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5305
§ 4.73 Schedule of ratings—muscle injuries.

Elbow rotation muscles

Injury to muscles that rotate the forearm outward at the elbow.

What the rating means

Elbow rotation muscles — the biceps, brachialis, and brachioradialis — are rated under Diagnostic Code 5305. These muscles control elbow flexion and forearm supination, and the biceps also helps stabilize the shoulder joint. VA rates injuries to this muscle group using a shared formula found in § 4.56 of the regulations, which defines four levels of severity: slight, moderate, moderately severe, and severe.

The rating you receive depends both on how severe your muscle injury is and which arm is affected. For a severe injury, the rating is 40% for the dominant arm and 30% for the nondominant arm. For a moderately severe injury, it is 30% for the dominant arm and 20% for the nondominant arm. A moderate injury is rated at 10% for either arm. A slight injury is rated at 0% for either arm. If your muscle injuries result in loss of use of the arm, VA may also consider whether you qualify for special monthly compensation under § 3.350.

Evidence that helps

Because the severity levels are defined in § 4.56, the evidence that helps your claim is whatever shows where your injury falls within those criteria. Medical records documenting the original wound or injury to the biceps, brachialis, or brachioradialis are a starting point. Examination findings that measure elbow flexion strength and range of motion, as well as any weakness or limitation in forearm supination, speak directly to how severely the muscles are functioning.

Records noting muscle atrophy, scarring, or damage to the muscle mass and its surrounding tissue can help show a higher level of severity. If the injury also produces shoulder instability — because the long head of the biceps stabilizes the shoulder joint — documentation of that finding is relevant. Statements from you or people who know you that describe how weakness or pain in the elbow and forearm affects your ability to carry, lift, or perform work and daily tasks can show the real-world impact of the injury. Consistent findings across multiple examinations over time can help show that the condition is not slight or moderate.

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.