Costochondritis (Chest Wall Pain)

DC 5099-5021Musculoskeletal38 CFR 4.71a, DC 5099-5021

Inflammation of the cartilage connecting ribs to the breastbone, causing chest pain that can be sharp and worsen with movement or breathing. Rated by analogy to musculoskeletal conditions.

Rating Levels

You have chronic costochondritis with frequent flare-ups that affect your chest wall mobility. You have occasional incapacitating episodes and the condition significantly limits physical activity.

What the VA looks for

Chronic costochondritis with frequent flare-ups documented
Occasional incapacitating exacerbations
Significant limitation of physical activity
Multiple treatment visits for flare-ups
Impact on breathing and chest wall mobility documented

Common Pitfalls

⚠Confusing costochondritis with cardiac conditions — make sure chest pain is documented as musculoskeletal, not cardiac.
⚠Not documenting painful motion and tenderness at the costochondral junctions.
⚠Not connecting to military service activities like heavy lifting, body armor wear, or physical training.
⚠Costochondritis is often rated by analogy — make sure the analogous code is clearly documented.

Related DBQ Forms

DBQ Non-Degenerative Arthritis

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…