Impairment, Wrist, Supination
Impairment, Wrist, Supination is a VA-ratable condition under diagnostic code 5213 in the Elbow & Forearm category. Maximum rating: 40%.
Elbow & Forearm Range of Motion
Source: 38 CFR § 4.71 - Measurement of ankylosis and joint motion
Rating Criteria
| Rating | Criteria |
|---|---|
| 40% | Loss of supination and pronation (bone fusion) (major extremity) |
| 30% | Loss of supination and pronation (bone fusion) (minor extremity) |
| 30% | Limitation of pronation, motion lost beyond middle of arc (major extremity) |
| 20% | Limitation of pronation, motion lost beyond middle of arc (minor extremity) |
| 20% | Limitation of pronation, motion lost beyond last quarter of arc (major extremity) |
| 10% | Limitation of pronation, motion lost beyond last quarter of arc (minor extremity) |
| 10% | Limitation of supination to 30° or less (either extremity) |
Important Notes
Supination = palm up (turning doorknob to open). Pronation = palm down (turning doorknob to close). Normal supination/pronation range: 0-90° each direction. Middle of arc = 45°. Last quarter = 67.5°. Major extremity = dominant arm. Affects manual dexterity, tool use, daily activities.
Filing Tips
Pro Tip: The VA won't connect the dots for you. That's your job. Build the paper trail before you file.
Gather medical evidence showing a current diagnosis of this condition.
Document in-service events, injuries, or exposures that caused or aggravated this condition.
Consider a nexus letter from a medical professional linking your condition to service.
Review the rating criteria for DC 5213 to understand what symptoms warrant higher ratings.
Quick Links
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