Amputation of the forefoot with loss of more than half of the metatarsal bones.
To support a 40% rating under this code, the key evidence is documentation confirming that an amputation occurred proximal to the metatarsal bones with loss of more than one-half of the metatarsals. Operative reports or surgical records describing the level of amputation are central. Imaging such as X-rays can confirm the extent of bone loss. A VA or private medical examination that measures and describes the residual limb, including exactly where the amputation was performed relative to the metatarsal bones, directly addresses the requirement. Records showing the use of a prosthesis or assistive device, along with statements from you or people who know you about how the amputation affects walking, standing, and daily activities, can also support the overall picture of the disability.
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.
