Diagnostic code 5237 · 38 CFR 4.71a
Back pain (lumbosacral strain) VA rating
Most back conditions use the General Rating Formula for the Spine, based mainly on how far you can bend forward.
| Rating | What VA looks for | 2026 pay (single) |
|---|---|---|
| 10% | Forward bending over 60° but not over 85°, or combined motion over 120° but not over 235°, or spasm or tenderness without an abnormal walk. | $180.42 |
| 20% | Forward bending over 30° but not over 60°, or combined motion not over 120°, or spasm or guarding severe enough to cause an abnormal walk or spine shape. | $356.66 |
| 40% | Forward bending 30° or less, or favorable ankylosis (fusion) of the entire thoracolumbar spine. | $795.84 |
| 50% | Unfavorable ankylosis of the entire thoracolumbar spine. | $1,132.90 |
| 100% | Unfavorable ankylosis of the entire spine. | $3,938.58 |
Pay shown is for this condition alone with no dependents. Multiple conditions combine using VA math, not addition.
- • Nerve pain down the leg (radiculopathy) is rated separately, often per leg, and can qualify for the bilateral factor.
Summary written in plain language from the official rating schedule. The regulation's exact wording controls.