306 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5306 rating schedule from 38 CFR § 4.73: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armDominantNon-dominant armNondominant
Group VI. Function: Extension of elbow (long head of triceps is stabilizer of shoulder joint). Extensor muscles of the elbow: (1) Triceps; (2) anconeus.

Severe

Dominant arm40%Non-dominant arm30%

Moderately Severe

Dominant arm30%Non-dominant arm20%

Moderate

Dominant arm10%Non-dominant arm10%

Slight

Dominant arm0%Non-dominant arm0%

Source: 38 CFR § 4.73, eCFR as of .

These diagnostic codes sit next to Muscle group VI injury 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. 5278Claw foot (pes cavus), acquired
  2. 5279Metatarsalgia, anterior (Morton's disease), unilateral, or bilateral
  3. 5280Hallux valgus, unilateral
  4. 5281Hallux rigidus, unilateral, severe
  5. 5282Hammer toe
  6. 5283Tarsal, or metatarsal bones, malunion of, or nonunion of
  7. 5284Foot injuries, other
  8. 5296Skull, loss of part of, both inner and outer tables
  9. 5297Ribs, removal of
  10. 5298Coccyx, removal of
All 139 musculoskeletal conditions

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

Common Questions About Muscle group VI injury VA Ratings

What is the VA rating range for Muscle group VI injury?

Dominant arm: 0% to 40%; non-dominant arm: 0% to 30%, under DC 5306, 38 CFR § 4.73. The applicable column depends on which arm is dominant under 38 CFR § 4.69.

Which 38 CFR diagnostic code does the VA use for Muscle group VI injury?

The VA rates Muscle group VI injury under Diagnostic Code (DC) 5306, published in 38 CFR § 4.73. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.

What is the difference between a 0% and a 40% dominant-arm rating for Muscle group VI injury?

These figures are the dominant-arm column of DC 5306. A 0% dominant-arm rating is published for: Slight. A 40% dominant-arm rating is published for: Severe. The non-dominant arm is rated on its own column, 0% to 30%.

Can Muscle group VI injury qualify for TDIU?

Using the dominant-arm maximum: DC 5306 publishes up to 40% for the dominant arm and up to 30% 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 Muscle group VI injury?

The key evidence for Muscle group VI injury 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 Muscle group VI injury?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5306 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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