Musculoskeletal System§ 4.71aUpdated
Rating criteria

VA Diagnostic Code 5203Clavicle or scapula, impairment of:

Rated from 10% to 20% under § 4.71a. Here is what the VA requires at each level.

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What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 20%20% non-dominant

    Dislocation of

  2. 20%20% non-dominant

    Nonunion of: With loose movement

  3. 10%10% non-dominant

    Nonunion of: Without loose movement

  4. 10%10% non-dominant

    Malunion of

From the schedule

Notes on this code

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

  • Or rate on impairment of function of contiguous joint.

Impairment of the Clavicle or Scapula (Diagnostic Code 5203)

Musculoskeletal System · 38 CFR § 4.71a

Understanding This Condition

The clavicle (collarbone) and scapula (shoulder blade) are part of the shoulder structure. Under VA Diagnostic Code 5203, impairment of these bones is evaluated based on how the bones have healed and how they affect movement.

This diagnostic code covers three main types of bone impairment:

  • Dislocation — the bone is displaced from its normal position.
  • Nonunion — a break that has not healed back together, which may or may not include loose movement at the site.
  • Malunion — a break that has healed, but in an improper position.

Available Rating Levels

The VA assigns the following disability ratings under this code. Ratings are the same whether the affected arm is the dominant (major) or non-dominant (minor) extremity.

RatingImpairment
20%Dislocation of the clavicle or scapula
20%Nonunion with loose movement
10%Nonunion without loose movement
10%Malunion of the clavicle or scapula

What the VA Looks For

When evaluating impairment of the clavicle or scapula, the VA considers:

  • Whether the bone is dislocated.
  • Whether there is a nonunion, and if so, whether there is loose movement at the site of the nonunion.
  • Whether there is a malunion (a break that healed in an improper position).

Alternative rating method: The VA may also choose to rate this condition based on the impairment of function of the contiguous joint (the neighboring joint), depending on how the impairment affects that joint.

These criteria are a rendering of § 4.71a, diagnostic code 5203. 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 5203 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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