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5280
§ 4.71a Schedule of ratings—musculoskeletal system.

Bunion (hallux valgus)

A bony bump at the base of the big toe that causes it to angle toward the other toes.

What the rating means

VA rates hallux valgus (bunion of the great toe) under diagnostic code 5280. There are two ways to reach a 10% rating, and 10% is the only percentage available under this code. The first way applies if you had surgery that included resection — surgical removal — of the metatarsal head. The second way applies if the condition is severe enough to be considered equivalent to amputation of the great toe. Both paths lead to the same 10% rating. Because only one rating level exists under this code, the key question is simply whether your condition meets one of those two descriptions. The code covers one foot at a time; if both feet are affected, each foot is evaluated separately.

Evidence that helps

To support a 10% rating based on surgery, your records should show that an operation was performed and that it included resection of the metatarsal head. Operative reports, surgical notes, and post-operative records from the treating facility are the most direct evidence of what procedure was done. To support a 10% rating based on severity, your records would need to show that the condition functions similarly to a loss of the great toe. Examination findings documenting severely restricted movement, significant structural deformity, or inability to bear weight through the great toe would be relevant. Imaging such as X-rays can document bone changes and deformity. Statements from you or people who know you describing how the condition affects walking, standing, or daily tasks can help show functional impact consistent with that level of severity.

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.