How the VA Rates Shoulder Conditions
The plain-English version of the 38 CFR Part 4, DC 5200-5203 criteria a VA rater evaluates Shoulder Conditions against, with the 2026 monthly rate at each level. A reference to what the regulation describes — never a prediction of any rating.
Diagnostic codes 5200, 5201, 5202, 5203
The rating levels
Criteria paraphrased from 38 CFR Part 4, DC 5200-5203 for readability. Monthly amounts are the 2026 rate (effective December 1, 2025) for a veteran with no dependents if this were the only rated condition — dependents add more, and multiple conditions combine under the VA’s own math.
20%
$356.66/month
Dominant arm: arm abduction limited to 90 degrees (arm can only reach shoulder height). Non-dominant arm: arm abduction limited to 90 degrees (20% non-dominant, 30% dominant). OR unfavorable ankylosis of the scapulohumeral articulation.
Examples from this level’s criteria
- Cannot raise arm above shoulder height
- Pain with overhead activities
- Cannot reach behind back or across body
- Difficulty dressing, grooming, lifting overhead
30%
$552.47/month
Dominant arm: arm abduction limited to 90 degrees (30% dominant arm). OR non-dominant: abduction limited to 60 degrees.
Examples from this level’s criteria
- Arm function severely limited to below shoulder height
- Cannot reach shelves or overhead
- Significant weakness in rotator cuff
40%
$795.84/month
Dominant arm: abduction limited to 45 degrees or less. Non-dominant arm: abduction limited to 45 degrees (30% non-dominant).
Examples from this level’s criteria
- Can barely raise arm from side
- Cannot perform any overhead work
- Significant atrophy of deltoid or rotator cuff
50%
$1,132.90/month
Dominant arm: unfavorable ankylosis (shoulder fused in a poor functional position). Non-dominant: abduction limited to 20 degrees or less.
Examples from this level’s criteria
- Shoulder frozen in non-functional position
- Cannot use arm functionally for most activities
The listed symptoms are examples that appear in each level’s criteria — not a checklist that earns a percentage. Raters apply the criteria as a whole.
The evidence that matters most
Range of motion measurements from treating provider
C&P exam tips for Shoulder Conditions
- Range of motion is measured in flexion, abduction, external rotation, and internal rotation — know your normal ranges.
- Specify dominant vs. non-dominant arm — the rating is higher for the dominant arm.
- Mention weakness, drop-arm sign, or failed impingement tests if documented.
- If post-surgical, bring surgical reports and PT notes documenting residuals.
- Describe functional loss: cannot raise arm to wash hair, reach a shelf, or carry a bag.
Common mistakes on Shoulder Conditions claims
- Not specifying which arm is dominant — this directly affects the rating percentage.
- Not documenting strength testing results (0–5 scale).
- Failing to claim shoulder separately from associated cervical spine radiculopathy.
Frequently asked questions
What diagnostic code does the VA use for Shoulder Conditions?
Shoulder Conditions is rated under 38 CFR Part 4, DC 5200-5203 — diagnostic codes 5200, 5201, 5202, 5203.
What is the highest schedular VA rating for Shoulder Conditions?
50% is the highest level in the rating schedule for Shoulder Conditions. The criteria at that level describe: Dominant arm: unfavorable ankylosis (shoulder fused in a poor functional position). Non-dominant: abduction limited to 20 degrees or less.
How much does a 50% VA rating for Shoulder Conditions pay in 2026?
$1,132.90 per month, tax-free, for a veteran with no dependents (rates effective December 1, 2025) — more with a spouse, children, or dependent parents. If you have other rated conditions, the VA combines ratings using its own math rather than adding them.
Build your Shoulder Conditions claim documentation
Your first claim builds free, on screen — a personal statement mapped to these criteria and a cited draft medical opinion. No card to sign up.
Start your claim — freeEducational information about the rating schedule — not legal or medical advice, never a prediction or promise of any rating, and not affiliated with the VA.