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Supination and pronation, impairment of
Diagnostic code 5213 · Musculoskeletal system · 38 CFR 4.71a
Rating criteria: the exact regulation text
Quoted from 38 CFR 4.71a. The "Rating" column is the percentage VA assigns for that level.
| Criteria | Major | Minor |
|---|---|---|
| 5213 Supination and pronation, impairment of: | ||
| Loss of (bone fusion): | ||
| The hand fixed in supination or hyperpronation | 40 | 30 |
| The hand fixed in full pronation | 30 | 20 |
| The hand fixed near the middle of the arc or moderate pronation | 20 | 20 |
| Limitation of pronation: | ||
| Motion lost beyond middle of arc | 30 | 20 |
| Motion lost beyond last quarter of arc, the hand does not approach full pronation | 20 | 20 |
| Limitation of supination: | ||
| To 30° or less | 10 | 10 |
| Note: In all the forearm and wrist injuries, codes 5205 through 5213, multiple impaired finger movements due to tendon tie-up, muscle or nerve injury, are to be separately rated and combined not to exceed rating for loss of use of hand. |
Related codes in the regulation
- 5205 Elbow, ankylosis ofRated separately
- 5206 Forearm, limitation of flexion ofRated separately
- 5207 Forearm, limitation of extension ofRated separately
- 5208 Forearm, flexion limited to 100° and extension to 45°Rated separately
- 5209 Elbow, other impairment of Flail jointRated separately
- 5210 Radius and ulna, nonunion of, with flail false jointRated separately
- 5211 Ulna, impairment ofRated separately
- 5212 Radius, impairment ofRated separately
The VA exam form for this condition
VA examiners record their findings on a Disability Benefits Questionnaire (DBQ). Reading it shows you what the exam will measure and ask.
Rules that apply to this body system
Where this comes from
38 CFR 4.71a, VA's Schedule for Rating Disabilities, from the official eCFR.
Regulation text current as of October 16, 2026.
Read it on eCFR.govInformation, not advice
This page shows the text of VA's rating regulation for information. It is not a rating estimate, and it is not legal or medical advice. VA decides every rating on the evidence in your file.
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