Musculoskeletal System§ 4.71aUpdated
Rating criteria

VA Diagnostic Code 5273Os calcis or astragalus, malunion of:

Rated from 10% to 20% under § 4.71a. Here is what the VA requires at each level.

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  1. 20%

    Marked deformity

  2. 10%

    Moderate deformity

Malunion of the Os Calcis or Astragalus (Diagnostic Code 5273)

Understanding VA Disability Ratings for a Malunited Heel or Ankle Bone


What This Condition Is

Diagnostic Code 5273 covers malunion of the os calcis or astragalus — two of the bones in the foot and ankle region. The os calcis is the heel bone (calcaneus), and the astragalus is the ankle bone (talus). "Malunion" refers to a bone that has healed in an improper position, typically following a fracture.

This condition falls under the Musculoskeletal System and is rated under § 4.71a of the VA rating schedule.


Available Rating Levels

The VA assigns a disability rating based on the degree of deformity in the affected bone:

RatingCriteria
20%Marked deformity
10%Moderate deformity

What the VA Looks For

When evaluating a malunion of the os calcis or astragalus, the VA focuses on the degree of deformity present in the healed bone:

  • A moderate deformity may qualify for a 10% rating.
  • A marked deformity may qualify for a 20% rating.

The distinction between these rating levels rests on how significant the deformity is in the affected heel or ankle bone.


This information is drawn from the VA rating schedule under § 4.71a, Diagnostic Code 5273. It is provided for general educational purposes and describes the rating criteria as written.

These criteria are a rendering of § 4.71a, diagnostic code 5273. 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 5273 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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