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5012
§ 4.71a Schedule of ratings—musculoskeletal system.

Bone cancer

Cancerous tumor originating in or spreading to the bone.

What the rating means

VA rates malignant bone cancer — whether the tumor started in the bone (primary) or spread there from elsewhere (secondary) — at 100 percent under diagnostic code 5012. There is only one rating level for active disease; no lower percentages apply while the cancer is being treated.

That 100 percent rating continues for one full year after surgical treatment, radiation (X-ray), antineoplastic chemotherapy, or any other prescribed therapeutic procedure ends. The clock starts when that treatment stops, not when it begins.

Once the one-year period is over, VA looks at whether the cancer has come back locally or spread (metastasized). If there is no recurrence and no metastases at that point, VA no longer rates the condition as active cancer. Instead, the rating shifts to whatever lasting effects — called residuals — remain after treatment. Those residuals are rated under whichever diagnostic code best fits them.

Evidence that helps

While the cancer is active or being treated, medical records confirming the diagnosis of a primary or secondary malignant bone tumor are central. Pathology or biopsy reports, imaging studies such as bone scans, CT, or MRI, and treatment records showing surgery, radiation, or chemotherapy all document that the condition exists and that treatment is ongoing or recently ended.

After the one-year period following cessation of treatment, the focus shifts to residuals. Records showing follow-up imaging with no evidence of local recurrence or metastases are relevant, as are notes from oncology or orthopedic visits describing what lasting impairments remain — for example, limited range of motion, chronic pain, weakness, or bone loss at the treated site. If you have ongoing functional limitations, records from your treating providers and statements from you or people who know you describing how those residuals affect your work and daily activities help show the severity of whatever residual condition VA then uses to assign a rating.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.