Claiming Hip Condition / Hip Pain?
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VA Rating Tiers
Rating Notes
- ›30%: Severe hip flexion limitation — flexion limited to 25° or less, significantly limiting ambulation. DC 5252.
- ›20%: Moderate hip flexion limitation — flexion limited to 45°. DC 5252.
- ›10%: Mild hip flexion limitation — flexion limited to 60°. DC 5252.
- ›0%: Motion limitation below rating threshold — service connected but non-compensable.
- ›Rated under DC 5252 (thigh, limitation of flexion of).
- ›Normal hip flexion is approximately 125°. Rating tiers: 30% at 30°, 20% at 50°, 10% at 70°.
- ›Limitation of extension (DC 5253) or abduction may also apply as separate ratings.
- ›Hip replacement is rated under DC 5254 at a minimum of 30% one year post-surgery.
- ›Trochanteric bursitis is rated by analogy and typically yields 10–20% based on severity.
- ›Actual rating depends on goniometer measurements taken at the C&P exam.
Eligibility Basics
- •Hip conditions are rated under DC 5252 based on limitation of flexion of the thigh.
- •Normal hip flexion is approximately 125°. Rating tiers: 30% (limited to 30°), 20% (limited to 50°), 10% (limited to 70°).
- •Limitation of extension (DC 5253) may also apply if extension is the primary deficit.
- •Both hips may be claimed — each is rated separately.
- •Hip replacement (total hip arthroplasty) is rated under DC 5254 at 30% minimum after one year.
- •Bursitis (trochanteric bursitis) is typically rated by analogy to DC 5252 based on functional impact.
Evidence to Gather
Service Records
- •sick call or treatment records documenting hip pain, injury, or bursitis during service
- •X-ray of the hip taken during service
- •physical therapy records for hip rehabilitation
- •injury or accident reports for falls, jumps, or trauma to the hip during service
- •profile or limited duty documents due to hip condition
Medical Evidence
- •orthopedic evaluation with hip range of motion measurements
- •X-ray of the hip (shows arthritis, labral calcification, joint space narrowing)
- •MRI of the hip (labral tears, cartilage, avascular necrosis, bursitis)
- •surgical records if hip surgery or replacement was performed
- •physical therapy records documenting hip function
Lay Evidence (Buddy Statements)
- •statement describing the in-service events (long marches, airborne operations, physical training) that caused or contributed to the hip problem
- •statement describing current hip pain and how far you can move the leg
- •statement describing how the hip limits walking, standing, climbing stairs, and other activities
Diagnostic Tests
- •X-ray of the hip (AP pelvis and lateral views)
- •MRI of the hip (labrum, cartilage, bursae, AVN)
- •goniometer range of motion measurement (flexion, extension, abduction, internal/external rotation)
- •bone scan (for stress fractures or AVN)
- •CT scan of the hip (for complex fractures or impingement anatomy)
C&P Exam Preparation
Exam type: Orthopedic / Lower Extremity (Hip)
Be ready to describe
- •which hip is affected
- •the in-service event or accumulated wear that caused the hip problem
- •how far you can move the hip (bend, rotate, straighten)
- •pain with walking, sitting-to-standing, stairs, and lying on the affected side
- •how the hip limits your ability to work and perform daily tasks
Prep notes
- •Move through the full range of motion honestly — stop when it genuinely hurts.
- •Describe your worst days and how the hip behaves after activity.
- •Bring X-ray or MRI reports if you have them.
- •Mention if you use a cane or have altered your gait due to the hip.
- •If you have had a hip replacement, bring all surgical records.
Quick Facts
- Diagnostic Code
- DC 5252
- Category
- Musculoskeletal
- Subcategory
- Lower Extremity Joints
- Typical Claim Type
- direct
- Rating Range
- 0% – 30%
Also Known As
Related Conditions
Secondary to
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