Hip Conditions
Hip conditions are rated under Diagnostic Codes 5250-5255 based on limitation of range of motion, ankylosis, or other impairments. Ratings differ for various movements including flexion, extension, abduction, and adduction. The hip is classified as a major joint for arthritis rating purposes. Examiners and raters are required to consider flare-ups when measuring ROM.
VA Rating Levels
Limitation of extension to 5 degrees, or limitation of flexion to 45 degrees, or limitation of rotation (cannot toe-out more than 15 degrees on the affected leg).
Limitation of flexion to 30 degrees, or limitation of abduction (motion lost beyond 10 degrees).
Limitation of flexion to 20 degrees.
Limitation of flexion to 10 degrees.
Favorable ankylosis of the hip in flexion between 20 and 40 degrees with slight adduction or abduction.
Unfavorable ankylosis with extremely unfavorable position (foot not reaching ground) requiring crutches.
Exam Tips & Key Evidence
- →The hip counts as a major joint when it comes to arthritis rating purposes.
- →If you have a hip replacement (DC 5054), you'll receive a temporary 100% rating for one year after surgery, followed by a minimum 30% for the dominant side.
- →Be sure to tell the examiner about your flare-ups. They're required to estimate your worst-day range of motion.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.71a, Diagnostic Codes 5250-5255