An increased initial 20 percent rating for painful motion of the right arm is granted effective August 7, 2022.

Board reasoning

The Board granted an initial 20 percent rating for painful motion of the right arm, effective August 7, 2022, after considering separate ratings under DC 5201 and DC 5203 and noted the current 20 percent for DC 5203 is the highest schedular rating. It remanded the claim for a higher rating for painful motion of the right arm and for secondary service connection for a left shoulder disability, citing the January 2026 JMPR and need for new examination/addendum opinions; the decision highlights that the January 2023 examination was inadequate and that further development is required to determine any potential secondary effects."