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5200
§ 4.71a Schedule of ratings—musculoskeletal system.

Shoulder joint stiffness or immobility (ankylosis)

Complete stiffness or immobility of the shoulder joint in a fixed position.

What the rating means

Diagnostic code 5200 covers ankylosis of the scapulohumeral articulation — meaning the shoulder joint has become fixed and the scapula and humerus move as one piece rather than independently. VA rates this condition based on two factors: how favorable the fixed position is, and which arm is affected. The arm you use most is called the major arm; the other is the minor arm.

The highest rating is 50% for the major arm or 40% for the minor arm. This applies when the position is unfavorable — meaning abduction is limited to 25 degrees from the side. A middle level of 40% for the major arm or 30% for the minor arm applies to positions that fall between favorable and unfavorable. The lowest rating is 30% for the major arm or 20% for the minor arm. This applies when the position is favorable — meaning the arm can abduct to 60 degrees and you can still reach your mouth and head.

Evidence that helps

Medical records and examination findings are central to rating this condition. A VA or private examiner will measure how far your shoulder can abduct from your side. A reading at or near 25 degrees supports the unfavorable level, while a reading near 60 degrees — combined with the ability to reach your mouth and head — supports the favorable level. Imaging such as X-rays can confirm that the joint is truly fused and show the fixed angle of the arm.

Records should clearly note whether the affected shoulder is your major or minor arm, since that distinction changes the percentage at every level. Statements from you or people who know you about tasks you can no longer perform — such as lifting, reaching overhead, or personal grooming — help show how the fixed position affects your daily life and work. If the position falls between the defined levels, documentation of the exact degree of abduction helps VA determine whether an intermediate rating applies.

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.