VASRD 5003 · Musculoskeletal System
Degenerative arthritis (osteoarthritis) is the gradual breakdown of the cartilage that cushions a joint, producing pain, stiffness, swelling and reduced motion. DC 5003 is not primarily a ladder of its own: the schedule rates degenerative arthritis established by X-ray "on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved", so most evaluations come from the affected joint's own code and DC 5003 supplies a floor.
The schedule's own opening sentence sets the order of operations: "Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.)." Only "when however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes" does DC 5003 supply "a rating of 10 pct ... for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added" — and that limitation "must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion." The 20 and 10 percent rows printed under the code apply only "in the absence of limitation of motion", and Note (1) says they "will not be combined with ratings based on limitation of motion." Note (2) is the sentence that governs a whole block of this schedule: "The 20 pct and 10 pct ratings based on X-ray findings, above, will not be utilized in rating conditions listed under diagnostic codes 5013 to 5024, inclusive" — so bursitis, myositis, tenosynovitis, gout, osteoporosis, osteomalacia and Paget's disease cannot use them. 38 CFR 4.45(f) defines which joints count as major joints and which as groups of minor joints. 38 CFR 4.59 supplies a separate floor: actually painful, unstable or malaligned joints are "entitled to at least the minimum compensable rating for the joint." A decision letter usually shows a hyphenated code such as 5003-5260 because the evaluation is assigned on the affected joint (38 CFR 4.27).
Approval outlook
High – common in older or physically active veterans.
Veterans service-connected
~580,000 veterans
Typical rating awarded
~10%
Vetrify editorial estimates informed by VA published claims data (VBA Annual Benefits Report) and the VA rating schedule — not official VA statistics.
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Conditions commonly linked to Degenerative Arthritis. Service-connecting a secondary condition can increase your combined rating.
Joint Instability
Arthritis weakens joint support
Depression
Chronic pain impacts quality of life
Military occupational specialties (MOS) where Degenerative Arthritis is frequently claimed.
Rating criteria on this page are an educational summary of the cited regulation — the eCFR text is authoritative. See how Vetrify derives its numbers.
See how Degenerative Arthritis combines with your other service-connected conditions using the official VA combined-ratings formula.
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