VA BENEFITS REFERENCE
DC 5257: Knee, Other Impairment Of
Read VA diagnostic code 5257 for Knee, other impairment of: published criteria, regulatory notes, related codes and official sources checked October 25, 2026.
Published criteria from 38 CFR 4.71a, current through 2026-10-22. Historical decisions may require a different version. This reference does not diagnose a condition or determine an evaluation.
The Musculoskeletal System · All Diagnostic Codes
DC 5257: Knee, Other Impairment Of
Diagnostic code 5257 addresses Knee, other impairment of. Read its specific instructions together with any shared formula, notes and linked provisions. These criteria describe evaluation after the applicable entitlement requirements are met; this reference does not diagnose a condition or determine a claim.
| Rating | |
|---|---|
| 5257 Knee, other impairment of: | |
| Recurrent subluxation or instability: | |
| Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (e.g., cane(s), crutch(es), walker) and bracing for ambulation | 30 |
| One of the following: | |
| (a) Sprain, incomplete ligament tear, or repaired complete ligament tear causing persistent instability, and a medical provider prescribes a brace and/or assistive device (e.g., cane(s), crutch(es), walker) for ambulation. | |
| (b) Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes either an assistive device (e.g., cane(s), crutch(es), walker) or bracing for ambulation | 20 |
| Sprain, incomplete ligament tear, or complete ligament tear (repaired, unrepaired, or failed repair) causing persistent instability, without a prescription from a medical provider for an assistive device (e.g., cane(s), crutch(es), walker) or bracing for ambulation | 10 |
| Patellar instability: | |
| A diagnosed condition involving the patellofemoral complex with recurrent instability after surgical repair that requires a prescription by a medical provider for a brace and either a cane or a walker | 30 |
| A diagnosed condition involving the patellofemoral complex with recurrent instability after surgical repair that requires a prescription by a medical provider for one of the following: A brace, cane, or walker | 20 |
| A diagnosed condition involving the patellofemoral complex with recurrent instability (with or without history of surgical repair) that does not require a prescription from a medical provider for a brace, cane, or walker | 10 |
| Note (1): For patellar instability, the patellofemoral complex consists of the quadriceps tendon, the patella, and the patellar tendon. | |
| Note (2): A surgical procedure that does not involve repair of one or more patellofemoral components that contribute to the underlying instability shall not qualify as surgical repair for patellar instability (including, but not limited to, arthroscopy to remove loose bodies and joint aspiration). |
What The Criteria Measure
- Does the decision identify diagnostic code 5257, and does the medical record describe the condition named by this code?
- Do records identify the treatment, procedure and relevant dates that the provision actually distinguishes?
- Have the code-specific notes and cross-references been read before comparing any listed evaluation?
Related Public DBQs
Editorial subject matches, not official VA code-to-form assignments. Read the form scope and clinician instructions.
Shared Rules And Regulatory Context
- 38 CFR 4.71a Context And Notes
- 38 CFR 4.40 Context And Notes
- 38 CFR 4.41 Context And Notes
- 38 CFR 4.42 Context And Notes
- 38 CFR 4.43 Context And Notes
- 38 CFR 4.44 Context And Notes
- 38 CFR 4.45 Context And Notes
- 38 CFR 4.46 Context And Notes
- 38 CFR 4.57 Context And Notes
- 38 CFR 4.58 Context And Notes
- 38 CFR 4.59 Context And Notes
- 38 CFR 4.61 Context And Notes
- 38 CFR 4.62 Context And Notes
- 38 CFR 4.63 Context And Notes
- 38 CFR 4.64 Context And Notes
- 38 CFR 4.66 Context And Notes
- 38 CFR 4.67 Context And Notes
- 38 CFR 4.68 Context And Notes
- 38 CFR 4.69 Context And Notes
- 38 CFR 4.70 Context And Notes
- 38 CFR 4.71 Context And Notes
Context provisions do not create an additional evaluation automatically assigned to every condition.
Related Guides
Official Sources
Last verified 2026-10-25. Source publication or legal effective dates are shown separately where available.
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.71a
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.40
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.41
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.42
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.43
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.44
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.45
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.46
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.57
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.58
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.59
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.61
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.62
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.63
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.64
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.66
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.67
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.68
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.69
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.70
- www.ecfr.gov/current/title-38/chapter-I/part-4/section-4.71
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