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5215
§ 4.71a Schedule of ratings—musculoskeletal system.

Wrist limited motion

Reduced range of motion in the wrist joint, limiting hand movement.

What the rating means

Diagnostic code 5215 covers limitation of motion of the wrist. VA rates this condition based on how much motion you have lost in your wrist, and the rating differs depending on which arm is affected — Major refers to your dominant arm and Minor refers to your nondominant arm.

There are two ways to reach a 10% rating. The first is if your dorsiflexion (bending your wrist upward, toward the back of your hand) measures less than 15 degrees. The second is if your palmar flexion (bending your wrist downward, toward your palm) is limited to the point where your hand can only move in line with your forearm — meaning there is no actual downward bend. Both of these criteria carry a 10% rating whether it is your Major or Minor wrist.

Because both measurable criteria result in the same rating percentage, the distinction between the two levels comes down to which specific motion is restricted and by how much, not a difference in the assigned percentage.

Evidence that helps

To support a rating under diagnostic code 5215, the most important evidence is a measurement of how far your wrist actually moves. A VA examination or a private physician's report that records the degrees of dorsiflexion and palmar flexion using a goniometer directly ties to the criteria. A reading showing dorsiflexion below 15 degrees supports the first basis for a 10% rating. An examiner's finding that palmar flexion is limited to in-line with the forearm supports the second.

Medical records documenting your wrist condition over time — such as imaging, treatment notes, and physical therapy records — help show that the limitation is consistent and connected to your service. Statements from you or people who know you, describing how the restricted motion affects tasks that require bending your wrist at work or in daily life, can add context to the clinical findings. The examiner's own range-of-motion measurements, taken on the day of the exam, are typically the most direct evidence VA uses to apply these specific criteria.

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.