Amputation with Loss of Pelvic Girdle Muscles — VA Disability Rating (DC 5160)
Diagnostic Code 5160 · 38 CFR §4.71a
What Is It?
Hip disarticulation or hemipelvectomy — amputation with loss of the intrinsic pelvic musculature. 38 CFR 4.71a puts these in DC 5160, "Thigh, amputation of: Complete amputation, lower extremity": 90 percent for disarticulation, which removes the femur and the intrinsic pelvic musculature only, and 100 percent for trans-pelvic amputation, which also removes a portion of the pelvic bones. A note directs that residuals involving other body systems — bowel impairment, bladder impairment — be evaluated separately under their own codes. The number 5163, kept in this page's URL, is the schedule's entry for a leg amputation with a defective stump where thigh amputation is recommended, 60 percent.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Trans-pelvic amputation — complete removal of the femur and intrinsic pelvic musculature along with any portion of the pelvic bones. Footnoted as also entitling the veteran to special monthly compensation. |
| 90% | Disarticulation — complete removal of the femur and intrinsic pelvic musculature only. 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 5160 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.