Shoulder Impingement Syndrome

DC 5203Musculoskeletal38 CFR 4.71a, DC 5203

A condition where the tendons and bursa in your shoulder get pinched when you raise your arm, causing pain. The VA rates impingement under the clavicle impairment code based on whether you have malunion, nonunion, or dislocation.

Rating Levels

You have nonunion of the clavicle or scapula with loose movement, or you have dislocation of the clavicle or scapula. This rating applies to both the dominant and non-dominant arm.

What the VA looks for

Nonunion with loose movement documented
Dislocation of clavicle or scapula
Imaging showing displacement or instability
Functional limitation documented

Common Pitfalls

⚠Shoulder impingement is often better rated under DC 5201 (limitation of motion) if your range of motion is significantly limited — ask the examiner to measure all planes of motion.
⚠Not documenting rotator cuff involvement — a rotator cuff tear or tendinopathy may warrant a separate or higher rating.
⚠Not reporting that the affected shoulder is your dominant arm — some codes provide higher ratings for the major extremity.
⚠Missing secondary conditions — shoulder impingement can lead to cervical spine problems, opposite shoulder overuse, and depression from chronic pain.

Related DBQ Forms

DBQ Shoulder and Arm Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

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