🦴 MusculoskeletalUpper ExtremityDC 5215

Wrist Limitation of Motion

Restricted range of motion of the wrist joint due to injury, arthritis, or post-surgical changes. Rated under DC 5215 (ankylosis) or DC 5214 (dorsiflexion limitation) based on measured degrees of motion loss.

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VA Rating Tiers

40%
ankylosis unfavorable
20%
ankylosis favorable
20%
severe rom
10%
moderate rom
0%
mild rom
0%
Meets minimum criteria

Rating Notes

  • 40%: Unfavorable wrist ankylosis — wrist fused in non-functional position. DC 5215.
  • 20%: Favorable wrist ankylosis — wrist fused in functional position, or marked limitation. DC 5215.
  • 10%: Moderate limitation of wrist motion with functional impact. DC 5215.
  • 0%: Motion limitation below rating threshold — service connected but non-compensable.
  • DC 5215: Wrist ankylosis — 20% favorable, 40% unfavorable.
  • DC 5214: Limitation of dorsiflexion — 10% at 30° or less; 20% at 15° or less.
  • Dominant extremity ratings receive a 10% add-on under 38 CFR § 4.68.
  • Bilateral wrist claims are rated separately for each wrist then combined.
  • ROM measurements from the C&P exam goniometer drive the rating — describe worst-day motion.

Eligibility Basics

Current symptoms
In-service event
Diagnosis or lay evidence
  • DC 5215 — wrist, ankylosis (favorable or unfavorable); DC 5214 — limitation of dorsiflexion.
  • Rating is based on measured degrees of motion — bring goniometric measurements from a provider.
  • Dominant vs. non-dominant hand affects combined rating under 38 CFR § 4.68.
  • Document in-service cause: fracture, sprain, repetitive use, or surgery.

Evidence to Gather

Service Records

  • in-service records of wrist fracture, sprain, or repetitive strain injury
  • sick call or medical records noting wrist pain or limited motion during service

Medical Evidence

  • orthopedic or primary care records with range of motion measurements
  • X-ray or MRI showing arthritis, fracture malunion, or post-surgical changes

Lay Evidence (Buddy Statements)

  • personal statement describing wrist stiffness and functional limits since service injury

Diagnostic Tests

  • wrist X-ray
  • MRI wrist
  • goniometric ROM measurement

C&P Exam Preparation

Exam type: Orthopedic / Wrist DBQ

Be ready to describe

  • degrees of motion on worst days
  • which wrist is dominant
  • functional tasks you can no longer do

Prep notes

  • Do not push through pain to show full motion — move only to your actual comfortable limit.
  • Mention which hand is dominant — it affects the combined rating.
  • Bring X-ray or MRI reports if available.

Quick Facts

Diagnostic Code
DC 5215
Category
Musculoskeletal
Subcategory
Upper Extremity
Typical Claim Type
direct
Rating Range
0% – 40%

Also Known As

wrist limitation of motionwrist ROMlimited wrist motionwrist stiffnesswrist flexion limitationwrist extension limitationrestricted wrist movementwrist ankylosis
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