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5203
§ 4.71a Schedule of ratings—musculoskeletal system.

Collarbone or shoulder blade impairment

Damage or impairment to the collarbone or shoulder blade affecting shoulder function.

What the rating means

VA rates impairment of the clavicle (collarbone) or scapula (shoulder blade) under diagnostic code 5203. The rating depends on the type of impairment and which arm is involved. "Major" refers to your dominant arm and "Minor" to your nondominant arm.

A dislocation of the clavicle or scapula is rated at 20% for either the major or minor side. A nonunion — meaning the bone failed to heal together — is rated at 20% for either side if there is loose movement at the fracture site, and 10% for either side if there is no loose movement. A malunion — meaning the bone healed but in an abnormal position — is rated at 10% for either side.

VA may also rate this condition based on how much the nearby shoulder joint is limited in motion or function, if that approach produces a more accurate picture of your disability. In that case, the rating follows the criteria for the contiguous joint rather than the specific percentages above.

Evidence that helps

Medical records that document the specific type of impairment matter most here. A diagnosis of dislocation, nonunion, or malunion should appear clearly in imaging reports such as X-rays or CT scans, along with notes from treating providers describing how the bone healed or failed to heal.

For a nonunion rating, an exam finding or imaging report showing whether loose movement exists at the fracture site is directly relevant, since that distinction separates the 20% level from the 10% level.

If VA rates the condition based on impairment of the shoulder joint instead, range-of-motion measurements taken during a VA examination become key evidence. These measurements show how far you can move your shoulder in each direction compared to normal.

Statements from you or people who know you describing how the condition affects your ability to lift, reach, carry, or perform work tasks can help show the functional impact. Records from physical therapy or repeated clinical visits that track changes in your condition over time also support the overall picture.

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.