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5201
§ 4.71a Schedule of ratings—musculoskeletal system.

Shoulder limited motion

Reduced range of motion in the shoulder joint, limiting arm movement.

What the rating means

VA rates limitation of motion of the arm under diagnostic code 5201. The rating depends on how far you can raise your arm — through flexion (forward) or abduction (out to the side) — and which arm is affected. VA distinguishes between the major arm (your dominant side) and the minor arm (your nondominant side), and the major arm receives a higher rating at two of the three levels.

The highest level applies when motion is limited to 25 degrees from the side. That means the arm can barely move away from the body. This rates at 40% for the major arm and 30% for the minor arm. The middle level applies when motion is limited to 45 degrees, roughly halfway between the side and shoulder height. This rates at 30% for the major arm and 20% for the minor arm. The lowest level applies when motion reaches 90 degrees, meaning the arm can rise to shoulder level but no higher. This rates at 20% for both the major and minor arm.

Evidence that helps

The key evidence for this condition is a measurement of how far you can move your arm. Range-of-motion measurements in degrees, recorded during a VA examination or by your own doctor, directly correspond to the rating levels. An examiner will typically measure the highest angle you can reach through flexion and abduction, so records from multiple appointments showing consistent or worsening limits are useful.

Medical records that note pain, muscle weakness, or guarding during motion can also be relevant, particularly if they explain why your arm stops at a certain point. Imaging such as X-rays or MRIs may document the underlying shoulder condition and support what the range-of-motion findings show.

Statements from you or people who know you — describing difficulty raising your arm to reach overhead, lift objects, or perform work tasks — can help show how limited motion affects your daily life. If the affected arm is your dominant or nondominant side, making that clear in records and statements matters, because the rating differs based on which arm is involved.

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.