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5260
§ 4.71a Schedule of ratings—musculoskeletal system.

Knee limited flexion (bending)

Limited ability to bend the knee, making movements such as sitting, squatting, or climbing harder.

What the rating means

Diagnostic code 5260 covers limitation of flexion of the leg (knee). VA rates this condition based on how far you can bend your knee. A normal knee can flex well past 90 degrees, so the rating scale reflects how much your range of motion falls short of that.

Four rating levels are possible. A 30% rating applies when flexion is limited to 15 degrees or less. A 20% rating applies when flexion is limited to 30 degrees. A 10% rating applies when flexion is limited to 45 degrees. A 0% rating applies when flexion is limited to 60 degrees. In each case, the rating reflects the maximum degree of bend you can reach — a lower degree of bend means a higher rating. There is no separate rating for dominant or nondominant side under this code.

Evidence that helps

The most direct evidence for this condition is a measurement of your knee's range of motion. A VA examination or private medical record that records the degrees of flexion you can achieve is central to establishing which rating level applies. Goniometer readings taken during a physical examination are the standard way those measurements are documented.

Records showing why your motion is restricted — such as imaging, surgical reports, or treatment notes — help establish the connection between your knee condition and the limitation found on exam. If your flexion varies from visit to visit, multiple measurements over time can reflect that.

Statements from you or people who know you can support the record by describing how limited knee bending affects tasks like climbing stairs, getting in and out of a vehicle, kneeling, or sustained sitting and standing at work. These statements are most useful when they tie directly to the specific activities that require bending the knee to the degrees described in the rating criteria.

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.

  • Ankle limited motion
  • Lower back or neck strain
  • Plantar fasciitis
  • Thigh limited flexion