Talus removal (astragalectomy)
The VA rates Talus removal (astragalectomy) under Diagnostic Code 5274 at a single 20% level. The applicable level depends on the full criteria and the evidence for the condition. These percentages are alternatives, not amounts to add together.
Catalog name: Astragalectomy.
Rating schedule — DC 5274 at a glance
- Minimum rating
- 20%
- Maximum rating
- 20%
- Rating tiers
- 1
- CFR section
- § 4.71a
- Body system
- Musculoskeletal System
- Secondary conditions
- 0
Lowest schedular rating available
TDIU may raise effective compensation to 100%
20%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Talus removal (astragalectomy)?
| Rating | Criteria |
|---|---|
| 20% | Astragalectomy |
“Astragalectomy”
What other musculoskeletal conditions does the VA rate?
These diagnostic codes sit next to Talus removal (astragalectomy) in 38 CFR Part 4. The rating schedule is ordered anatomically, so neighbouring codes usually cover the same joint, organ, or system, and a claim often involves more than one of them.
- 5269Plantar fasciitisRated up to 30%
- 5270Ankle, ankylosis ofRated up to 40%
- 5271Ankle, limited motion ofRated up to 20%
- 5272Subastragalar or tarsal joint, ankylosis ofRated up to 20%
- 5273Os calcis or astragalus, malunion ofRated up to 20%
- 5275Bones, of the lower extremity, shortening ofRated up to 40%
- 5276Flatfoot, acquiredRated up to 50%
- 5277Weak foot, bilateralRated up to 10%
- 5278Claw foot (pes cavus), acquiredRated up to 50%
- 5279Metatarsalgia, anterior (Morton's disease), unilateral, or bilateralRated up to 10%
Common Questions About Talus removal (astragalectomy) VA Ratings
What is the VA rating range for Talus removal (astragalectomy)?
The VA rates Talus removal (astragalectomy) under Diagnostic Code 5274 at 20%. The minimum 20% rating requires: Astragalectomy. The maximum 20% rating requires: Astragalectomy.
Which 38 CFR diagnostic code does the VA use for Talus removal (astragalectomy)?
The VA rates Talus removal (astragalectomy) under Diagnostic Code (DC) 5274, governed by 38 CFR 38 CFR § 4.71a. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
Can Talus removal (astragalectomy) qualify for TDIU?
Talus removal (astragalectomy) maxes at 20%, well below the single-disability TDIU threshold. However, combined with other service-connected disabilities, TDIU may be achievable under 38 CFR § 4.16. Focus on establishing secondary conditions to increase the combined rating.
What evidence supports a higher rating for Talus removal (astragalectomy)?
The key evidence for Talus removal (astragalectomy) is documentation of how the condition affects daily functioning. For musculoskeletal conditions, range of motion measurements (active, passive, weight-bearing, and non-weight-bearing per Correia v. McDonald) and flare-up documentation are critical. A nexus letter from a qualified medical professional linking the current severity to service is essential for contested claims.
What happens at the C&P exam for Talus removal (astragalectomy)?
The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5274 rating criteria. Expect range of motion testing in multiple positions. Under Correia v. McDonald, the examiner must test active, passive, weight-bearing, and non-weight-bearing range of motion. Report your worst flare-up symptoms — if you cannot attend during a flare, request the exam be rescheduled.
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