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Diagnostic Code 5213: Supination and pronation, impairment of

Musculoskeletal System · 38 CFR §4.71a · All codes in this system

Evaluation criteriaMajorMinor
Loss of (bone fusion):
The hand fixed in supination or hyperpronation40%30%
The hand fixed in full pronation30%20%
The hand fixed near the middle of the arc or moderate pronation20%20%
Limitation of pronation:
Motion lost beyond middle of arc30%20%
Motion lost beyond last quarter of arc, the hand does not approach full pronation20%20%
Limitation of supination:
To 30° or less10%10%
Note: In all the forearm and wrist injuries, codes 5205 through 5213, multiple impaired finger movements due to tendon tie-up, muscle or nerve injury, are to be separately rated and combined not to exceed rating for loss of use of hand.

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Source: eCFR Title 38, 38 CFR §4.71a, current as of 2026-11-05. Criteria text is the regulatory text, reproduced verbatim for reference; it is not legal advice.