VASRD 5213 · Musculoskeletal System

Supination and Pronation, Impairment (Forearm Rotation) at 20% VA Disability Rating

A forearm fused near mid-rotation, or pronation that stops short of full palm-down - and the more severe rotation findings when they are on your non-dominant side.

20%: single veteran, no dependents

$356.66

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

VA Rating Criteria for 20%

Loss through bone fusion with the hand fixed in full pronation - minor (non-dominant) extremity; loss through bone fusion with the hand fixed near the middle of the arc or in moderate pronation - either extremity; limitation of pronation with motion lost beyond the middle of the arc - minor (non-dominant) extremity; or limitation of pronation with motion lost beyond the last quarter of the arc, the hand not approaching full pronation - either extremity.

20% Pay by Household (2026)

Monthly compensation amounts for Supination and Pronation, Impairment (Forearm Rotation) 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% Supination and Pronation, Impairment (Forearm Rotation)

$180.42 /mo single

Higher tier

30% Supination and Pronation, Impairment (Forearm Rotation)

$552.47 /mo single

Common questions about 20% for Supination and Pronation, Impairment (Forearm Rotation)

How much does a 20% VA rating for Supination and Pronation, Impairment (Forearm Rotation) pay?
A single veteran rated 20% for Supination and Pronation, Impairment (Forearm Rotation) 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 Supination and Pronation, Impairment (Forearm Rotation)?
Loss through bone fusion with the hand fixed in full pronation - minor (non-dominant) extremity; loss through bone fusion with the hand fixed near the middle of the arc or in moderate pronation - either extremity; limitation of pronation with motion lost beyond the middle of the arc - minor (non-dominant) extremity; o…
What's the difference between 20% and 30% for Supination and Pronation, Impairment (Forearm Rotation)?
20%: A forearm fused near mid-rotation, or pronation that stops short of full palm-down - and the more severe rotation findings when they are on your non-dominant side. 30%: Any of: that same fused position on your non-dominant side, a dominant forearm fused palm-down, or a dominant forearm that cannot pronate past th…
Can a secondary condition raise my rating above 20%?
Yes. If a condition like Elbow Tendonitis is service-connected as secondary to Supination and Pronation, Impairment (Forearm Rotation), 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 5213)
  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 Supination and Pronation, Impairment (Forearm Rotation) are on the main condition page.

View full Supination and Pronation, Impairment (Forearm Rotation) guide
VA Calc: Disability Pay app icon

VA Calc: Disability Pay

Combine your ratings & see monthly pay on your iPhone · Works offline

Download on theApp Store