What happens during a C&P exam for Costochondritis?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Costochondritis

Q: What are the VA rating percentages for Costochondritis?

Costochondritis (DC 5299) is rated at 10%, 20% under 38 CFR § 4.71a, DC 5299. X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations; or painful motion of affected joint(s).

Q: What rates 10% for Costochondritis under 38 CFR § 4.71a, DC 5299?

Under 38 CFR § 4.71a, DC 5299 (DC 5299), a 10% rating for Costochondritis requires: X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations; or painful motion of affected joint(s).

Q: What rates 20% for Costochondritis under 38 CFR § 4.71a, DC 5299?

Under 38 CFR § 4.71a, DC 5299 (DC 5299), a 20% rating for Costochondritis requires: X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations. Also rated on limitation of motion of specific joint if compensable.

Q: What evidence do I need for a Costochondritis VA claim?

Key evidence for a Costochondritis claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 529938 C.F.R. § 4.71a

Diagnostic Code

DC 5299

38 C.F.R. § 4.71a

Rating Range

10–20%

2 severity tiers

Source

Referenced

38 C.F.R. Part 4

Costochondritis is rated by the U.S. Department of Veterans Affairs under DC 5299 of 38 CFR § 4.71a, DC 5299 across 2 severity tiers (10% / 20%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Chronic inflammation of the costochondral cartilage where the ribs attach to the sternum, causing sharp chest wall pain mimicking cardiac symptoms

Rating Criteria

10%

X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations; or painful motion of affected joint(s).

20%

X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations. Also rated on limitation of motion of specific joint if compensable.

03Key Evidence

—Service treatment records showing injury or complaints

—Imaging (X-ray, MRI, CT)

—Range of motion measurements

—Flare-up documentation per Sharp v. Shulkin

—Buddy statements describing limitations

—Prescription history

—Physical therapy records

—Employment impact documentation

04C&P Exam Tips

1Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5If you use assistive devices (brace, cane), bring them.

6Describe daily activity impact: work, sleep, household tasks.

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Sources & Editorial

Rating criteria reference 38 C.F.R. Part 4 (Schedule for Rating Disabilities). This entry has not yet undergone editorial review against the live regulation text — consult the authoritative source directly before relying on the criteria shown.

View 38 C.F.R. Part 4 on eCFR →Editorial Standards →Suggest a correction →

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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