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5254
§ 4.71a Schedule of ratings—musculoskeletal system.

Hip flail joint

The hip joint is unstable and moves excessively due to loss of normal support.

What the rating means

A hip flail joint is rated under diagnostic code 5254. There is one rating level: 80%. A flail joint means the hip has lost its normal structural stability to the point that it cannot function as a controlled joint. Because there is only one rating level under this code, VA does not weigh degrees of severity against each other the way it does for conditions with multiple rating levels. If your hip meets the criteria for a flail joint, 80% is the rating assigned. This code sits within the musculoskeletal schedule at § 4.71a. Note that if your hip has received a prosthetic replacement or resurfacing procedure, VA may rate it under a different diagnostic code instead, and a separate rating under this code would not also be assigned for that same joint at the same time.

Evidence that helps

Because there is only one rating level for a hip flail joint at 80%, the evidence needs to show that your hip qualifies as a flail joint. Medical records documenting the diagnosis of a flail hip, including surgical reports, imaging such as X-rays or MRI, and orthopedic examination notes, are central to establishing that finding. A VA or private examination that describes the instability of the joint, the absence of normal structural control, and the range-of-motion findings helps confirm the condition. Records showing how the hip affects your ability to bear weight, walk, or perform daily activities can also support the overall picture. If a prosthetic replacement or resurfacing procedure has been performed on the hip, those surgical and postoperative records are relevant to determining which diagnostic code applies to your situation.

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.