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5008
§ 4.71a Schedule of ratings—musculoskeletal system.

Streptococcal arthritis

Joint inflammation caused by streptococcal bacteria spreading to the joints.

What the rating means

Streptococcal arthritis (diagnostic code 5008) does not have its own set of rating percentages. Instead, VA rates it by applying the rules for whichever joint condition best describes your situation under the musculoskeletal rating schedule. In practice, this means the rating follows the same criteria used for other arthritis or joint conditions in 38 CFR § 4.71a, such as limitation of motion, ankylosis, or, if a joint has been surgically replaced or resurfaced, the prosthetic implant codes.

If your joint has been replaced with a prosthesis or resurfaced, specific rules apply. A one-month total rating is assigned after hospital discharge under § 4.30, and additional rating periods follow depending on which joint was treated. No separate rating can be added for the same joint under another diagnostic code during a period when a prosthetic implant rating is already in effect, unless the schedule directs otherwise.

Evidence that helps

Because streptococcal arthritis is rated under whichever joint formula applies to your specific situation, the evidence that helps is evidence tied to the criteria for that underlying formula. Medical records documenting the affected joint or joints, the cause of the arthritis, and the course of treatment are a starting point. Range-of-motion measurements from a physical examination are central to any limitation-of-motion rating, so records showing how far you can move the joint and whether pain limits motion matter directly.

If the joint has been surgically replaced or resurfaced, operative reports, hospital discharge records, and follow-up notes showing the date of the procedure and your recovery are relevant. If ankylosis is involved, examination findings showing the position in which the joint is fixed and how close your fingers can come to the palm or thumb pad are directly tied to the favorable or unfavorable ankylosis criteria. Statements describing how joint problems affect your daily activities and work can help show the functional impact of your 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.