What happens during a C&P exam for Avascular Necrosis (Other Joints)?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.

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Avascular Necrosis (Other Joints)

Q: What are the VA rating percentages for Avascular Necrosis (Other Joints)?

Avascular Necrosis (Other Joints) (DC 5299) is rated at 0% under 38 CFR § 4.71a, DC 5299. Per § 4.20: rate under the affected joint DC. Common: DC 5252 hip flexion limited (10-40%) + DC 5253 hip abduction/rotation (10-20%) for femoral head AVN with collapse; DC 5202 humerus impairment (20-80%) for humeral head AVN; DC 5215 wrist LOM for lunate AVN (Kienbock); DC 5271 ankle LOM for talar AVN. Combine with DC 5003 for arthritis residuals per § 4.25.

Q: What rates 0% for Avascular Necrosis (Other Joints) under 38 CFR § 4.71a, DC 5299?

Under 38 CFR § 4.71a, DC 5299 (DC 5299), a 0% rating for Avascular Necrosis (Other Joints) requires: Per § 4.20: rate under the affected joint DC. Common: DC 5252 hip flexion limited (10-40%) + DC 5253 hip abduction/rotation (10-20%) for femoral head AVN with collapse; DC 5202 humerus impairment (20-80%) for humeral head AVN; DC 5215 wrist LOM for lunate AVN (Kienbock); DC 5271 ankle LOM for talar AVN. Combine with DC 5003 for arthritis residuals per § 4.25.

Q: What evidence do I need for a Avascular Necrosis (Other Joints) VA claim?

Key evidence for a Avascular Necrosis (Other Joints) claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 5299 | 38 CFR § 4.71a, DC 5299 | 

✓ VERIFIED AGAINST 38 C.F.R.§ 4.71a (Musculoskeletal system) · reviewed 2026-05-27 · ClaimRecon Editorial Team

Avascular Necrosis (Other Joints) is rated by the U.S. Department of Veterans Affairs under DC 5299 of 38 CFR § 4.71a, DC 5299 across 1 severity tier (0%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

OVERVIEW

Death of bone tissue from disrupted blood supply in joints such as the knee, shoulder, or ankle, leading to joint collapse and arthritis

RATING CRITERIA (1 LEVELS)

Per § 4.20: rate under the affected joint DC. Common: DC 5252 hip flexion limited (10-40%) + DC 5253 hip abduction/rotation (10-20%) for femoral head AVN with collapse; DC 5202 humerus impairment (20-80%) for humeral head AVN; DC 5215 wrist LOM for lunate AVN (Kienbock); DC 5271 ankle LOM for talar AVN. Combine with DC 5003 for arthritis residuals per § 4.25.

KEY EVIDENCE TO GATHER

-Service treatment records showing injury or complaints

-Imaging (X-ray, MRI, CT)

-Range of motion measurements

-Flare-up documentation per Sharp v. Shulkin

-Buddy statements describing limitations

-Prescription history

-Physical therapy records

-Employment impact documentation

C&P EXAM TIPS (6)

1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5.If you use assistive devices (brace, cane), bring them.

6.Describe daily activity impact: work, sleep, household tasks.

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SOURCES & EDITORIAL

Rating criteria text quoted verbatim from 38 C.F.R. § 4.71a (Musculoskeletal system). Source verified 2026-05-27 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

→ View § 4.71a on eCFR → Cornell Law mirror → Editorial Standards → Suggest a correction

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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