Anatomical Loss of Both Legs at Knee — VA Disability Rating (DC 5107)
Diagnostic Code 5107 · 38 CFR §4.71a
What Is It?
Amputation of both legs at the knee or above. Every such amputation is anatomical loss of the foot, so the schedular evaluation is DC 5107 — "Anatomical loss of both feet" — at 100 percent under 38 CFR 4.71a. What changes with the level of amputation is the special monthly compensation rate, not the 100 percent schedular evaluation. The number 5106, kept in this page's URL, is the schedule's entry for anatomical loss of both hands.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Anatomical loss of both feet, which a bilateral amputation at or above the knee satisfies. DC 5107 assigns 100 percent, footnoted as also entitling the veteran to special monthly compensation. |
Evidence Needed
Service treatment records or VA medical records documenting the amputation. Operative reports if surgical. Documentation of the specific amputation level. Prosthetic evaluation records. For traumatic amputations, line of duty determination and incident documentation.
C&P Exam Tips
- Ensure the examiner documents the exact level of amputation
- Report any residual limb complications such as phantom pain, neuromas, or skin breakdown
- Describe prosthetic use limitations and fit problems if applicable
- Mention if dominant or non-dominant extremity is affected
How to File
File under DC 5107 with documentation of the amputation level. Include operative reports, prosthetic fitting records, and evidence of any residual limb complications. Ensure your claim specifies dominant vs non-dominant extremity when applicable. File secondary claims for phantom pain, mental health conditions, and compensatory musculoskeletal issues separately.
Common Mistakes
Not claiming Special Monthly Compensation (SMC) which is a separate entitlement on top of the disability rating. Failing to file for secondary conditions like phantom pain or depression. Not documenting prosthetic complications that may warrant additional ratings. Not specifying dominant vs non-dominant extremity when applicable.
Frequently Asked Questions
What is Special Monthly Compensation (SMC) for amputations?
SMC is additional monthly compensation paid on top of your regular disability rating. SMC(k) applies to anatomical loss or loss of use of a hand, foot, or creative organ. Higher SMC levels apply for combinations of losses or when aid and attendance is needed. SMC is not automatic — ensure it is specifically claimed.
Does the VA provide prosthetic devices?
Yes. Veterans with service-connected amputations are entitled to VA prosthetic services at no cost, including initial fitting, replacements, repairs, and upgrades to newer technology. This includes microprocessor knees, myoelectric upper extremity prosthetics, and specialized devices.
Can I get TDIU with an amputation rating?
Yes. If your amputation rating (alone or combined with other disabilities) prevents you from maintaining substantially gainful employment, you may qualify for Total Disability based on Individual Unemployability (TDIU), which pays at the 100% rate even if your combined rating is lower.