Osteomyelitis (Bone Infection)
Osteomyelitis is rated under Diagnostic Code 5000 based on the severity and activity of the infection. This is one of the rare exceptions to the pyramiding rule; the veteran IS allowed to have a rating for the bone infection, any loss of range of motion (or if the joint is frozen), and shortening of the leg, if applicable. However, the veteran is still subject to the amputation rule unless they receive a singular rating of 60% or higher for the bone infection itself. If the affected bone is successfully treated and there are no further infections, the veteran will lose their rating for bone infection and be rated on any residuals.
VA Rating Levels
Infections have been inactive for no more than 5 years and there is a medical history of repeated episodes.
Active infection within the past 5 years.
New bone growth outside the infected bone or a piece of dead bone has broken off the main skeleton.
Frequent episodes of infection with many severe symptoms.
Infection involves the pelvis, vertebrae, or extends into major joints, or multiple locations with a long history and inability to function, anemia, or other continuous constitutional symptoms.
Exam Tips & Key Evidence
- →This is actually one of the rare exceptions to the pyramiding rule. You can hold separate ratings for the bone infection, loss of range of motion, and leg shortening all at the same time.
- →If the infection is successfully treated and doesn't come back, you'll lose the bone infection rating and be rated on whatever residual effects remain.
- →A rating of 60% or higher for the infection itself exempts you from the amputation rule.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.71a, Diagnostic Code 5000