Diagnostic Code 5276
Musculoskeletal - Foot
Bilateral Factor Applicable
Max Rating: 50%
VA Disability Rating Criteria for Flatfoot, Acquired (Pes Planus)
The Department of Veterans Affairs rates Flatfoot, Acquired (Pes Planus) under 38 CFR Book C (Diagnostic Code 5276). Compensation ratings are determined by the severity of functional impairment and objective medical evidence.
Title 38 CFR Statutory Rating Schedule
Source: eCFR Part 4| Rating | Required Diagnostic Symptoms & Severity |
|---|---|
| 50% | Pronounced (bilateral) — marked pronation, extreme tenderness of plantar surfaces, marked inward displacement, severe spasm of tendo achillis on manipulation, not improved by orthopedic shoes or appliances. |
| 30% | Severe (bilateral). |
| 20% | Severe (unilateral) — objective evidence of marked deformity, pain on manipulation, swelling on use, characteristic callosities. |
| 10% | Moderate — weight-bearing line over or medial to great toe, inward bowing of tendo achillis, pain on manipulation and use. Bilateral. |
| 0% | Mild — symptoms relieved by built-up shoe or arch support. |
Statutory Secondary Service Connections for Flatfoot, Acquired (Pes Planus)
Plantar Fasciitis (DC 5269)
Confidence: 90%
Loss of the medial longitudinal arch stretches and inflames the plantar fascia tissue.
Bilateral Knee Osteoarthritis (DC 5260)
Confidence: 85%
Overpronation from flat feet alters tibial rotation and medial knee compartment loading.
Shin Splints (DC 5262)
Confidence: 85%
Flat feet force the posterior tibialis muscle to overwork, causing tibial stress inflammation.
Lumbar Spine Strain (DC 5237)
Confidence: 80%
Loss of foot arch shock absorption transmits gait impact shock directly to lower back vertebrae.
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