What rates 30% for Limited Supination/Pronation (Forearm) under 38 CFR § 4.71a, DC 5213?

Under 38 CFR § 4.71a, DC 5213 (DC 5213), a 30% rating for Limited Supination/Pronation (Forearm) requires: DC 5213 Minor "Hand fixed in supination or hyperpronation" = 30%; DC 5213 Major "Hand fixed in full pronation" = 30%. (Verbatim § 4.71a DC 5213.)

What happens during a C&P exam for Limited Supination/Pronation (Forearm)?

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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Limited Supination/Pronation (Forearm)

Q: What are the VA rating percentages for Limited Supination/Pronation (Forearm)?

Limited Supination/Pronation (Forearm) (DC 5213) is rated at 40%, 30%, 20%, 10%, 0% under 38 CFR § 4.71a, DC 5213. DC 5213 Major "Hand fixed in supination or hyperpronation" = 40%. (Verbatim § 4.71a DC 5213.) Complete loss of rotation in either extreme — functional severe impairment of grasping, eating, writing.

Q: What rates 40% for Limited Supination/Pronation (Forearm) under 38 CFR § 4.71a, DC 5213?

Under 38 CFR § 4.71a, DC 5213 (DC 5213), a 40% rating for Limited Supination/Pronation (Forearm) requires: DC 5213 Major "Hand fixed in supination or hyperpronation" = 40%. (Verbatim § 4.71a DC 5213.) Complete loss of rotation in either extreme — functional severe impairment of grasping, eating, writing.

Q: What rates 20% for Limited Supination/Pronation (Forearm) under 38 CFR § 4.71a, DC 5213?

Under 38 CFR § 4.71a, DC 5213 (DC 5213), a 20% rating for Limited Supination/Pronation (Forearm) requires: DC 5213 Major "Hand fixed near the middle of the arc or moderate pronation" = 20%; DC 5213 Major "Limitation of pronation: Motion lost beyond middle of arc" = 30% Major (alternative reading — most severe pronation limitation); DC 5213 Minor "Hand fixed in full pronation" = 20%. (Verbatim § 4.71a DC 5213.)

Q: What rates 10% for Limited Supination/Pronation (Forearm) under 38 CFR § 4.71a, DC 5213?

Under 38 CFR § 4.71a, DC 5213 (DC 5213), a 10% rating for Limited Supination/Pronation (Forearm) requires: DC 5213 "Limitation of pronation: Motion lost beyond last quarter of arc, the hand does not approach full pronation" = 20% Major / 20% Minor — best read as 20% but some interpretations yield 10% per layout; DC 5213 "Limitation of supination: To 30° or less" = 10% (Major or Minor); DC 5213 Minor "Hand fixed near middle of arc" = 10%. (Verbatim § 4.71a DC 5213.)

Q: What rates 0% for Limited Supination/Pronation (Forearm) under 38 CFR § 4.71a, DC 5213?

Under 38 CFR § 4.71a, DC 5213 (DC 5213), a 0% rating for Limited Supination/Pronation (Forearm) requires: Limited supination/pronation diagnosed (e.g., post-fracture residual) but ROM not crossing any DC 5213 compensable threshold (supination >30°, pronation through full arc).

Q: What evidence do I need for a Limited Supination/Pronation (Forearm) VA claim?

Key evidence for a Limited Supination/Pronation (Forearm) 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 521338 C.F.R. § 4.71a

Diagnostic Code

DC 5213

38 C.F.R. § 4.71a

Rating Range

0–40%

5 severity tiers

Source

Referenced

38 C.F.R. Part 4

Limited Supination/Pronation (Forearm) is rated by the U.S. Department of Veterans Affairs under DC 5213 of 38 CFR § 4.71a, DC 5213 across 5 severity tiers (40% / 30% / 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

Inability to fully rotate the forearm palm up (supination) or palm down (pronation), affecting daily tasks and tool use

Rating Criteria

40%

DC 5213 Major "Hand fixed in supination or hyperpronation" = 40%. (Verbatim § 4.71a DC 5213.) Complete loss of rotation in either extreme — functional severe impairment of grasping, eating, writing.

30%

DC 5213 Minor "Hand fixed in supination or hyperpronation" = 30%; DC 5213 Major "Hand fixed in full pronation" = 30%. (Verbatim § 4.71a DC 5213.)

20%

DC 5213 Major "Hand fixed near the middle of the arc or moderate pronation" = 20%; DC 5213 Major "Limitation of pronation: Motion lost beyond middle of arc" = 30% Major (alternative reading — most severe pronation limitation); DC 5213 Minor "Hand fixed in full pronation" = 20%. (Verbatim § 4.71a DC 5213.)

10%

DC 5213 "Limitation of pronation: Motion lost beyond last quarter of arc, the hand does not approach full pronation" = 20% Major / 20% Minor — best read as 20% but some interpretations yield 10% per layout; DC 5213 "Limitation of supination: To 30° or less" = 10% (Major or Minor); DC 5213 Minor "Hand fixed near middle of arc" = 10%. (Verbatim § 4.71a DC 5213.)

Limited supination/pronation diagnosed (e.g., post-fracture residual) but ROM not crossing any DC 5213 compensable threshold (supination >30°, pronation through full arc).

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 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.
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