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5053
§ 4.71a Schedule of ratings—musculoskeletal system.

Wrist replacement

Surgical replacement of the wrist joint with an artificial implant.

What the rating means

Wrist replacement (prosthesis) is rated under diagnostic code 5053. The rating applies separately depending on whether the replaced wrist is your major (dominant) or minor (nondominant) arm.

For the first year after the prosthesis is implanted, the rating is 100% for both the major and minor wrist. This one-year period starts after an initial one-month total rating that VA assigns following your hospital discharge. After the first year, if you have chronic residuals of severe, painful motion or weakness in the affected arm, the rating is 40% for the major wrist and 30% for the minor wrist. If your residuals fall somewhere between the severe level and the minimum, VA rates your wrist by analogy to diagnostic code 5214. The minimum rating is 20% for both the major and minor wrist. Note that VA will not assign an additional rating for the same wrist joint under another diagnostic code unless the regulation specifically allows it.

Evidence that helps

Medical records documenting the date of your wrist replacement surgery and your hospital discharge help establish when the 100% rating period begins and ends. After that period, VA looks for evidence of what residuals remain in the affected arm. Records from follow-up appointments, physical therapy notes, and VA or private examination reports that describe the degree of pain during motion, the range of motion available, and measurable weakness in the wrist or hand are directly relevant to whether your residuals meet the severe level.

Your own statements, and statements from people who know you, describing how pain or weakness in the affected arm limits tasks at work or in daily life — such as gripping, lifting, or using tools — can help show the functional impact of your residuals. If your condition does not clearly fit the severe level, the examiner may assess it under diagnostic code 5214, so records showing the specific degree of limitation of motion in the wrist become important at that stage.

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.