VASRD 5241 · Musculoskeletal System

Spinal Fusion at 20% VA Disability Rating

Moderate loss of back or neck motion, or muscle spasm or guarding bad enough to change how you walk or hold your spine.

20%: single veteran, no dependents

$356.66

$4,279.92/year · tax-free · effective December 1, 2025

VA Rating Criteria for 20%

Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or the combined range of motion of the cervical spine not greater than 170 degrees; or muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis.

20% Pay by Household (2026)

Monthly compensation amounts for Spinal Fusion rated at 20%. Dependent additions apply at 30% and above.

Single (no dependents)$356.66
With spouse$356.66
With spouse + 1 child$356.66
With spouse + 2 children$356.66
Single + 1 child (no spouse)$356.66

Lower tier

10% Spinal Fusion

$180.42 /mo single

Higher tier

30% Spinal Fusion

$552.47 /mo single

Common questions about 20% for Spinal Fusion

How much does a 20% VA rating for Spinal Fusion pay?
A single veteran rated 20% for Spinal Fusion receives $356.66 per month ($4,279.92/year) under the 2026 VA rates, effective December 1, 2025. VA disability compensation is tax-free. With a spouse and one child, the monthly amount is $356.66.
What does it take to get a 20% rating for Spinal Fusion?
Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or the combined range of motion…
What's the difference between 20% and 30% for Spinal Fusion?
20%: Moderate loss of back or neck motion, or muscle spasm or guarding bad enough to change how you walk or hold your spine. 30%: The neck bends forward only 15 degrees or less, or the whole neck is fused in a neutral position.
Can a secondary condition raise my rating above 20%?
Yes. If a condition like Nerve Pain is service-connected as secondary to Spinal Fusion, the VA combines both ratings using the official combined-ratings formula (38 CFR 4.25), which can produce a combined rating higher than 20% alone.

Official sources

  1. 38 CFR § 4.71a — Schedule of ratings — musculoskeletal system (Diagnostic Code 5241)
  2. VA.gov — 2026 veteran disability compensation rates, effective December 1, 2025

Pay amounts on this page were last checked against VA.gov on August 16, 2026.

See all rating tiers and evidence guidance

Full VASRD criteria, best evidence, exam pitfalls, and secondary conditions for Spinal Fusion are on the main condition page.

View full Spinal Fusion guide
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