Knee Conditions

Diagnostic Codes 5256–5261 • 38 CFR § 4.71a

Separate ratings are often allowed on the same knee (flexion, extension, instability)—not pyramiding when distinct functional losses are shown.

DC range

5256–61

Knee Ratings at a Glance (2024 $, veteran alone)

Examples below use common DCs—5260 flexion, 5261 extension, 5257 instability. Your decision may list different codes for meniscus, ankylosis, or replacement residuals.

30%

Flexion ≤30° (DC 5260)

$524/mo

20%

Flexion ≤45°

$338/mo

10%

Flexion ≤60° / painful motion

$171/mo

10–30%

Instability (5257) — occasional to frequent

$171–524/mo

10–50%

Extension limitation (5261) by angle

$171–$1,075/mo

Bilateral factor: When both knees have qualifying ratings, VA combines them then adds an extra proportional amount—often a meaningful bump to combined %.

📖
View Official DC 5256 Reference Page

Complete regulatory criteria, CFR citations, and official rating notes for knee conditions

Three Compensation Scenarios

SCENARIO 1

Stacked ratings — one knee

Example: Flexion 30% + extension 10% + instability 10% on the same knee (illustrative).

5260 flexion (30%)$524/mo tier
5261 extension (10%)separate eval
5257 instability (10%)separate eval

Combined VA math ≈ low–mid 40% range → roughly $600–855/mo band (verify with calculator).

SCENARIO 2

Bilateral knees

Example: 20% right knee + 20% left knee + bilateral factor.

Combined + bilateral

~40%

Approx. monthly

$755–855/mo

Exact % depends on combined calculation order.

SCENARIO 3

Knee + spine + mental health

Knee(s) (example 30%)MSK
Lumbar strain (20%)Gait-related secondary
Depression (50%)Chronic pain

Combined often reaches 70–90% territory depending on exact percentages—use the Rating Calculator.

Evidence Requirements

Goniometer ROM

Separate measurements for flexion and extension; stop at pain.

Stability testing

Drawer/Lachman/varus-valgus stress—positive findings support 5257 when documented.

Imaging & surgical notes

MRI for meniscus/ACL; operative reports if applicable.

Bracing / assistive devices

Prescriptions for hinged braces, cane, or PT restrictions.

Lay statements

Buckling, swelling after activity, inability to kneel or run.

Common Secondary Conditions

🦵 Opposite knee

STRONG

5260Compensatory loading

🦴 Hip strain

STRONG

5252Gait change from knee pain

🫳 Lumbar strain

STRONG

5237Limping and pelvic tilt

🦶 Ankle strain

MODERATE

5271Altered weight-bearing

🧠 Depression

MODERATE

9434Chronic pain / mobility loss

⚙️ TKR residuals

STRONG

5256+Post–1-year rating on residuals

Claim Timeline

1

Gather evidence

STR, imaging, PT notes, brace prescriptions

2

File 526EZ

Claim each knee separately if needed; list instability

3

C&P orthopedics

Confirm flexion, extension, and stability tests

4

Decision

Check for missing stacked ratings

5

Secondaries

Hip, back, opposite knee, depression as supported

What Gets You Higher Ratings

10% → 20–30%

Show flexion at or below 45°/30° or document extension deficit with measured angles—not estimates.

Add instability

If ligaments are loose and the knee gives way, a separate 5257 evaluation may apply on top of ROM.

Both knees

Service-connect both sides when applicable—bilateral factor increases combined compensation.

Common Mistakes

Only one rating for one knee

Miss flexion + extension + instability when each is supported.

No instability exam

If you report buckling, the exam should address ligament tests.

Ignoring bilateral factor

If both knees are SC, ensure the factor is applied.

TKR timing

After total knee replacement, understand the 1-year convalescence and residual rules.

FAQs

Can I get three ratings on one knee?

Often yes—when the evidence shows distinct limitation of flexion, limitation of extension, and instability without improper pyramiding. Final codes are fact-specific.

How does the bilateral factor work?

After combining bilateral knee ratings, VA adds a percentage of the combined value—this is not the same as adding two ratings arithmetically.

What about knee replacement?

TKR generally has a temporary 100% window after surgery for a prescribed period, then residuals are rated— often not less than certain minimums per schedule. See your decision and § 4.71a notes.

DC Reference & Tools

Official criteria (selected)

Official VA rating criteria — Knee (selected codes)

DCs 5256–5261 cover flexion, extension, instability, and meniscus disabilities. You may qualify for more than one rating for the same knee when the schedule allows (for example flexion plus instability).

RatingVA criteria (selected examples)Key evidence at this level
30%Extension: knee cannot straighten past 20 degrees. Instability: marked (frequent giving out)—when rated under the instability code with severe findings.Goniometer showing severe extension limitation; orthopedic notes on instability and brace use.
20%Flexion limited to 45 degrees and/or extension cannot straighten past 15 degrees—per the applicable motion code’s row in § 4.71a.Documented ROM restriction in flexion or extension on exam.
10%Flexion limited to 60 degrees and/or painful motion warranting the minimum compensable rating for the joint.Moderate flexion limitation or painful motion documented on C&P exam.
0%Limitation of motion not meeting compensable thresholds, without qualifying painful motion.Service connection may still exist below 10%.

Source: 38 CFR § 4.71a — Diagnostic Codes 5256–5261 (read full rows for each code).

⚠️ Important Disclaimer

This page provides general educational information only based on public VA regulations (38 CFR) and va.gov resources. It is not legal, medical, or claims assistance. Ratings and service connections are decided case-by-case by the VA based on the individual veteran’s evidence. We do not prepare claims, generate documents, or provide personalized advice. Always consult a VA-accredited Veterans Service Organization (VSO), attorney, or your physician for help with your specific situation. Verify the latest rules on va.gov.