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VA rating guide

Cervical spine — VA Rating Guide

Reviewed against 38 CFR Part 4 · Updated August 2026

5237 / 5242 (General Rating Formula for the Spine)

The rating ladder

What the VA looks for at each percentage.

10%  forward flexion 30–40°, or combined ROM 170–335°
20%  forward flexion 15–30°, or combined ROM ≤170°, or muscle spasm altering gait
30%  forward flexion 15° or less
40%  unfavorable ankylosis of the entire cervical spine

How to describe it (and win the rating)

Evidence that helps

Next steps

See exactly what reaches your next tierRating-Gap tool →
Prep for the C&P exam for this conditionC&P Exam Prep →
Estimate the pay this addsDisability Calculator →

Common questions

What is the VA disability rating for cervical spine?

The VA rates cervical spine under 38 CFR diagnostic code 5237. The rating tiers are: 10% — forward flexion 30–40°, or combined ROM 170–335°; 20% — forward flexion 15–30°, or combined ROM ≤170°, or muscle spasm altering gait; 30% — forward flexion 15° or less; 40% — unfavorable ankylosis of the entire cervical spine. Your exact percentage depends on the severity documented in your records and C&P exam.

How much VA disability compensation is cervical spine?

Monthly pay depends on your assigned rating percentage and your dependents, not the condition alone. Cervical spine can be rated from 10% to 40%. Use the free US Vet Help disability calculator for your exact 2026 monthly amount.

What evidence do I need for a cervical spine VA claim?

Evidence that helps includes: cervical imaging; EMG if radiculopathy; treatment notes.

How do I get the correct rating for cervical spine?

To be rated accurately: Report worst-day ROM; Radiating arm pain/numbness → upper-extremity radiculopathy claim; Note headaches originating from the neck.

Wondering if you're rated too low for this? We read your VA file and check.

Find my claim opportunities →

Educational summary of the 38 CFR Part 4 criteria — simplified, not the full regulation, and not medical or legal advice. The VA rates on your specific evidence. Describe your worst days honestly; never exaggerate. Confirm criteria in 38 CFR Part 4. US Vet Help is not affiliated with the VA and does not file claims.