What happens during a C&P exam for Dupuytren's Contracture?

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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Dupuytren's Contracture

Q: What are the VA rating percentages for Dupuytren's Contracture?

Dupuytren's Contracture (DC 5228) is rated at 20%, 10%, 0% under 38 CFR § 4.71a, DC 5228. With a gap of more than two inches (5.1 cm) between the thumb pad and the fingers, with the thumb attempting to oppose the fingers — Major or Minor (same rating). Applies when Dupuytren's contracture of the thumb flexion crease prevents full opposition.

Q: What rates 20% for Dupuytren's Contracture under 38 CFR § 4.71a, DC 5228?

Under 38 CFR § 4.71a, DC 5228 (DC 5228), a 20% rating for Dupuytren's Contracture requires: With a gap of more than two inches (5.1 cm) between the thumb pad and the fingers, with the thumb attempting to oppose the fingers — Major or Minor (same rating). Applies when Dupuytren's contracture of the thumb flexion crease prevents full opposition.

Q: What rates 10% for Dupuytren's Contracture under 38 CFR § 4.71a, DC 5228?

Under 38 CFR § 4.71a, DC 5228 (DC 5228), a 10% rating for Dupuytren's Contracture requires: With a gap of one to two inches (2.5 to 5.1 cm) between the thumb pad and the fingers, with the thumb attempting to oppose the fingers — Major or Minor (same rating).

Q: What rates 0% for Dupuytren's Contracture under 38 CFR § 4.71a, DC 5228?

Under 38 CFR § 4.71a, DC 5228 (DC 5228), a 0% rating for Dupuytren's Contracture requires: Gap less than one inch — schedularly noncompensable under DC 5228. For ring/little finger Dupuytren's (most common anatomic site), DC 5230 provides no compensable schedular rating — pursue DC 5003 single-joint fallback under § 4.59 if painful motion is objectively documented, OR DC 5224-5227 (single-finger ankylosis) when contracture has progressed to fixed ankylosis.

Q: What evidence do I need for a Dupuytren's Contracture VA claim?

Key evidence for a Dupuytren's Contracture 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 522838 C.F.R. § 4.71a

Diagnostic Code

DC 5228

38 C.F.R. § 4.71a

Rating Range

0–20%

3 severity tiers

Source

Verified

38 C.F.R. § 4.71a

Dupuytren's Contracture is rated by the U.S. Department of Veterans Affairs under DC 5228 of 38 CFR § 4.71a, DC 5228 across 3 severity tiers (20% / 10% / 0%). 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

Progressive fibrous thickening of the palmar fascia causing one or more fingers to permanently curl inward toward the palm

Rating Criteria

20%

With a gap of more than two inches (5.1 cm) between the thumb pad and the fingers, with the thumb attempting to oppose the fingers — Major or Minor (same rating). Applies when Dupuytren's contracture of the thumb flexion crease prevents full opposition.

10%

With a gap of one to two inches (2.5 to 5.1 cm) between the thumb pad and the fingers, with the thumb attempting to oppose the fingers — Major or Minor (same rating).

Gap less than one inch — schedularly noncompensable under DC 5228. For ring/little finger Dupuytren's (most common anatomic site), DC 5230 provides no compensable schedular rating — pursue DC 5003 single-joint fallback under § 4.59 if painful motion is objectively documented, OR DC 5224-5227 (single-finger ankylosis) when contracture has progressed to fixed ankylosis.

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.

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.71a (Musculoskeletal system). Source verified 2026-05-27 by ClaimRecon Editorial Team against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.71a on eCFR →Cornell Law mirror →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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