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Diagnostic codes 5250, 5251, 5252, 5253, 5254, 5255

How the VA Rates Hip Conditions

The plain-English version of the 38 CFR § 4.71a, DC 5054 (hip replacement), 5250-5255 criteria a VA rater evaluates Hip Conditions against, with the 2026 monthly rate at each level. A reference to what the regulation describes — never a prediction of any rating.

38 CFR § 4.71a, DC 5054 (hip replacement), 5250-5255

Hip Conditions · 10 levels

  1. 100%$3,938.58a month
  2. 90%$2,362.30a month
  3. 80%$2,102.15a month
  4. 70%$1,808.45a month
  5. 60%$1,435.02a month
  6. 50%$1,132.90a month
  7. 40%$795.84a month
  8. 30%$552.47a month
  9. 20%$356.66a month
  10. 10%$180.42a month

2026 VA rates (effective December 1, 2025), veteran alone, as the only rated condition. VA decides the level.

Key facts

Regulation
38 CFR § 4.71a, DC 5054 (hip replacement), 5250-5255
Diagnostic codes
5250, 5251, 5252, 5253, 5254, 5255
Levels in the schedule
10% · 20% · 30% · 40% · 50% · 60% · 70% · 80% · 90% · 100%
Top level (100%) pays
$3,938.58/month2026, veteran alone

The rating levels

Criteria paraphrased from 38 CFR § 4.71a, DC 5054 (hip replacement), 5250-5255 for readability. Monthly amounts are the 2026 rate (effective December 1, 2025) for a veteran with no dependents if this were the only rated condition — dependents add more, and multiple conditions combine under the VA’s own math.

  1. 100%

    $3,938.58/month

    DC 5054: For 4 months following implantation of a hip prosthesis or resurfacing.

    Examples from this level’s criteria

    • Hip replacement or resurfacing — first 4 months after surgery
  2. 90%

    $2,362.30/month

    DC 5250: Unfavorable, extremely unfavorable ankylosis, the foot not reaching ground, crutches necessitated (also review for special monthly compensation). OR DC 5054: Following implantation of prosthesis with painful motion or weakness such as to require the use of crutches.

    Examples from this level’s criteria

    • Hip fused so badly the foot does not reach the ground — crutches required
    • After hip replacement, pain or weakness requires crutches
  3. 80%

    $2,102.15/month

    DC 5254: Flail hip joint. OR DC 5255: Fracture of shaft or anatomical neck of the femur with nonunion, with loose motion (spiral or oblique fracture).

    Examples from this level’s criteria

    • Flail (unstable, uncontrolled) hip joint
    • Femur nonunion with loose motion
  4. 70%

    $1,808.45/month

    DC 5250: Intermediate ankylosis of the hip. OR DC 5054: Markedly severe residual weakness, pain, or limitation of motion following implantation of a hip prosthesis.

    Examples from this level’s criteria

    • Hip fused in a position between favorable and unfavorable
    • Markedly severe residuals after hip replacement
  5. 60%

    $1,435.02/month

    DC 5250: Favorable ankylosis of the hip, in flexion at an angle between 20° and 40°, and slight adduction or abduction. OR DC 5255: Fracture of shaft or anatomical neck of the femur with nonunion, without loose motion, weight bearing preserved with aid of brace; or fracture of surgical neck with false joint.

    Examples from this level’s criteria

    • Hip fused in a favorable position (20°–40° of flexion)
    • No hip motion at all
  6. 50%

    $1,132.90/month

    DC 5054: Moderately severe residuals of weakness, pain, or limitation of motion after hip replacement.

    Examples from this level’s criteria

    • Moderately severe weakness, pain, or motion loss after hip replacement
  7. 40%

    $795.84/month

    DC 5252: Thigh flexion limited to 10°.

    Examples from this level’s criteria

    • Hip barely bends (10° or less)
  8. 30%

    $552.47/month

    DC 5252: Thigh flexion limited to 20°. OR DC 5054: Minimum evaluation after total hip replacement (total replacement only — there is no minimum for resurfacing).

    Examples from this level’s criteria

    • Cannot bend the hip past 20°
    • Total hip replacement, after the 4-month 100% period
  9. 20%

    $356.66/month

    DC 5252: Thigh flexion limited to 30°. OR DC 5253: Limitation of abduction, motion lost beyond 10°.

    Examples from this level’s criteria

    • Cannot bend the hip past 30°
    • Cannot move the leg out to the side more than 10°
    • Antalgic gait
  10. 10%

    $180.42/month

    DC 5252: Thigh flexion limited to 45°. OR DC 5251: Thigh extension limited to 5°. OR DC 5253: Limitation of adduction, cannot cross legs. OR DC 5253: Limitation of rotation, cannot toe-out more than 15° (affected leg).

    Examples from this level’s criteria

    • Hip stiffness and pain with walking
    • Cannot flex hip past 45 degrees (difficulty with stairs, bending)
    • Cannot cross legs, or cannot turn the foot outward more than 15°

The listed symptoms are examples that appear in each level’s criteria — not a checklist that earns a percentage. Raters apply the criteria as a whole.

The evidence that matters most

Goniometer measurements of hip (thigh) flexion from the treating provider — degrees matter

C&P exam tips for Hip Conditions

  1. 1All planes of hip motion must be measured: flexion, extension, abduction, adduction, internal rotation, external rotation.
  2. 2Describe how the hip affects walking distance, going up/down stairs, getting in and out of vehicles.
  3. 3After a hip replacement, DC 5054 gives 100% for 4 months after implantation; after that, residuals are rated at 90%, 70%, or 50%, with a 30% minimum for a total replacement (no minimum for resurfacing, which is then rated under DC 5250–5255).
  4. 4Mention associated conditions: avascular necrosis, trochanteric bursitis, radiculopathy.

Common mistakes on Hip Conditions claims

  • Not documenting gait abnormalities — the examiner should observe you walking.
  • Forgetting to claim associated secondary conditions (bursitis, contralateral hip, lumbar spine changes).

Frequently asked questions

What diagnostic code does the VA use for Hip Conditions?

Hip Conditions is rated under 38 CFR § 4.71a, DC 5054 (hip replacement), 5250-5255 — diagnostic codes 5250, 5251, 5252, 5253, 5254, 5255.

What is the highest schedular VA rating for Hip Conditions?

100% is the highest level in the rating schedule for Hip Conditions. The criteria at that level describe: DC 5054: For 4 months following implantation of a hip prosthesis or resurfacing.

How much does a 100% VA rating for Hip Conditions pay in 2026?

$3,938.58 per month, tax-free, for a veteran with no dependents (rates effective December 1, 2025) — more with a spouse, children, or dependent parents. If you have other rated conditions, the VA combines ratings using its own math rather than adding them.

Build your Hip Conditions claim documentation

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Educational information about the rating schedule — not legal or medical advice, never a prediction or promise of any rating, and not affiliated with the VA.

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