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September 9, 2025

Ankylosing Spondylitis VA Ratings Explained: From 10% to 100%

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Living with ankylosing spondylitis can be painful, frustrating, and life-changing, especially if your military service made it worse. 

While an ankylosing spondylitis VA rating won’t fix your condition, it can get you the benefits you rightfully deserve. 

This post will cover how the VA rates ankylosing spondylitis, potential secondary conditions, and the first steps to filing a VA claim.

Summary of Key Points

  • VA Rating Range: Ankylosing spondylitis VA ratings range from 10% to 100%, depending on spinal motion limits, fusion (ankylosis), and severity of symptoms. 
  • Key Factors: The VA considers flexion limits, spinal fusion, abnormal posture, spasms, and mobility restrictions when assigning a rating. 
  • Service Connection Requirements: To qualify, you need a current diagnosis, evidence of an in-service event or aggravation, and a medical nexus linking the two.

What is Ankylosing Spondylitis?

ankylosing spondylitis VA rating

Ankylosing spondylitis is a long-term disease that causes inflammation in the spine and can make the bones slowly fuse together, leading to stiffness and loss of movement. 

“Ankylosing” refers to abnormal stiffening or fusion of joints, while “spondylitis” refers to inflammation of the spine. 

Ankylosing spondylitis affects many veterans because the physical demands and injuries of military service can trigger or worsen spine and joint inflammation over time. 

Ankylosing Spondylitis VA Ratings

The VA rates ankylosing spondylitis under diagnostic code (DC) 5240 in the Schedule of Ratings for the Musculoskeletal System, using the General Rating Formula for Diseases and Injuries of the Spine.

It can also be rated as an active disease under DC 5009, applying the criteria from DC 5002. 

Your VA disability rating for ankylosing spondylitis depends on how much your spine can move, whether parts of it are fused (ankylosis), the degree of forward bending (flexion), and whether symptoms like spasms or abnormal posture are present. 

Here’s a closer look at how the VA rates ankylosing spondylitis: 

100% VA Rating

  • Unfavorable ankylosis of the entire spine 

50% VA Rating

  • Unfavorable ankylosis of the entire thoracolumbar spine 

40% VA Rating

  • 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 

30% VA Rating

  • Forward flexion of the cervical spine 15 degrees or less; or 
  • Favorable ankylosis of the entire cervical spine 

20% VA Rating

  • 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 

10% VA Rating

  • 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 

See Also: How to Get a VA Rating for Spondylosis 

Proving Service Connection for Ankylosing Spondylitis

To qualify for an ankylosing spondylitis VA disability rating, you’ll need to prove: 

  • A current diagnosis of ankylosing spondylitis 
  • An in-service event, injury, aggravation, or illness 
  • A medical nexus (link) between your current diagnosis and the in-service event, injury, aggravation, or illness 

How can you prove the link? Medical records, imaging results, specialist opinions, and even lay statements from you or those who know you can aid in establishing the connection between your ankylosing spondylitis and your military service. 

VA Secondary Conditions to Ankylosing Spondylitis

Ankylosing spondylitis doesn’t just affect your spine; it can also lead to several secondary conditions, including, but not limited to: 

If eligible, filing a secondary VA claim may increase your overall monthly compensation. 

Check out our VA Disability Ratings by Medical Condition list for more information regarding service-connected conditions. 

Pro Tip: It’s highly recommended to get a credible Nexus Letter when proving secondary service connection. A nexus letter can clearly explain the medical link between your ankylosing spondylitis and any related secondary conditions. 

Ready to File a VA Claim?

If you’re ready to file a VA claim for ankylosing spondylitis, or a secondary VA claim for related conditions, it’s important to get organized before submitting. 

You can start by gathering your medical records, service treatment records, and any private healthcare documentation with your current diagnosis and symptoms. 

Once you’re ready, you can file a VA claim: 

  • By Mail  
  • Via Fax  

Note: If you choose a method other than online, you’ll need to download and complete VA Form 21-526EZ

Conclusion

Ankylosing spondylitis is more than just back pain; it’s a progressive condition that can affect your mobility, overall health, and quality of life. The VA offers disability ratings ranging from 10% to 100%, depending on severity, but the key is proving service connection and presenting strong medical evidence. Whether you’re filing for the first time or pursuing secondary conditions, preparation is everything. 

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(FAQs) Frequently Asked Questions

Is ankylosing spondylitis a VA disability?

Yes. Ankylosing spondylitis can qualify for VA disability if you have a current diagnosis and evidence that it is service-connected. 

What is the VA rating for spondylosis?

The VA rating for spondylosis ranges from 10% to 100%, with breaks at 20%, 30%, 40%, and 50%.

Is it hard to get disability for ankylosing spondylitis?

It can be challenging because the VA requires proof that your condition either began or was aggravated during military service. However, with strong medical evidence, clear service records, and a well-written nexus letter, you can improve your chances of getting approved.

How do you prove you have ankylosing spondylitis?

You can confirm a diagnosis of ankylosing spondylitis by providing a current diagnosis from a licensed healthcare provider, typically supported by imaging tests such as X-rays or MRIs.

Can I get TDIU for ankylosing spondylitis?

You may be eligible for Total Disability based on Individual Unemployability (TDIU) if your service-connected ankylosing spondylitis prevents you from maintaining and securing substantially gainful employment. 
In addition, one of these must be true: 
You have at least 1 service-connected disability rated at 60% or more disabling, OR  
You have 2 or more service-connected disabilities, with at least 1 rated at 40% or more disabling and a combined rating of 70% or more.

Is ankylosing spondylitis a VA presumptive condition?

No. Ankylosing spondylitis isn’t on the VA’s list of presumptive conditions. You must show a direct service connection or a secondary service connection to qualify.


Author

Kelly Olone

Kelly Olone

Kelly Olone is a military spouse who earned her degree in Psychology from Florida International University. After working in the non-profit sector for several years, she turned to her passion for writing. She aims to contribute to a better understanding of the valuable benefits that veterans deserve. As a mom, Kelly navigates the delicate balance between deadlines and bedtime stories with finesse. 

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