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5004
§ 4.71a Schedule of ratings—musculoskeletal system.

Gonorrheal arthritis

Joint inflammation caused by gonorrhea infection spreading to the joints.

What the rating means

Gonorrheal arthritis (diagnostic code 5004) does not have its own set of rating percentages. Instead, VA rates it the same way it rates whichever joint or joints are affected, following the rules in the musculoskeletal rating schedule that apply to that joint. This means the percentage you may receive depends entirely on how the affected joint or joints are actually impaired — for example, by limitation of motion, ankylosis, or, if a joint has been surgically replaced or resurfaced, under the prosthetic implant and resurfacing codes (5051–5056).

If a joint has been replaced with a prosthesis or resurfaced, VA applies separate rules for those procedures and does not also assign an additional rating for the same joint under the general musculoskeletal rules, unless the schedule directs otherwise. If all original components of a replaced joint are later revised, the revision is evaluated the same way as the original replacement procedure.

Evidence that helps

Because gonorrheal arthritis is rated based on the actual condition of the affected joint or joints, the evidence that helps most is whatever documents how severely each joint is impaired. Medical records showing range-of-motion measurements at VA or private examinations are central, since many joint ratings turn on how much motion is lost or whether the joint is fixed in position (ankylosis). If ankylosis is present, records or exam findings that describe the exact position the joint is fixed in — and whether that position is favorable or unfavorable — will matter.

If a joint has been surgically replaced or resurfaced, operative reports, hospital discharge records, and follow-up notes help establish the date of the procedure and the recovery course. Your own statements, and statements from people who observe you daily, describing how joint pain or stiffness limits your ability to work, carry objects, walk, or perform routine tasks can support the picture shown by clinical findings.

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.