Supination and pronation, impairment of DC 5213
VA rates it under diagnostic code 5213 in 38 CFR 4.71a. Body system: Arms & hands.
How VA rates it
The schedule allows 4 rating levels for this code: 10%, 20%, 30%, and 40%. VA picks the level whose criteria best match your symptoms and records.
It affects one arm, so each side is rated on its own. When both sides are rated, VA adds the bilateral factor (38 CFR 4.26).
Source: 38 CFR 4.71a on eCFR. Read the full criteria there before you file.
Rating levels and criteria
| Rating | What the schedule says |
|---|---|
| 40%30% minor | Loss of (bone fusion):The hand fixed in supination or hyperpronation |
| 30%20% minor | Loss of (bone fusion):The hand fixed in full pronation |
| 20% | Loss of (bone fusion):The hand fixed near the middle of the arc or moderate pronation |
| 30%20% minor | Limitation of pronation:Motion lost beyond middle of arc |
| 20% | Limitation of pronation:Motion lost beyond last quarter of arc, the hand does not approach full pronation |
| 10% | Limitation of supination:To 30° or less |
Where two ratings are shown, the first is for your major (dominant) arm and the second for the minor arm (38 CFR 4.69).
Criteria text from 38 CFR 4.71a, eCFR as of November 10, 2026. The eCFR is the official source if anything here differs.
Notes in the schedule (1)
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.
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Rating schedule data as of November 10, 2026. Secondary and presumptive links checked November 13, 2026.
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