| Rank | Bib | Name | Affiliation | Time | Gap | Category |
| 1 | 590 | Omar DURAN | Florida | 23:01. | 23:01 | HND |
| 2 | 570 | Ryan PINNEY | PVAR | 23:01. | s.t. | HND |
| 3 | 575 | Michael SALES | Adaptive Adventures Cycling Tea | 23:01. | s.t. | HND |
| 4 | 572 | Alfonso GARIBAY JR | Team PossAbilities | 23:02. | s.t. | HND |
| 5 | 589 | David BERLING | Team Semper Fi | 23:55. | 54 | HND |
| 6 | 580 | Craig CORNWALL | Paralyzed Veterans Racing | 23:56. | 55 | HND |
| 7 | 593 | Owen DANIELS | Team Possabilities | 24:08. | 1:07 | HND |
| 8 | 579 | Ricardo RINCON GALLARDO | PVA/University of Arizona Handc | 24:21. | 1:20 | HND |
| 9 | 576 | Adam FINNEY | University of Arizona | 24:21. | s.t. | HND |
| 10 | 581 | Tavian BRYANT | East Carolina | 24:56. | 1:55 | HND |
| 11 | 571 | Gerard AH-FOOK | PVA Racing/ University of AZ Ha | 25:01. | 2:00 | HND |
| 12 | 578 | Dan STIETZ | Dartmouth | 25:03. | 2:02 | HND |
| 13 | 573 | Theodore MOSS | Colorado | 23:09. | s.t. | HND |
| 14 | 583 | Jenna ROLLMAN | Eastern Michigan | 23:12. | 11 | HND |
| 15 | 574 | Christopher DAVIDSON | Colorado State | 25:29. | 2:28 | HND |
| 16 | 582 | Gerald CUZICK | Paralyzed Veterans Racing | 26:11. | 3:10 | HND |
| 17 | 585 | Jason CANNON | Team PossAbilities | 23:46. | s.t. | HND |
| 18 | 586 | Emanuel HERRERA | Paralyzed veterans racing | 25:09. | 2:08 | HND |
| 19 | 587 | Solomon REVILS | Paralyzed American Veterans | 26:01. | 3:00 | HND |
| 20 | 588 | Barry WILCOX | PossAbilities | 23:06. | s.t. | HND |
| DNS | 577 | Christopher SPROULE | Team PossAbilities | | | HND |
| DNS | 584 | Francis REILLY | Team Semper Fi | | | HND |
| DNS | 591 | Marie-Eve CROTEAU | Team Canada | | | HND |
| DNS | 592 | Matthew KINNIE | Team Canada | | | HND |
