Diagnostic code 5243Verified

Intervertebral disc syndrome

DC 5243 applies only to disc herniation with compression or irritation of an adjacent nerve root. VA uses the higher combined result from the general spine formula or the incapacitating-episode formula.

MusculoskeletalIVDSdisc herniation with nerve root compression
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Official schedule

Percentage levels and criteria

Plain-language summaries explain the text; they do not decide whether any level applies.

100%
Official criteria
Unfavorable ankylosis of the entire spine
Plain-language summary

The entire cervical and thoracolumbar spine is fixed in an unfavorable position.

60%
Official criteria
Incapacitating episodes having a total duration of at least 6 weeks during the past 12 months
Plain-language summary

The incapacitating-episode formula lists 60% for at least six total weeks in the past 12 months.

50%
Official criteria
Unfavorable ankylosis of the entire thoracolumbar spine
Plain-language summary

The entire thoracolumbar spine is fixed in an unfavorable position.

40%
Official criteria
Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine 30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine; or incapacitating episodes having a total duration of at least 4 weeks but less than 6 weeks during the past 12 months
Plain-language summary

The higher result may come from the general spine formula or four to less than six weeks under the incapacitating-episode formula.

30%
Official criteria
Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical spine
Plain-language summary

This level addresses the listed severe cervical flexion limit or favorable cervical ankylosis.

20%
Official criteria
Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or, the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the combined range of motion of the cervical spine not greater than 170 degrees; or, muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis; or incapacitating episodes having a total duration of at least 2 weeks but less than 4 weeks during the past 12 months
Plain-language summary

The higher result may come from the general spine formula or two to less than four weeks under the incapacitating-episode formula.

10%
Official criteria
Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees; or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or, combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater than 235 degrees; or, combined range of motion of the cervical spine greater than 170 degrees but not greater than 335 degrees; or, muscle spasm, guarding, or localized tenderness not resulting in abnormal gait or abnormal spinal contour; or, vertebral body fracture with loss of 50 percent or more of the height; or incapacitating episodes having a total duration of at least one week but less than 2 weeks during the past 12 months
Plain-language summary

The higher result may come from the general spine formula or one to less than two weeks under the incapacitating-episode formula.

Source record

38 CFR § 4.71a—Schedule of ratings, musculoskeletal system

38 CFR § 4.71a, DC 5243 · Effective Feb 7, 2021 · Reviewed Jul 24, 2026

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