VA Disability Rating for Combined Forearm Flexion and Extension Limitation
Diagnostic Code 5208 · 38 CFR §4.71a
What Is It?
DC 5208 applies when you have a specific combination of limited elbow motion: flexion limited to 100 degrees and extension limited to 45 degrees in the same elbow. This code captures the combined functional impact when both bending and straightening are moderately restricted but neither alone would qualify for a higher rating. This pattern commonly results from elbow fractures that healed with stiffness, arthritis affecting the entire joint, or surgical procedures that limited motion in both directions. Veterans may develop this pattern from combat injuries, training fractures, or progressive arthritis from service-connected elbow conditions.
Rating Criteria
| Rating | Criteria |
|---|---|
| 20% | Forearm flexion limited to 100 degrees combined with extension limited to 45 degrees |
Evidence Needed
- Goniometer measurements showing both flexion and extension limitations
- Medical records connecting the elbow condition to service
- Imaging showing the structural cause of motion loss
- Documentation of dominant arm
- Functional assessment showing combined impact of both limitations
C&P Exam Tips
- Make sure the examiner measures both flexion and extension precisely
- Describe the functional arc of motion you actually have available
- Explain how the combined limitation affects real-world tasks
- Compare what you can do now versus before the injury
- Ask about separate ratings under DC 5206 and 5207 if your measurements qualify
How to File
File for elbow limitation of motion. VA may rate under DC 5208 for the combined limitation, or you may receive separate ratings under DC 5206 and 5207 if that produces a higher combined result. Include precise range of motion measurements and dominant arm documentation.
Common Mistakes
Not exploring whether separate DC 5206 and DC 5207 ratings would be higher Imprecise range of motion measurements Not documenting dominant arm status Failing to describe the functional impact of having a restricted arc of motion
Frequently Asked Questions
Is it better to use DC 5208 or separate codes for flexion and extension?
In many cases, separate ratings under DC 5206 and DC 5207 produce a higher combined rating than DC 5208. Discuss this with your representative to determine which approach is most beneficial for your specific measurements.
What is a normal elbow arc of motion?
A normal elbow can flex to about 145 degrees and extend fully to 0 degrees, giving a total arc of about 145 degrees. DC 5208 describes an arc limited to roughly 55 degrees, which is a significant restriction of normal motion.