Cervical Spine (Neck)
Neck (cervical spine) conditions are rated under the same General Rating Formula for Spine conditions (38 CFR § 4.71a), but with different range of motion measurements than the lower back.
VA Rating Levels
Forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees. Or combined range of motion greater than 170 degrees but not greater than 335 degrees. Or muscle spasm, guarding, or localized tenderness. Some limitation but you can still move your neck reasonably well.
Forward flexion greater than 15 degrees but not greater than 30 degrees. Or combined range of motion not greater than 170 degrees. Or muscle spasm or guarding severe enough to result in abnormal gait or spinal contour. Noticeable limitations in turning or tilting your head.
Forward flexion of the cervical spine 15 degrees or less. Or favorable ankylosis of the entire cervical spine. You can barely look down or turn your head.
Unfavorable ankylosis of the entire cervical spine. Your neck is essentially locked in a non-neutral position.
Unfavorable ankylosis of the entire spine.
Exam Tips & Key Evidence
- →Just like the lower back: radiculopathy (pain/tingling into your arms/hands) is rated separately — each arm gets its own rating
- →Always tell the examiner about flare-ups and your worst days
- →If you had a whiplash injury or vehicle accident in service, that's a common nexus
- →Neck conditions commonly lead to secondary claims for migraines and upper extremity radiculopathy
Commonly Related Conditions
38 CFR Reference
38 CFR § 4.71a, Diagnostic Codes 5237-5243