Conditions/Musculoskeletal

Heterotopic Ossification

Diagnostic Code 5015Musculoskeletal

Abnormal bone formation in soft tissues, typically muscles and tendons, following trauma, surgery, or neurological injury (TBI, spinal cord injury). Causes pain, swelling, decreased range of motion, and potentially joint ankylosis. Most common around hip, elbow, shoulder, knee. May require surgical excision if severely limiting function.

VA Rating Criteria (38 CFR)
40%

Complete ankylosis (fusion) of joint from heterotopic ossification, or bilateral involvement of major joints

30%

Severe heterotopic ossification causing marked limitation approaching ankylosis, severe pain, or requiring surgical excision

20%

Moderate heterotopic ossification causing significant limitation of joint motion and moderate functional impairment

10%

Mild heterotopic ossification causing slight limitation of motion and minimal pain

Evidence You'll Need

Medical Evidence

Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history

Service Connection

Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)

Personal Statement

Your detailed account of how heterotopic ossification affects your daily life and when symptoms began

Lay Evidence

Buddy letters from fellow service members or family who can corroborate your symptoms

C&P Exam Tips Preview

During your Compensation & Pension exam for heterotopic ossification, examiners will assess your symptoms against the rating criteria above.

Be specific: Describe your worst day, not your average day

Document everything: Bring copies of all medical records and evidence

Functional impact: Explain how symptoms affect work, sleep, and daily activities

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