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5122
§ 4.71a Schedule of ratings—musculoskeletal system.

Upper arm amputation below deltoid attachment

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

What the rating means

VA rates amputation of the upper arm below the insertion of the deltoid muscle under diagnostic code 5122. There are two possible ratings: 80% if the amputation affects your major arm, and 70% if it affects your minor arm. Your major arm is generally the one you use to write or perform dominant tasks; your minor arm is the other one. There is no graduated scale between these two levels — the only distinction the regulation draws is which arm was amputated. Because this diagnostic code covers a specific level of amputation, VA does not also assign a separate rating for the same arm under the joint resurfacing or prosthetic replacement codes (5051–5056) at the same time.

Evidence that helps

Medical records that document the exact level of amputation are central to this rating. An operative report, surgical pathology report, or other record that shows the amputation occurred below the insertion of the deltoid muscle supports rating under diagnostic code 5122 rather than a higher or lower level code. A VA compensation and pension examination that confirms the residual limb length and its relationship to the deltoid attachment directly ties the anatomy to the rating criteria. Records noting which arm is your dominant or writing hand help establish whether the major (80%) or minor (70%) rating applies. Statements from you or people who know you — describing how the loss of that arm affects your ability to work, perform self-care, or carry out daily activities — can support the overall picture, though the percentage itself turns on the level and side of amputation as documented in the medical evidence.

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.