Scapulohumeral articulation, ankylosis of — VA Rating Criteria (38 CFR DC 5200)

The VA rates Scapulohumeral articulation, ankylosis of under Diagnostic Code 5200 at the following tiers: 20%, 30%, 40%, 50%. The minimum 20% rating requires: Favorable, abduction to 60°, can reach mouth and head; 30. The maximum 50% rating requires: Unfavorable, abduction limited to 25° from side; 40.

Diagnostic Code 5200 is the VA rating identifier for Scapulohumeral articulation, ankylosis 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 Scapulohumeral articulation, ankylosis of under DC 5200 is 50%. This tier requires: Unfavorable, abduction limited to 25° from side; 40. Veterans who cannot secure substantially gainful employment due to Scapulohumeral articulation, ankylosis 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.

Scapulohumeral articulation, ankylosis of is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5200. 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 Scapulohumeral articulation, ankylosis 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 Scapulohumeral articulation, ankylosis 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.