VC
MusculoskeletalDC 5155-5157

Elbow Conditions / Tennis Elbow

Elbow conditions are rated under 38 CFR § 4.71a. DC 5155 covers radius/ulna impairment; DC 5156 covers removal of elbow head; DC 5157 covers other impairment. Limited flexion and extension of the elbow drive ratings.

VA Rating Levels

20%

Elbow flexion limited to 100 degrees or extension limited to 45 degrees. Affects lifting and reaching activity.

30%

Flexion limited to 80 degrees or extension to 55 degrees. Significantly limits lifting and overhead work.

40%

Flexion limited to 55 degrees or extension to 75 degrees. Arm nearly straightened or unable to flex well.

50%

Favorable ankylosis of the elbow at a functional angle. Arm locked but in a usable position.

60%

Unfavorable ankylosis of the elbow at a non-functional angle.

Exam Tips & Key Evidence

  • Include both flexion AND extension measurements in your exam description
  • Weakness, pain on motion, and crepitation all contribute to overall impairment
  • Tennis/golfer's elbow often classified under soft tissue inflammation — document all work-related or service-related repetitive motions

Commonly Related Conditions

38 CFR Reference

38 CFR § 4.71a, Diagnostic Codes 5155–5157