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5009
§ 4.71a Schedule of ratings—musculoskeletal system.

Other joint disease (excluding gout)

Joint disease or disorder not classified elsewhere, excluding gout.

What the rating means

Diagnostic code 5009 covers other specified forms of arthropathy, excluding gout. This includes conditions such as Charcot neuropathic, hypertrophic, crystalline, and other autoimmune arthropathies. VA does not rate this condition directly under its own criteria. Instead, VA rates the acute or active phase of your condition under diagnostic code 5002, and any chronic residuals under diagnostic code 5003.

During an active phase, ratings of 100%, 60%, 40%, or 20% are possible depending on severity. A 100% rating requires constitutional manifestations associated with active joint involvement that are totally incapacitating. A 60% rating requires severe weight loss and anemia causing severe impairment of health, or severely incapacitating exacerbations four or more times a year. A 40% rating requires symptom combinations that definitely impair health, supported by examination findings, or three or more incapacitating exacerbations a year. A 20% rating applies when one or two exacerbations a year occur in a well-established diagnosis.

For chronic residuals, VA rates based on limitation of motion of the specific joint under the appropriate diagnostic code, or by X-ray findings if motion is not limited enough to be compensable. The active-phase ratings and residual ratings are not combined; VA assigns whichever is higher.

Evidence that helps

For the active phase, evidence showing constitutional manifestations such as fever, fatigue, or systemic effects tied to active joint involvement supports the highest rating. Records documenting weight loss, anemia, and their impact on your overall health, or records showing how often severe exacerbations occur and how long they last, support the middle ratings. A confirmed diagnosis of one of the covered arthropathies alongside documented exacerbation frequency supports the 20% level.

For chronic residuals rated under diagnostic code 5003, X-ray reports confirming arthritis in two or more major joints or minor joint groups are central. If your joints also have limited motion, examination findings showing swelling, muscle spasm, or painful motion on range-of-motion testing help establish that limitation. Examiner notes measuring the degree of motion loss for each affected joint are especially useful.

Statements from you or people who know you describing how pain, stiffness, swelling, or exacerbations affect your ability to work, carry out daily tasks, or move around can help show the real-world impact of your symptoms at any rating level.

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.