Humerus, other impairment of — VA Rating Criteria (38 CFR DC 5202)

The VA rates Humerus, other impairment of under Diagnostic Code 5202 at the following tiers: 20%, 30%, 40%, 50%, 60%, 70%, 80%. The minimum 20% rating requires: With frequent episodes and guarding of all arm movements; 30. The maximum 80% rating requires: Loss of head of (flail shoulder); 70.

Diagnostic Code 5202 is the VA rating identifier for Humerus, other impairment of within 38 CFR 38 CFR § 4.71a. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.

The highest schedular rating for Humerus, other impairment of under DC 5202 is 80%. This tier requires: Loss of head of (flail shoulder); 70. Veterans who cannot secure substantially gainful employment due to Humerus, other impairment of alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Humerus, other impairment of is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5202. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.

Secondary conditions caused or aggravated by Humerus, other impairment of may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.

Service connection for Humerus, other impairment of requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.