Musculoskeletal System§ 4.71aUpdated
Rating criteria

VA Diagnostic Code 5164Amputation not improvable by prosthesis controlled by natural knee action

A single 60% rating under § 4.71a. Here is what the VA requires for it.

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  1. 60%

    Amputation not improvable by prosthesis controlled by natural knee action

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • 2 Also entitled to special monthly compensation.

Amputation Not Improvable by Prosthesis Controlled by Natural Knee Action

Diagnostic Code 5164 · Musculoskeletal System · 38 CFR § 4.71a

Understanding This Condition

This VA rating covers a leg amputation where the residual limb cannot be improved by a prosthesis that is controlled by natural knee action. In practical terms, this refers to amputations severe enough that the natural function of the knee cannot be used to operate a prosthetic device.

Because this rating falls under the Musculoskeletal System, it is evaluated according to the standards set out in 38 CFR § 4.71a.

Available Rating Level

The VA rating schedule provides the following level for this condition:

RatingCriteria
60%Amputation not improvable by prosthesis controlled by natural knee action

What the VA Looks For

When evaluating a claim under Diagnostic Code 5164, the VA focuses on whether the amputation is one that cannot be improved by a prosthesis controlled by natural knee action. Meeting this criterion supports the assignment of the 60% rating shown above.

Additional Note

An amputation rated under this code may also entitle a veteran to special monthly compensation (as indicated in the rating schedule notes).


This information is drawn directly from the VA rating schedule under 38 CFR § 4.71a. It is provided for general educational purposes and does not guarantee any particular rating outcome.

These criteria are a rendering of § 4.71a, diagnostic code 5164. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 5164 and attach the evidence for the level you are asking for. Other Musculoskeletal System codes may cover your secondary conditions.

Find out which rating your evidence supports.

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