Thigh Extension Limitation VA Disability Rating
Diagnostic Code 5251 · 38 CFR §4.71a
What Is It?
Limitation of extension of the thigh means you cannot fully straighten your hip joint. Normal hip extension allows your leg to move backward about 20 to 30 degrees past the neutral standing position. When extension is limited to 5 degrees or less, it affects your ability to walk with a normal stride, stand upright comfortably, and perform activities that require reaching your leg behind you. This commonly results from hip injuries, arthritis, or surgical complications related to military service.
Rating Criteria
| Rating | Criteria |
|---|---|
| 10% | Extension of the thigh limited to 5 degrees. This is the only rating available under this code. |
Evidence Needed
- Range of motion measurements specifically documenting hip extension
- Medical records showing the cause of the extension limitation
- Imaging of the hip joint if available
- Statements describing how limited extension affects your gait and daily activities
- Documentation of pain during extension testing
C&P Exam Tips
- Make sure the examiner tests extension specifically, not just flexion
- Report any pain that occurs during the extension movement
- Describe how the limitation affects your walking stride and ability to stand straight
- Mention if symptoms worsen with repetitive use or during flare-ups
- If your limitation is worse than 5 degrees, ask about being rated under a different hip code that may provide a higher rating
How to File
File under DC 5251 if your hip extension is limited to 5 degrees or less. Since this code maxes out at 10 percent, consider whether your hip condition might be better rated under a different code such as DC 5252 for flexion limitation or DC 5253 for other hip impairment if those apply to your situation.
Common Mistakes
Not realizing this code only provides a 10 percent rating, when a different hip code might yield a higher rating Failing to ensure the examiner measures extension separately from flexion Not documenting how the limitation changes during flare-ups Missing secondary claims for back or opposite leg problems caused by altered gait
Frequently Asked Questions
Why is 10 percent the only rating for this condition?
DC 5251 is specifically for extension limitation and only has one rating level. If your hip has multiple types of motion loss, you may qualify for ratings under other hip diagnostic codes as well, which could result in a higher combined rating.
Can I receive ratings under both DC 5251 and DC 5252?
It is possible to receive separate ratings for extension limitation and flexion limitation if both are present, but VA generally avoids pyramiding. Discuss with a veterans service organization which approach gives you the best combined rating.