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5259
§ 4.71a Schedule of ratings—musculoskeletal system.

Knee cartilage removal (meniscectomy)

Surgical removal of damaged knee cartilage that continues to cause symptoms.

What the rating means

Diagnostic code 5259 covers symptomatic removal of the semilunar (knee) cartilage, commonly called a meniscectomy. The regulation provides a single rating of 10% for this condition. There are no higher or lower rating levels under this code — if your meniscectomy is symptomatic, meaning it continues to cause you problems, 10% is the rating assigned.

Because there is only one rating level, what matters most is whether your condition qualifies as symptomatic. If your knee also has other documented problems — such as limited motion or instability — VA may evaluate those separately under different diagnostic codes. The 10% rating under code 5259 applies specifically to the symptomatic aftermath of the cartilage removal itself.

Evidence that helps

To support a 10% rating under this code, evidence needs to show that your meniscectomy is symptomatic — meaning the knee continues to cause you problems after the surgery. Medical records documenting your surgery, post-operative visits, and ongoing complaints of knee pain, swelling, catching, locking, or giving way are directly relevant. Physician examination notes that confirm persistent symptoms in the operated knee help establish that the condition meets the "symptomatic" standard.

Imaging such as X-rays or MRIs taken after the procedure can support ongoing joint changes. Records from physical therapy or follow-up orthopedic care that reflect continuing symptoms also strengthen the picture. Personal statements from you, or from people who observe you daily, describing how knee symptoms affect your ability to walk, stand, climb stairs, or perform work duties can help show that the condition remains symptomatic rather than fully resolved.

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.