DC 5200Musculoskeletal SystemCriteria from 38 CFR § 4.71a, DC 5200

Shoulder ankylosis (fixed joint)

The VA rates Shoulder ankylosis (fixed joint) under Diagnostic Code 5200, with separate ratings for the dominant and non-dominant arm: 30% to 50% for the dominant arm and 20% to 40% for the non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Catalog name: Scapulohumeral articulation, ankylosis of.

Rating schedule · DC 5200 at a glance

Dominant arm
30% to 50%

Major column of the published table

Non-dominant arm
20% 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 Shoulder ankylosis (fixed joint)?

DC 5200 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5200 rating schedule from 38 CFR § 4.71a: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armMajorNon-dominant armMinor
Scapulohumeral articulation, ankylosis of:

Unfavorable, abduction limited to 25° from side

Dominant arm50%Non-dominant arm40%

Intermediate between favorable and unfavorable

Dominant arm40%Non-dominant arm30%

Favorable, abduction to 60°, can reach mouth and head

Dominant arm30%Non-dominant arm20%

Source: 38 CFR § 4.71a, eCFR as of .

Other notes printed in this table

These notes appear in the same table in 38 CFR, and their text does not name DC 5200.

  • Note: The scapula and humerus move as one piece.

These diagnostic codes sit next to Shoulder ankylosis (fixed joint) 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. 5156Little finger, amputation of
  2. 5170Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss
  3. 5171Toe, great, amputation of
  4. 5172Toes, other than great, amputation of, with removal of metatarsal head
  5. 5173Toes, three or four, amputation of, without metatarsal involvement
  6. 5201Arm, limitation of motion of
  7. 5202Humerus, other impairment of
  8. 5203Clavicle or scapula, impairment of
  9. 5205Elbow, ankylosis of
  10. 5206Forearm, limitation of flexion of
All 139 musculoskeletal conditions

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

Common Questions About Shoulder ankylosis (fixed joint) VA Ratings

What is the VA rating range for Shoulder ankylosis (fixed joint)?

Dominant arm: 30% to 50%; non-dominant arm: 20% to 40%, under DC 5200, 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 Shoulder ankylosis (fixed joint)?

The VA rates Shoulder ankylosis (fixed joint) under Diagnostic Code (DC) 5200, 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 30% and a 50% dominant-arm rating for Shoulder ankylosis (fixed joint)?

These figures are the dominant-arm column of DC 5200. A 30% dominant-arm rating is published for: Favorable, abduction to 60°, can reach mouth and head. A 50% dominant-arm rating is published for: Unfavorable, abduction limited to 25° from side. The non-dominant arm is rated on its own column, 20% to 40%.

Can Shoulder ankylosis (fixed joint) qualify for TDIU?

Using the dominant-arm maximum: DC 5200 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 Shoulder ankylosis (fixed joint)?

The key evidence for Shoulder ankylosis (fixed joint) 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 Shoulder ankylosis (fixed joint)?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5200 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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