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5054
§ 4.71a Schedule of ratings—musculoskeletal system.

Hip replacement or resurfacing

Surgical replacement or resurfacing of the hip joint with an artificial implant.

What the rating means

VA rates hip replacement or resurfacing under diagnostic code 5054. The ratings available depend on where you are in your recovery and what residual problems remain after surgery.

For the first 4 months after implantation of a hip prosthesis or resurfacing, VA assigns a 100% rating. That period starts after an initial one-month total rating that follows your hospital discharge under a separate VA rule. During the 100% period, special monthly compensation may also be payable from the earliest date permanent crutch use is established.

After the 4-month period, the ratings for prosthetic replacement of the head of the femur or of the acetabulum are 90%, 70%, 50%, or 30%. A 90% rating applies if you have painful motion or weakness requiring crutches. A 70% rating applies for markedly severe residual weakness, pain, or limitation of motion. A 50% rating applies for moderately severe residuals of weakness, pain, or limitation of motion. A 30% rating is the minimum for a total replacement only. If you had resurfacing rather than replacement, there is no minimum evaluation; after the 4-month period your residuals are rated under diagnostic codes 5250 through 5255 instead.

Evidence that helps

Medical records documenting your surgery, including operative reports and discharge summaries, establish the date of implantation or resurfacing and support the 4-month 100% period. Records showing the date of hospital discharge and any prescription for permanent crutch use are relevant to when different rating periods begin and whether special monthly compensation applies.

After the 4-month period ends, the rating depends on the severity of remaining weakness, pain, and limited motion. VA examination findings that measure your hip's range of motion, muscle strength, and gait directly address the criteria at the 90%, 70%, 50%, and 30% levels. Imaging and treating-physician notes that describe ongoing pain and functional limits also support these levels.

Your own statements and those of people who know you can show how weakness or pain affects your ability to walk, stand, work, and perform daily tasks. If you use crutches, documentation of when that became permanent is relevant to the 90% level and to special monthly compensation.

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.