Flat Feet (Pes Planus)
Flat feet are rated under 38 CFR § 4.71a, Diagnostic Code 5276. The VA rates bilateral (both feet) and unilateral (one foot) flat feet differently, and focuses on the severity of symptoms and whether orthotics help.
VA Rating Levels
Mild: symptoms relieved by built-up shoe or arch support.
Moderate: weight-bearing line over or medial to the great toe, inward bowing of the Achilles tendon, pain on manipulation and use of the feet. (Bilateral — both feet.)
Severe (bilateral): objectve evidence of marked deformity (pronation, abduction), pain on use, indication of swelling on use, characteristic callosities. These are feet that clearly look and feel abnormal.
Pronounced (bilateral): marked pronation, extreme tenderness of plantar surfaces, marked inward displacement and severe spasm of the Achilles tendon on use, not improved by orthopedic shoes or appliances. Your orthotics don't help and the pain is severe. Maximum rating.
Exam Tips & Key Evidence
- →Military service is hard on feet — this is a very common and very claimable condition
- →Flat feet can be secondary to knee or back conditions (altered gait)
- →Plantar fasciitis is often associated with flat feet and may be rated separately or together
- →If orthotics DON'T help, make sure to tell the examiner — that's a key criterion for higher ratings
Commonly Related Conditions
38 CFR Reference
38 CFR § 4.71a, Diagnostic Code 5276