Tarsal or Metatarsal Bone Malunion VA Disability Rating
Diagnostic Code 5283 · 38 CFR §4.71a
What Is It?
The tarsal and metatarsal bones make up the architecture of the midfoot and forefoot. When these bones fracture and heal in an incorrect position, it changes the shape and mechanics of the foot. Malunion or nonunion of these bones alters weight distribution, creates painful pressure points, and makes walking on any surface uncomfortable. These injuries commonly result from crushing injuries, blast events, vehicle accidents, or heavy objects falling on the foot during military service.
Rating Criteria
| Rating | Criteria |
|---|---|
| 30% | Malunion or nonunion with severe symptoms. |
| 20% | Malunion or nonunion with moderately severe symptoms. |
| 10% | Malunion or nonunion of the tarsal or metatarsal bones with moderate symptoms. |
Evidence Needed
- Imaging showing the malunion or nonunion of the affected bones
- Medical records documenting the original injury and treatment
- Functional assessment of walking and weight-bearing ability
- Records of orthotics or specialized footwear prescribed
- Statements describing pain patterns and activity limitations
C&P Exam Tips
- Bring current imaging showing the bone alignment
- Describe pain locations and whether they correspond to the malunion site
- Report your maximum standing and walking tolerance
- Show any visible foot deformity or abnormal wear patterns on your shoes
- Mention all treatments including orthotics, injections, and surgical consultations
How to File
File under DC 5283 with imaging evidence of the malunion or nonunion and documentation of symptom severity. The rating depends on whether symptoms are moderate, moderately severe, or severe, so thoroughly document all functional limitations.
Common Mistakes
Not providing current imaging — old films from the original injury may not reflect the current condition Failing to thoroughly document symptom severity, which determines the rating level Not claiming secondary arthritis that develops at adjacent joints due to altered foot mechanics Missing the opportunity to rate the condition as a foot injury under DC 5284 if that code would provide a higher rating
Frequently Asked Questions
What is the difference between moderate, moderately severe, and severe?
These are clinical judgments based on the overall impact. Moderate symptoms cause noticeable pain and some activity limitations. Moderately severe symptoms significantly limit walking and standing. Severe symptoms cause major disability in daily function. Detailed documentation of all your limitations helps the examiner make the right determination.
Can multiple broken metatarsals be rated separately?
Generally no. Multiple tarsal or metatarsal bone problems in the same foot are rated together under DC 5283 based on the overall severity rather than individually per bone.