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Shoulders and Arms

Shoulder, upper arm, and clavicle conditions.

Acromioclavicular (AC) Joint Arthritis
Diagnostic code 5203

AC joint arthritis is rated under 38 CFR 4.71a DC 5203 (clavicle or scapula impairment) at 10 or 20 percent; when shoulder limitation of motion is the greater disability it may instead be rated under DC 5201.

Adhesive Capsulitis (Frozen Shoulder)
Diagnostic code 5201

Frozen shoulder is rated under diagnostic code 5201 by limitation of shoulder motion. The dominant arm rates higher for the same level of limitation.

Amputation Above the Elbow
Diagnostic code 5121-5122

Amputation above the elbow is rated at 70 to 90 percent under diagnostic codes 5121 to 5122 with SMC-K eligibility for loss of use of an arm.

Biceps Tendinitis
Diagnostic code 5024

Biceps tendinitis is rated under diagnostic code 5024 by analogy to limitation of shoulder or elbow motion.

Rotator Cuff Tear
Diagnostic code 5201

Rotator cuff tears are typically rated under diagnostic code 5201 by limitation of shoulder motion, or under code 5024 when arthritis with painful motion is documented.

SLAP Tear (Superior Labrum Anterior to Posterior) Residuals
Diagnostic code 5201

SLAP tear residuals are rated under 38 CFR 4.71a DC 5201 (shoulder limited motion) at 20 to 40 percent based on the degree of limitation.

Shoulder Bursitis
Diagnostic code 5019

Shoulder bursitis is rated under diagnostic code 5019 by analogy to limitation of shoulder motion under 5201.

Shoulder Impingement / Limited Motion
Diagnostic code 5201

Shoulder limitation of motion is rated under diagnostic code 5201 at 20 to 40 percent based on how high you can lift your arm and whether the affected arm is dominant.

Printed from The Veteran Benefit Desk, https://veteranbenefitdesk.com/conditions/body-system/shoulders-and-arms. Figures reflect this page as published. Rates change each December; confirm current amounts at veteranbenefitdesk.com before relying on them.
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