VASRD 5207 · Musculoskeletal System

Forearm, Extension Limitation (Elbow) VA Disability Rating

Difficulty straightening the elbow — the joint stops short of full extension because of injury, fusion or arthritis.

VA Rating Tiers

RatingCriteria
50%Your dominant elbow will not straighten past about 110 degrees — it stays sharply bent.
40%A non-dominant elbow stuck at 110 degrees, or a dominant elbow that will not straighten past 100 degrees.
30%A non-dominant elbow stuck at 100 degrees, or a dominant elbow that will not straighten past 90 degrees.
20%A non-dominant elbow stuck at 90 degrees, or either elbow that will not straighten past 75 degrees.
10%Either elbow will not straighten past 60 degrees, or past 45 degrees.

How the VA Evaluates Forearm, Extension Limitation (Elbow)

This code rates limitation of EXTENSION — how far short of straight the elbow stops — not flexion, which is a separate evaluation under DC 5206. The schedule states six steps in degrees: extension limited to 45°, 60°, 75°, 90°, 100° and 110°. The three most severe pay more on the dominant (major) arm than on the non-dominant (minor) arm — 50/40 at 110°, 40/30 at 100°, 30/20 at 90° — while extension limited to 75° pays 20 percent on either arm. The schedule prints extension limited to 60° and extension limited to 45° at the same 10 percent on either arm; that repetition is in the regulation and is not a transcription error. Unlike DC 5206, this code prints no 0 percent step. Where flexion and extension are both restricted at the specific combination of flexion limited to 100° with extension limited to 45°, the schedule provides a single 20 percent evaluation under DC 5208.

Approval outlook

High

Veterans service-connected

~4,200 veterans

Typical rating awarded

~30%

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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Best Evidence to Gather

  • Goniometer range-of-motion measurements stating elbow EXTENSION in degrees — the point at which the elbow stops short of straight — not flexion alone.
  • An orthopedic exam documenting the injury, contracture or arthritis causing the extension deficit.
  • Imaging (MRI or X-ray) showing the underlying cause of the limitation.
  • A record identifying which arm is dominant.

Strategy Tips

  • Use a goniometer test performed to VA standards, since this specific tool and measurement method is what the rating schedule depends on.
  • Ask that flexion and extension be recorded as two separate figures, since they are two separate evaluations under two separate codes.
  • Make sure the record names the dominant arm: at 110°, 100° and 90° the same measurement is worth ten points more on the dominant side.

C&P Exam Pitfalls

  • An exam that reports only flexion, leaving the extension deficit this code rates unmeasured.
  • Recording extension loosely ('cannot fully straighten') without the degree at which the elbow stops, which makes the finding impossible to match to a rating step.
  • No comparison to the unaffected arm, which helps establish how significant the limitation actually is.

Common Filing Mistakes

  • Missing specific angle data in the evidence, since the rating steps for this code are stated directly in degrees.
  • No specialist input to properly document and interpret the range-of-motion findings.
  • Filing this as limitation of flexion — flexion is DC 5206 and a separate evaluation; this code rates extension only.

Onset Patterns

  • This condition is typically injury-based, following an elbow fracture, dislocation, or ligament damage, or arthritis-related from degeneration in the joint over time.

Secondary Conditions

Conditions commonly linked to Forearm, Extension Limitation (Elbow). Service-connecting a secondary condition can increase your combined rating.

  • Shoulder compensation pain

  • Nerve impingement

Common questions about Forearm, Extension Limitation (Elbow)

Is Forearm, Extension Limitation (Elbow) a VA-rated disability?
Yes. The VA rates Forearm, Extension Limitation (Elbow) under VASRD diagnostic code 5207 (Musculoskeletal System). Difficulty straightening the elbow — the joint stops short of full extension because of injury, fusion or arthritis.
What VA disability rating can I get for Forearm, Extension Limitation (Elbow)?
Possible VA ratings for Forearm, Extension Limitation (Elbow) are 50%, 40%, 30%, 20%, 10%. Examples: 50%: Your dominant elbow will not straighten past about 110 degrees — it stays sharply bent.; 40%: A non-dominant elbow stuck at 110 degrees, or a dominant elbow that will not straighten past 100 degrees.; 30%: A non-d…
What's the typical VA rating awarded for Forearm, Extension Limitation (Elbow)?
Vetrify estimates the typical rating awarded for Forearm, Extension Limitation (Elbow) at around 30%, based on VA claims data and the rating schedule. An estimated 4,200 veterans are service-connected for Forearm, Extension Limitation (Elbow). Estimated approval outlook: High.
What evidence helps prove Forearm, Extension Limitation (Elbow) for VA disability?
Strong evidence for a Forearm, Extension Limitation (Elbow) claim includes: Goniometer range-of-motion measurements stating elbow EXTENSION in degrees — the point at which the elbow stops short of straight — not flexion alone.; An orthopedic exam documenting the injury, contracture or arthritis causing the extension d…
What mistakes should veterans avoid when claiming Forearm, Extension Limitation (Elbow)?
Common pitfalls when filing for Forearm, Extension Limitation (Elbow): Missing specific angle data in the evidence, since the rating steps for this code are stated directly in degrees.; No specialist input to properly document and interpret the range-of-motion findings.; Filing this as limitation of flexion — flexion…
What conditions are commonly secondary to Forearm, Extension Limitation (Elbow)?
Conditions often service-connected as secondary to Forearm, Extension Limitation (Elbow) include: Shoulder compensation pain, Nerve impingement. Filing for secondary conditions can increase a veteran's combined VA rating.

Official sources

  1. 38 CFR § 4.71a — Schedule of ratings — musculoskeletal system (Diagnostic Code 5207)

Rating criteria on this page are an educational summary of the cited regulation — the eCFR text is authoritative. See how Vetrify derives its numbers.

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