Musculoskeletal System§ 4.71aUpdated
Rating criteria

VA Diagnostic Code 5275Bones, of the lower extremity, shortening of:

Rated from 10% to 60% under § 4.71a. Here is what the VA requires at each level.

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What each rating requires

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  1. 60%

    Over 4 inches (10.2 cms.)

  2. 50%

    3½ to 4 inches (8.9 cms. to 10.2 cms.)

  3. 40%

    3 to 3½ inches (7.6 cms. to 8.9 cms.)

  4. 30%

    2½ to 3 inches (6.4 cms. to 7.6 cms.)

  5. 20%

    2 to 2½ inches (5.1 cms. to 6.4 cms.)

  6. 10%

    1¼ to 2 inches (3.2 cms. to 5.1 cms.)

From the schedule

Notes on this code

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

  • Note: Measure both lower extremities from anterior superior spine of the ilium to the internal malleolus of the tibia. Not to be combined with other ratings for fracture or faulty union in the same extremity.
  • 3 Also entitled to special monthly compensation.

Shortening of the Bones of the Lower Extremity (Diagnostic Code 5275)

Musculoskeletal System · 38 CFR § 4.71a

Understanding This Condition

Shortening of the bones of the lower extremity refers to a measurable difference in leg length that can result from bone injuries or their effects. Under Diagnostic Code 5275, the VA rates this condition based on how much shortening is present, measured in inches (and centimeters).

Available Rating Levels

The VA assigns a disability rating according to the amount of shortening measured:

RatingAmount of Shortening
60%Over 4 inches (10.2 cms.)
50%3½ to 4 inches (8.9 cms. to 10.2 cms.)
40%3 to 3½ inches (7.6 cms. to 8.9 cms.)
30%2½ to 3 inches (6.4 cms. to 7.6 cms.)
20%2 to 2½ inches (5.1 cms. to 6.4 cms.)
10%1¼ to 2 inches (3.2 cms. to 5.1 cms.)

What the VA Looks For

  • How the measurement is taken: Both lower extremities are measured from the anterior superior spine of the ilium to the internal malleolus of the tibia.
  • How ratings are combined: This rating is not to be combined with other ratings for fracture or faulty union in the same extremity.
  • Special monthly compensation: Certain levels of shortening may also entitle a veteran to special monthly compensation.

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

These criteria are a rendering of § 4.71a, diagnostic code 5275. 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 5275 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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