What are the VA rating percentages for Avascular Necrosis of the Hip?

Avascular Necrosis of the Hip (DC 5250) is rated at 90%, 70%, 60% under 38 CFR § 4.71a, DC 5250. Unfavorable, extremely unfavorable ankylosis, the foot not reaching ground, crutches necessitated

What rates 90% for Avascular Necrosis of the Hip under 38 CFR § 4.71a, DC 5250?

Under 38 CFR § 4.71a, DC 5250 (DC 5250), a 90% rating for Avascular Necrosis of the Hip requires: Unfavorable, extremely unfavorable ankylosis, the foot not reaching ground, crutches necessitated

What rates 70% for Avascular Necrosis of the Hip under 38 CFR § 4.71a, DC 5250?

Under 38 CFR § 4.71a, DC 5250 (DC 5250), a 70% rating for Avascular Necrosis of the Hip requires: Intermediate

What rates 60% for Avascular Necrosis of the Hip under 38 CFR § 4.71a, DC 5250?

Under 38 CFR § 4.71a, DC 5250 (DC 5250), a 60% rating for Avascular Necrosis of the Hip requires: Favorable, in flexion at an angle between 20° and 40°, and slight adduction or abduction

What happens during a C&P exam for Avascular Necrosis of the Hip?

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.

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Avascular Necrosis of the Hip

Q: What evidence do I need for a Avascular Necrosis of the Hip VA claim?

Key evidence for a Avascular Necrosis of the Hip 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 525038 C.F.R. § 4.71a

Diagnostic Code

DC 5250

38 C.F.R. § 4.71a

Rating Range

60–90%

3 severity tiers

Source

Verified

38 C.F.R. § 4.71a

Avascular Necrosis of the Hip is rated by the U.S. Department of Veterans Affairs under DC 5250 of 38 CFR § 4.71a, DC 5250 across 3 severity tiers (90% / 70% / 60%). 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.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Death of bone tissue in the femoral head from disrupted blood supply, leading to progressive joint collapse and severe hip pain

Rating Criteria

90%

Unfavorable, extremely unfavorable ankylosis, the foot not reaching ground, crutches necessitated

70%

Intermediate

60%

Favorable, in flexion at an angle between 20° and 40°, and slight adduction or abduction

Key Evidence

—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

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

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

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

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

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

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

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.71a (Musculoskeletal system). Source verified 2026-06-04 by ClaimRecon Editorial Team 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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