VA Disability Rating for Shoulder Ankylosis
Diagnostic Code 5200 · 38 CFR §4.71a
What Is It?
Ankylosis of the shoulder means the shoulder joint is completely frozen or fused, with no movement possible. This can result from severe arthritis, surgical fusion, trauma, or prolonged immobilization. The position in which the shoulder is frozen determines the rating level. Favorable ankylosis means the shoulder is fixed in a functional position where you can reach your mouth and head. Intermediate ankylosis fixes the shoulder between favorable and unfavorable positions. Unfavorable ankylosis means the arm is fixed at your side or in a position where you cannot perform basic self-care tasks. Veterans may develop shoulder ankylosis from combat injuries, severe fractures, failed surgeries, or progressive arthritis.
Rating Criteria
| Rating | Criteria |
|---|---|
| 50% | Unfavorable ankylosis of the dominant shoulder with abduction limited to 25 degrees from the side |
| 40% | Intermediate ankylosis of the dominant shoulder, or unfavorable ankylosis of the non-dominant shoulder |
| 30% | Favorable ankylosis of the dominant shoulder with abduction to 60 degrees and ability to reach mouth and head |
Evidence Needed
- Imaging confirming shoulder fusion or complete absence of motion
- Range of motion testing showing zero active movement at the shoulder
- Documentation of the position in which the shoulder is fixed
- Medical records connecting the ankylosis to service
- Records showing which shoulder is on the dominant side
C&P Exam Tips
- Allow the examiner to confirm zero active motion at the shoulder joint
- Make sure the examiner documents the position of ankylosis as favorable, intermediate, or unfavorable
- Demonstrate what you can and cannot reach with the frozen shoulder
- Confirm which arm is your dominant arm
- Describe how the frozen shoulder affects dressing, hygiene, and work tasks
How to File
File under DC 5200 for shoulder ankylosis. The rating depends on two factors: whether the shoulder is your dominant or non-dominant side, and the position of ankylosis. Include imaging and range of motion testing confirming zero active motion. Make sure the position of fusion is clearly documented.
Common Mistakes
Not having the specific position of ankylosis documented Confusing severe limitation of motion with true ankylosis, which requires zero movement Not specifying dominant versus non-dominant shoulder Not filing for secondary conditions caused by compensating with the other arm
Frequently Asked Questions
What is the difference between ankylosis and severe limitation of motion?
Ankylosis means the joint has absolutely zero movement. Even a few degrees of motion means the joint is not ankylosed and should be rated under DC 5201 for limitation of shoulder motion instead. The distinction matters because the rating criteria and percentages are different.
What does favorable versus unfavorable ankylosis mean?
Favorable ankylosis means your shoulder is frozen in a useful position where you can still reach your mouth and head for basic self-care. Unfavorable ankylosis means your arm is stuck at your side or in a position that prevents self-care tasks. Unfavorable receives a higher rating because it is more disabling.