Diagnostic code
Diagnostic Code 5200: Scapulohumeral Articulation. Ankylosis Rating Criteria
- CFR section
- 38 CFR § 4.71a
- Rating range
- 30% to 50%
- Rating levels
- 3
- Body system
- Musculoskeletal system
The VA rates Scapulohumeral Articulation. Ankylosis under diagnostic code 5200 in 38 CFR § 4.71a. The table below is the full set of rating criteria, from the schedule itself, with the evidence factors raters look for at each level.
DC 5200 rating criteria
| Rating | Criteria |
|---|---|
| 30% | Favorable ankylosis, abduction to 60 degrees, can reach mouth and head (major) What raters look forfavorable ankylosis; can reach mouth |
| 40% | Intermediate ankylosis, between favorable and unfavorable (major) What raters look forintermediate ankylosis |
| 50% | Unfavorable ankylosis, abduction limited to 25 degrees from side (major) What raters look forunfavorable ankylosis; 25 degrees from side |
Condition guide
The rating criteria are only part of the picture for Rotator Cuff Injury. The Rotator Cuff Injury condition page covers service connection, common evidence problems, secondary conditions, and Board outcome patterns in depth.
Other conditions rated under this code: Shoulder.
Frequently asked questions
What is VA diagnostic code 5200?
Diagnostic code 5200 is the VA rating schedule entry for Scapulohumeral Articulation. Ankylosis, found in 38 CFR § 4.71a. The VA assigns this code when it rates the condition and applies the criteria listed on this page.
What ratings are possible under DC 5200?
DC 5200 provides ratings of 30%, 40%, 50%. The percentage depends on which criteria your medical evidence documents, not on the diagnosis alone.
What does the highest rating under DC 5200 require?
The 50% rating for Scapulohumeral Articulation. Ankylosis requires: Unfavorable ankylosis, abduction limited to 25 degrees from side (major).