DC 5202Musculoskeletal SystemCriteria from 38 CFR § 4.71a, DC 5202

Humerus impairment

The VA rates Humerus impairment under Diagnostic Code 5202, with separate ratings for the dominant and non-dominant arm: 20% to 80% for the dominant arm and 20% to 70% for the non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Catalog name: Humerus, other impairment of.

Rating schedule · DC 5202 at a glance

Dominant arm
20% to 80%

Major column of the published table

Non-dominant arm
20% to 70%

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 Humerus impairment?

DC 5202 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5202 rating schedule from 38 CFR § 4.71a: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armMajorNon-dominant armMinor
Humerus, other impairment of:

Loss of head of (flail shoulder)

Dominant arm80%Non-dominant arm70%

Nonunion of (false flail joint)

Dominant arm60%Non-dominant arm50%

Fibrous union of

Dominant arm50%Non-dominant arm40%
Recurrent dislocation of at scapulohumeral joint:

With frequent episodes and guarding of all arm movements

Dominant arm30%Non-dominant arm20%

With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 °)

Dominant arm20%Non-dominant arm20%
Malunion of:

Marked deformity

Dominant arm30%Non-dominant arm20%

Moderate deformity

Dominant arm20%Non-dominant arm20%

Source: 38 CFR § 4.71a, eCFR as of .

These diagnostic codes sit next to Humerus 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. 5171Toe, great, amputation of
  2. 5172Toes, other than great, amputation of, with removal of metatarsal head
  3. 5173Toes, three or four, amputation of, without metatarsal involvement
  4. 5200Scapulohumeral articulation, ankylosis of
  5. 5201Arm, limitation of motion of
  6. 5203Clavicle or scapula, impairment of
  7. 5205Elbow, ankylosis of
  8. 5206Forearm, limitation of flexion of
  9. 5207Forearm, limitation of extension of
  10. 5208Forearm, flexion limited to 100° and extension to 45°
All 139 musculoskeletal conditions

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

Common Questions About Humerus impairment VA Ratings

What is the VA rating range for Humerus impairment?

Dominant arm: 20% to 80%; non-dominant arm: 20% to 70%, under DC 5202, 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 Humerus impairment?

The VA rates Humerus impairment under Diagnostic Code (DC) 5202, 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 20% and a 80% dominant-arm rating for Humerus impairment?

These figures are the dominant-arm column of DC 5202. A 20% dominant-arm rating is published for: Recurrent dislocation of at scapulohumeral joint: With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 °); or Malunion of: Moderate deformity. A 80% dominant-arm rating is published for: Loss of head of (flail shoulder). The non-dominant arm is rated on its own column, 20% to 70%.

Can Humerus impairment qualify for TDIU?

Using the dominant-arm maximum: DC 5202 publishes up to 80% for the dominant arm and up to 70% for the non-dominant arm. A 80% rating for one disability meets the single-disability TDIU threshold of 60% (38 CFR § 4.16(a)); if the condition prevents substantially gainful employment, VA pays at the 100% rate without a schedular 100% rating.

What evidence supports a higher rating for Humerus impairment?

The key evidence for Humerus 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 Humerus impairment?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5202 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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