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5051
§ 4.71a Schedule of ratings—musculoskeletal system.

Shoulder replacement

Surgical replacement of the shoulder joint with an artificial implant.

What the rating means

Shoulder replacement (prosthesis) is rated under diagnostic code 5051. The rating depends on which shoulder is affected: your major shoulder (the arm you write with or use most) or your minor shoulder (the other arm).

For the first year after the implantation of the shoulder prosthesis, VA assigns a 100% rating for both the major and minor shoulder. This period begins after an initial one-month total rating that VA assigns following your hospital discharge under § 4.30.

Once that one-year period ends, VA rates based on what residual symptoms remain. If you have severe, painful motion or weakness in the affected arm, the rating is 60% for the major shoulder and 50% for the minor shoulder. If your residuals fall somewhere between severe and minimal, VA rates by analogy to diagnostic codes 5200 and 5203, which cover shoulder ankylosis and limitation of arm motion. The minimum rating is 30% for the major shoulder and 20% for the minor shoulder. VA will not assign an additional rating for the same shoulder joint under another diagnostic code unless the schedule specifically directs it.

Evidence that helps

During the first year after surgery, medical records confirming the date of prosthesis implantation and your hospital discharge are the key evidence. These establish when the 100% rating period begins and ends.

After that year, the evidence that matters most is documentation of what residuals remain in your affected arm. For the 60% level (major) or 50% level (minor), records should show severe painful motion or significant weakness — for example, range-of-motion measurements from a VA or private examiner showing markedly restricted movement, strength testing results, and treating physician notes describing pain during use.

If your residuals are less than severe, VA will rate by analogy to codes 5200 and 5203, so the same types of exam findings apply: recorded degrees of shoulder motion, notes on pain at rest and with activity, and imaging if available. Statements from you or people who know you describing how shoulder pain or weakness limits your ability to lift, reach, dress, or perform work tasks can help show the practical impact of your residual symptoms.

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.