TurboVets is fully live. For support, please submit tickets in app.
Sign In to TurboVets
Your Data is Protected. Never Sold. Never Used for Profit.
Read our FAQ
5121
§ 4.71a Schedule of ratings—musculoskeletal system.

Upper arm amputation above deltoid attachment

Amputation of the upper arm above where the deltoid muscle attaches.

What the rating means

Diagnostic code 5121 covers amputation of the upper arm above the insertion of the deltoid muscle. VA rates this condition at 90% if the amputation affects your major arm — generally the arm you write with or use most — and at 80% if it affects your minor arm. There is only one rating level for each side; the distinction between major and minor determines which percentage applies to you.

Because this is an amputation above a specific anatomical landmark, the rating does not involve a range of severity levels the way some other conditions do. The single percentage assigned for each side reflects the full extent of the loss at that level. If you have amputations or significant losses involving multiple limbs, VA may also consider special provisions under 38 CFR 3.350 that address combined losses of extremities, but those determinations follow separate rules outside of diagnostic code 5121 itself.

Evidence that helps

The most direct evidence for a rating under this code is documentation confirming that an amputation of the upper arm occurred above the insertion of the deltoid. Operative reports, surgical records, and imaging such as X-rays can establish the level of the amputation. A VA or private medical examination that identifies the exact anatomical site of the residual limb helps confirm whether the loss falls above that landmark.

Records also showing which arm was amputated are important, since major versus minor status determines the applicable percentage. Statements from you or your treating providers identifying your dominant hand, or records from before the injury noting hand dominance, can support that determination. If the amputation prevents the use of a prosthesis, that finding may also be relevant to separate provisions involving multiple limb losses. Medical records, prosthetic clinic notes, and statements describing how the loss affects your ability to work and carry out daily tasks can all help document the full picture of your disability.

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.