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5017
§ 4.71a Schedule of ratings—musculoskeletal system.

Gout

A form of arthritis caused by uric acid crystal buildup in joints.

What the rating means

Gout is rated under diagnostic code 5017. The regulation does not assign gout its own set of rating percentages. Instead, VA rates gout by applying the rating criteria for whichever joint or joints are affected, using the rules for that joint elsewhere in the musculoskeletal rating schedule. In practice, this means the rating reflects how much the affected joint or joints are limited in motion, ankylosed, or otherwise impaired because of gout. If a joint has been surgically replaced or resurfaced as a result of gout, separate rating rules for prosthetic implants and resurfacing apply to that joint. Because gout can affect multiple joints, each affected joint may be evaluated separately and the results combined under VA's standard rules for combining disabilities.

Evidence that helps

Because your rating depends on how much each affected joint is limited, the most useful evidence directly documents that limitation. Examination records showing measured range of motion for each affected joint, with notation of pain during movement, are central. Records confirming a diagnosis of gout, including lab results showing elevated uric acid or documentation of uric acid crystals in joint fluid, connect the joint damage to the condition. If a joint has been replaced or resurfaced, surgical and post-operative records establish that fact. Statements from you or people who know you describing how joint stiffness, swelling, or pain from gout affects your ability to work, walk, grip, or carry out daily tasks can help show the real-world impact of the limitation found on examination.

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.