Hip Conditions / Hip Replacement
Hip conditions are rated under 38 CFR § 4.71a. The primary diagnostic codes are 5251 (limited extension), 5252 (limited flexion), 5253 (limitation in adduction/abduction), and 5255 (femur impairment). After total hip replacement, there is a minimum 30% baseline rating.
VA Rating Levels
Painful motion with limited range. For limited flexion: flexion to 30 degrees. For limited extension: 10 degrees or less. Mild limitation that affects some activities.
Moderate limitation of all hip motion, or flexion limited to 20 degrees. Difficulty with climbing, bending, prolonged walking.
Marked limitation; flexion limited to 10 degrees. Significant impact on daily activities and ambulation.
Minimum rating after total hip replacement (if recovery is favorable/complete).
Unfavorable ankylosis of the hip (locked in a poor position). Severely limits all weight-bearing activity.
Exam Tips & Key Evidence
- →Hip pain can be secondary to back conditions or radiculopathy — document all related pain sources
- →Total hip replacement receives minimum 30% (favorable result) or higher
- →Bursitis of the hip (trochanteric bursitis) is separately ratable
- →Document impact on walking, stairs, and prolonged standing
Commonly Related Conditions
38 CFR Reference
38 CFR § 4.71a, Diagnostic Codes 5251–5255