Supination and pronation, impairment of — VA Rating Criteria (38 CFR DC 5213)

The VA rates Supination and pronation, impairment of under Diagnostic Code 5213 at the following tiers: 10%, 20%, 30%, 40%. The minimum 10% rating requires: To 30° or less; 10. The maximum 40% rating requires: The hand fixed in supination or hyperpronation; 30.

Diagnostic Code 5213 is the VA rating identifier for Supination and pronation, 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 Supination and pronation, impairment of under DC 5213 is 40%. This tier requires: The hand fixed in supination or hyperpronation; 30. Veterans who cannot secure substantially gainful employment due to Supination and pronation, 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.

Supination and pronation, impairment of is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5213. 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 Supination and pronation, 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.

The key evidence for Supination and pronation, impairment of depends on the body system. For musculoskeletal conditions, range of motion measurements (active, passive, weight-bearing, and non-weight-bearing per Correia v. McDonald) and documented flare-ups are the most impactful evidence. A nexus letter from a qualified medical professional is essential for contested claims.

Supination and pronation, impairment of maxes at 40%, below the single-disability TDIU threshold of 60%. However, combined with other service-connected disabilities totaling 70%+ (with one at 40%+), TDIU under § 4.16(a) may apply. Extraschedular TDIU under § 4.16(b) is available if Supination and pronation, impairment of alone prevents work regardless of the rating percentage.