Shoulder Limitation of Motion

DC 5201Musculoskeletal38 CFR 4.71a, DC 5201

Limited ability to raise your arm. The VA rates shoulder limitation of motion based on how high you can raise your arm, with higher ratings for your dominant arm.

Rating Levels

Your arm motion is limited to 25 degrees from your side. This is 40% for the dominant arm, 30% for the non-dominant arm.

What the VA looks for

Arm motion limited to 25 degrees from side
Severe limitation in all planes of motion
Inability to perform most overhead activities

Common Pitfalls

⚠Not specifying whether the affected shoulder is your dominant (major) or non-dominant (minor) arm — the dominant arm receives a higher rating at the 30% and 40% levels.
⚠Not reporting pain and limitations on your worst days — range of motion is measured at the exam, but flare-ups and DeLuca factors can support a higher rating.
⚠Not getting separate evaluations for other shoulder problems — instability, rotator cuff injuries, and impingement may warrant additional ratings under different codes.
⚠Not filing for secondary conditions caused by compensating — opposite shoulder, neck, and upper back problems from overuse of the other arm.

Related DBQ Forms

DBQ Shoulder and Arm Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…