Shoulder Rotator Cuff Tear
Rotator cuff injuries are rated under 38 CFR § 4.71a, Diagnostic Code 5201 (limitation of arm motion) or 5203 (clavicle or scapula injuries). Limited range of motion — specifically arm elevation/abduction — drives the rating level.
VA Rating Levels
Major dominant arm: motion limited to 60 degrees from the side (shoulder level). Minor (non-dominant) arm: motion limited to 60 degrees but only 10% if dominant arm rating context.
Major dominant arm: motion limited to 45 degrees from the side. Significant difficulty lifting above the shoulder.
Major dominant arm: motion limited to 25 degrees from the side — the arm can barely be raised away from the body.
Minor (non-dominant) arm at 45 degrees or major arm at 60 degrees from side — see DA/non-DA chart.
Exam Tips & Key Evidence
- →Dominant vs. non-dominant arm matters — dominant arm gets higher ratings for the same limitation
- →If you also have shoulder instability, that's rated separately under DC 5203
- →After rotator cuff repair surgery, you may get a temporary 100% while immobilized, then re-evaluated
- →Pain on motion and painful arc are relevant — include them in your C&P description
Commonly Related Conditions
38 CFR Reference
38 CFR § 4.71a, Diagnostic Code 5201/5203