Leg, limitation of extension of
Leg, limitation of extension of is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5261, from 0% to 50% based on the frequency and functional severity of symptoms. The maximum 50% rating requires: Extension limited to 45°. Most claims establish the 0% or 10% rating before reaching the top tier.
What are the VA rating criteria for Leg, limitation of extension of?
Extension limited to 5°
Note: Normal knee extension is 0 degrees (fully straight). DC 5261 applies to limitations in extension (inability to fully straighten the knee). Extension loss is often more functionally limiting than flexion loss.
Extension limited to 10°
Extension limited to 15°
Extension limited to 20°
Extension limited to 30°
Extension limited to 45°
Note: Extension limited to 45 degrees is the maximum rating for DC 5261. At this level, the knee is locked in a significantly flexed position, causing substantial gait abnormality and functional impairment.
“Extension limited to 20°”
Common Questions About Leg, limitation of extension of VA Ratings
What is the VA rating range for Leg, limitation of extension of?
The VA rates Leg, limitation of extension of under Diagnostic Code 5261 at 0%, 10%, 20%, 30%, 40%, 50%. The minimum 0% rating requires: Extension limited to 5°. The maximum 50% rating requires: Extension limited to 45°.
Which 38 CFR diagnostic code does the VA use for Leg, limitation of extension of?
The VA rates Leg, limitation of extension of under Diagnostic Code (DC) 5261, governed by 38 CFR 38 CFR § 4.71a. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
What is the difference between a 0% and a 50% rating for Leg, limitation of extension of?
A 0% rating requires: Extension limited to 5°. A 50% rating requires: Extension limited to 45°. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Leg, limitation of extension of qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Leg, limitation of extension of may qualify for TDIU if the condition — alone or in combination with other service-connected disabilities — prevents substantially gainful employment. A single disability rated at 60% or higher (or multiple disabilities combining to 70%, with one at 40%) can support a TDIU claim under 38 CFR § 4.16.
What evidence do I need to establish service connection for Leg, limitation of extension of?
Service connection for Leg, limitation of extension of requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease, and (3) a medical nexus linking the current diagnosis to that in-service occurrence. A nexus letter from a treating or independent medical examiner is the most reliable nexus evidence.
What is the C&P exam like for Leg, limitation of extension of?
A Compensation & Pension (C&P) exam for Leg, limitation of extension of uses a Disability Benefits Questionnaire (DBQ) specific to the body system involved. The examiner documents the frequency, severity, and functional impact of your symptoms. Bring all relevant treatment records and be prepared to describe your worst-day symptoms — the examiner rates your condition based on the full clinical picture, not a single visit.
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