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5023
§ 4.71a Schedule of ratings—musculoskeletal system.

Bone cancer (primary)

Malignant tumor of bone tissue (primary bone malignancy)

What the rating means

Heterotopic ossification (DC 5023) does not have its own set of rating percentages. Instead, VA rates it the same way it rates whichever other musculoskeletal condition the heterotopic ossification most closely resembles or affects. The regulation directs VA to look at how the condition actually limits you — for example, whether it restricts motion at a joint, causes ankylosis, or affects the function of a limb — and then apply the diagnostic code that best captures that functional loss. Because the rating depends entirely on which condition or body part is affected, the possible percentages vary widely. There is no single fixed rating for this diagnosis. The outcome depends on where the abnormal bone growth is located, what it does to nearby joints or structures, and how that compares to the criteria under the applicable code.

Evidence that helps

Because your rating is based on the functional effect of the heterotopic ossification rather than the diagnosis itself, evidence that documents what the abnormal bone growth does to your body matters most. Range-of-motion measurements from a VA or private examination show how much a nearby joint is limited. Imaging such as X-rays, CT scans, or bone scans can confirm the location and extent of the ossification and show whether it bridges or compresses a joint. Operative or treatment records describe any surgical removal and the outcome. A physician's statement explaining which joint or structure is affected and how function is impaired helps VA match your condition to the right rating code. Statements from you or people who know you describing how pain, stiffness, or limited movement affects your work and daily activities can also support the picture the medical records show.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.