DC 5211Musculoskeletal SystemCriteria from 38 CFR § 4.71a, DC 5211

Impairment of ulna

The VA rates Impairment of ulna under Diagnostic Code 5211, with separate ratings for the dominant and non-dominant arm: 10% to 40% for the dominant arm and 10% to 30% for the non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Catalog name: Ulna, impairment of.

Rating schedule · DC 5211 at a glance

Dominant arm
10% to 40%

Major column of the published table

Non-dominant arm
10% to 30%

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 Impairment of ulna?

DC 5211 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5211 rating schedule from 38 CFR § 4.71a: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armMajorNon-dominant armMinor
Ulna, impairment of:
Nonunion in upper half, with false movement:

With loss of bone substance (1 inch (2.5 cms.) or more) and marked deformity

Dominant arm40%Non-dominant arm30%

Without loss of bone substance or deformity

Dominant arm30%Non-dominant arm20%

Nonunion in lower half

Dominant arm20%Non-dominant arm20%

Malunion of, with bad alignment

Dominant arm10%Non-dominant arm10%

Row layout follows the published table.

Source: 38 CFR § 4.71a, eCFR as of .

Notes for DC 5211

  • 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 Impairment of ulna 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. 5206Forearm, limitation of flexion of
  2. 5207Forearm, limitation of extension of
  3. 5208Forearm, flexion limited to 100° and extension to 45°
  4. 5209Elbow, other impairment of Flail joint
  5. 5210Radius and ulna, nonunion of, with flail false joint
  6. 5212Radius, impairment of
  7. 5213Supination and pronation, impairment of
  8. 5214Wrist, ankylosis of
  9. 5215Limitation of Motion of the Wrist
  10. 5216Five digits of one hand, unfavorable ankylosis of
All 139 musculoskeletal conditions

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

Common Questions About Impairment of ulna VA Ratings

What is the VA rating range for Impairment of ulna?

Dominant arm: 10% to 40%; non-dominant arm: 10% to 30%, under DC 5211, 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 Impairment of ulna?

The VA rates Impairment of ulna under Diagnostic Code (DC) 5211, 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 40% dominant-arm rating for Impairment of ulna?

These figures are the dominant-arm column of DC 5211. A 10% dominant-arm rating is published for: Malunion of, with bad alignment. A 40% dominant-arm rating is published for: Nonunion in upper half, with false movement: With loss of bone substance (1 inch (2.5 cms.) or more) and marked deformity. The non-dominant arm is rated on its own column, 10% to 30%.

Can Impairment of ulna qualify for TDIU?

Using the dominant-arm maximum: DC 5211 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 Impairment of ulna?

The key evidence for Impairment of ulna 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 Impairment of ulna?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5211 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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