Musculoskeletal System§ 4.71aUpdated
Rating criteria

VA Diagnostic Code 5120Complete amputation, upper extremity:

Rated from 90% to 100% under § 4.71a. Here is what the VA requires at each level.

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What each rating requires

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  1. 100%100% non-dominant

    Forequarter amputation (involving complete removal of the humerus along with any portion of the scapula, clavicle, and/or ribs)

  2. 90%90% non-dominant

    Disarticulation (involving complete removal of the humerus only)

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • 1 Entitled to special monthly compensation.

Complete Amputation of the Upper Extremity (VA Diagnostic Code 5120)

Understanding This Rating

Complete amputation of the upper extremity is rated by the VA under Diagnostic Code 5120, part of the Musculoskeletal System and governed by 38 CFR § 4.71a.

This diagnostic code addresses the complete loss of an upper extremity through amputation at the shoulder level. Because these are among the most significant losses recognized in the rating schedule, the assigned percentages are high and remain the same whether the affected arm is your dominant ("major") or non-dominant ("minor") side.

Important: A rating under this code entitles the veteran to special monthly compensation — an additional benefit recognized for this level of loss.

Available Rating Levels

The VA evaluates this condition using two rating levels based on how much of the arm and surrounding structures were removed:

100% — Forequarter Amputation

Assigned for a forequarter amputation, which involves the complete removal of the humerus along with any portion of the scapula, clavicle, and/or ribs.

  • Dominant (major) extremity: 100%
  • Non-dominant (minor) extremity: 100%

90% — Disarticulation

Assigned for a disarticulation, which involves the complete removal of the humerus only.

  • Dominant (major) extremity: 90%
  • Non-dominant (minor) extremity: 90%

What the VA Looks For

When rating under Diagnostic Code 5120, the VA distinguishes between two levels of amputation:

  • Forequarter amputation — the complete removal of the humerus together with any portion of the scapula, clavicle, and/or ribs. This is the more extensive loss and corresponds to the 100% level.
  • Disarticulation — the complete removal of the humerus only. This corresponds to the 90% level.

Note that under this diagnostic code, the rating percentage does not change based on whether the affected extremity is dominant or non-dominant.


This information is drawn directly from the VA rating schedule (38 CFR § 4.71a, Diagnostic Code 5120). It is provided for general informational purposes and does not guarantee any particular rating outcome.

These criteria are a rendering of § 4.71a, diagnostic code 5120. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 5120 and attach the evidence for the level you are asking for. Other Musculoskeletal System codes may cover your secondary conditions.

Find out which rating your evidence supports.

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