BVA decisions by condition

Elbow impairment: BVA grant rates and what wins

From 2018 to 2026, the Board of Veterans' Appeals decided a elbow impairment issue in 5,263 decisions. It granted the elbow impairment issue in 15.3% of them, below the 19.9% grant rate for all conditions, denied it in 34.0%, and remanded it in 52.5%. Counting only decisions on the merits (granted or denied), 31.1% were granted.

Decisions

5,263

2018–2026

Granted

15.3%

All conditions: 19.9%

Granted on the merits

31.1%

Granted ÷ (granted + denied)

Remanded

52.5%

Denied: 34.0%

Elbow impairment outcomes by year

YearDecisionsGrantedDeniedRemanded
2018
478
9.8%35.4%54.6%
2019
578
9.9%36.0%55.7%
2020
615
14.0%39.5%49.3%
2021
604
11.6%33.9%56.3%
2022
596
14.1%29.9%58.9%
2023
663
14.6%32.3%55.1%
2024
673
16.3%31.2%53.2%
2025
783
22.7%33.3%46.1%
2026
273
28.6%37.0%37.0%

Evidence in granted and denied elbow impairment decisions

For each kind of supporting evidence: how often the Board granted the elbow impairment issue on the merits when the decision mentioned it, compared with decisions that did not. These are associations, not causes, and evidence is recorded per decision, not per issue.

In the recordDecisionsGranted when presentWhen absentDifference
Positive nexus opinion65565.5%23.4%+42.1 pts
Favorable VA exam51255.1%26.6%+28.5 pts
Buddy statement18851.1%30.4%+20.8 pts
Treating physician opinion19550.0%30.2%+19.8 pts
Combat service35044.7%30.0%+14.7 pts
Private medical opinion1,28240.8%27.1%+13.7 pts
Claimed as secondary54133.3%30.9%+2.4 pts
Lay statement4,30131.3%30.0%+1.3 pts
  • The Board applied the benefit-of-the-doubt rule (38 CFR 3.102) in 71.4% of the decisions that granted elbow impairment.
  • The Board found the veteran's statements credible in 47.1% of grants and 13.5% of denials.

Negative evidence in the record

An unfavorable exam or a negative nexus opinion often sits in the same record as favorable evidence, and the Board weighs them against each other. So these rows show how often elbow impairment was still granted when the record contained the negative item, not that the item helped.

In the recordDecisionsGranted when presentWhen absentDifference
Negative nexus opinion2,51630.9%31.3%−0.4 pts
Unfavorable VA exam3,92030.0%36.0%−6.0 pts

Why the Board granted or denied elbow impairment

Most common reasons in grants

  1. Current diagnosis established112
  2. Criteria for service connection met19
  3. Continuity of symptomatology since service18
  4. Caused by the service-connected disability16
  5. Evidence evenly balanced15
  6. In-service injury documented8
  7. Criteria for 10 percent rating met7
  8. New and material evidence received7

Most common reasons in denials

  1. No current diagnosis229
  2. No in-service complaints, treatment or diagnosis181
  3. Preponderance of the evidence against the claim164
  4. Service records negative or silent146
  5. VA examiner: less likely than not related to service145
  6. Current diagnosis established85
  7. Criteria for service connection not met38
  8. No continuity of symptomatology28

Numbers are decisions that gave the reason. Reasons are short phrases extracted by AI from each decision; common wordings of the same reason are grouped. Benefit of the doubt is reported above.

Recent elbow impairment decisions

Granted

Citation Nr. A26040566Jennifer White · 2026

Evidence found to be in equipoise regarding sustained improvement.; Reduction from 20% to 10% deemed improper.; Restoration of 20% rating granted.

Citation Nr. A26040116T. Mainelli · 2026

In-service onset of pain and tingling in left elbow.; Symptoms consistent with current diagnosis of left elbow strain.; Combat veteran presumption applied.

Citation Nr. A26039952M. C. Graham · 2026

In-service injury documented: left forearm pain and bump by Humvee in 2003.; Lay statements from Veteran and wife corroborate persistent symptoms and limitations.; Private medical opinion found it more likely than not that chronic elbow pain, medial epicondylitis, and tendonitis were caused by service.

Denied

Citation Nr. 26005056Eric S. Leboff · 2026

Maximum schedular rating for DC 5215 is 10 percent.; Record does not show ankylosis of the wrist.; Record does not show additional surgery during the period on appeal.

Citation Nr. A26040006Nathaniel Doan · 2026

No credible nexus to service; VA examiner opined less likely than not related to service; Lack of continuity of symptomatology

Citation Nr. A26040252Paul R. Casey · 2026

Veteran seeks rating in excess of 30 percent.; Condition evaluated under DC 5213 for limitation of pronation.; Higher evaluation requires bone fusion, which is not present.; 30 percent is maximum available evaluation for pronation limitation.

Rules that apply to elbow impairment claims

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How these numbers are calculated

  • Rates count decisions in which the Board decided a elbow impairment issue, by the outcome of that issue. Other issues in the same decision can have different outcomes.
  • “Granted on the merits” leaves out remands and dismissals. “All conditions” is the grant share across every condition issue in the data.
  • The data comes from CaseScribe's AI extraction of public BVA decisions (2018–2026) and can contain errors. It is updated automatically as new decisions are added.