Recurrent Subluxation or Lateral Instability of the Knee

The VA rates Recurrent Subluxation or Lateral Instability of the Knee under Diagnostic Code 5257 at 0%, 10%, 20%, 30%. The minimum 0% rating requires: Slight recurrent subluxation or lateral instability of the knee: Minimal, with only occasional buckling or giving way without significant functional impact.. The maximum 30% rating requires: Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (cane(s), crutch(es), walker) and bracing for ambulation e.g.,.

The VA rates Recurrent Subluxation or Lateral Instability of the Knee under Diagnostic Code (DC) 5257, governed by 38 CFR 38 CFR Part 4, DC 5257. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.

A 0% rating requires: Slight recurrent subluxation or lateral instability of the knee: Minimal, with only occasional buckling or giving way without significant functional impact.. A 30% rating requires: Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (cane(s), crutch(es), walker) and bracing for ambulation e.g.,. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.

Recurrent Subluxation or Lateral Instability of the Knee maxes at 30%, 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.

The key evidence for Recurrent Subluxation or Lateral Instability of the Knee 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.

Recurrent Subluxation or Lateral Instability of the Knee is associated with 1 documented secondary condition. Secondary conditions caused or aggravated by a service-connected disability are ratable under 38 CFR § 3.310. See the secondary conditions page for the full list with medical rationale and evidence strength ratings.

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5257 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.