Knee VA disability:
ratings, evidence and next steps.
Understand the rating criteria, organize supporting records, and find official help with your claim.
GrantsHubUSA · Independent editorial guide
- Diagnostic code
- DC 5257, 5260, 5261
- Rating framework
- 38 CFR § 4.71a
- Key consideration
- Instability and range of motion
Overview
How VA evaluates knee conditions.
VA can rate different knee problems under separate codes when they describe different losses: instability (DC 5257), limited bending or flexion (DC 5260), and limited straightening or extension (DC 5261).
Since 2021, instability ratings depend on the type of ligament injury and whether a provider prescribed a brace or an assistive device such as a cane.
A diagnosis alone does not establish a particular rating.
Knee rating criteria, at a glance.
Limited motion levels under DC 5260 and DC 5261.
| Rating | Criteria in brief |
|---|---|
| 0% | Flexion limited to 60 degrees, or extension limited to 5 degrees. |
| 10% | Flexion limited to 45 degrees, or extension limited to 10 degrees. |
| 20% | Flexion limited to 30 degrees, or extension limited to 15 degrees. |
| 30% | Flexion limited to 15 degrees, or extension limited to 20 degrees. |
| 40% | Extension limited to 30 degrees. |
| 50% | Extension limited to 45 degrees. |
Instability (DC 5257) is rated 10% for persistent instability from a sprain or ligament tear with no brace or assistive device prescribed, and 20% when a brace or assistive device is prescribed (the exact rule depends on the type of tear).
It is rated 30% for an unrepaired or failed repair of a complete ligament tear when both an assistive device and bracing are prescribed. After a knee replacement (DC 5055), VA assigns 100% for 4 months, then rates the residuals, with a 30% minimum for a total replacement.
Source: 38 CFR § 4.71a, DC 5257, 5260, 5261
These summaries are not the full legal criteria or a self-assessment tool.VA decides the rating from the evidence. Read the full regulation text at the source link.
Build a clear evidence record.
- Knee examAn exam with flexion and extension measurements and stability testing.
- ImagingX-rays or an MRI showing ligament, meniscus or joint changes.
- PrescriptionsAny prescribed brace, cane, crutches or walker.
- Service treatment recordsAny in-service knee injury, complaint or surgery.
- Personal statementFlare-ups and limits on walking, stairs and daily activities.
Preparing for a C&P exam
- 1Follow the instructions in your appointment notice, and call the exam provider if you need to reschedule.
- 2Describe symptoms honestly, including how often they happen, how long they last, and changes over time.
- 3Explain the effects on work, relationships and everyday activities, including your worst days.
Common pitfalls to avoid.
- Unrecorded devicesMake sure any prescribed brace or cane is in your records.
- Missed appointmentsContact the exam provider before the date if you cannot attend.
- Only mentioning painDescribe instability, giving way and flare-ups, not just pain.
Questions about knee claims.
No. VA first decides whether the condition is service-connected, then rates it based on the evidence of how it affects you. A diagnosis alone does not set a rating.
VA compares the evidence, including the exam report and your records, with the criteria in 38 CFR § 4.71a. When the evidence falls between two levels, VA assigns the higher one if the disability more nearly matches it (38 CFR § 4.7).
Read your appointment notice, bring a list of medications and treatment, and be ready to describe how often symptoms happen, how long they last, and how they affect work, relationships and daily activities. If you cannot attend, contact the exam provider before the appointment.
VA's directory lists accredited attorneys, claims agents and Veterans Service Organization representatives. Help from a Veterans Service Organization is free.
Check the original guidance.
This guide explains published information. It does not replace medical care or advice from an accredited claims professional.
Make your next step a clear one.
Explore more conditions, or use the VA pay calculator to plan ahead.