Amputation through the upper third of the thigh, measured from the perineum to the knee.
To support a rating under diagnostic code 5161, the most important evidence is documentation confirming where on the thigh the amputation occurred. Surgical operative reports or hospital records showing the level of the amputation are central to this. A VA examination or other medical record that measures and describes the length of the residual limb — specifically its distance from the perineum — helps VA confirm the amputation falls within the upper third. Imaging or physical examination findings that describe the stump and any complications, such as skin breakdown, poor healing, or neuroma, can also be relevant. Statements from you or people who know you about how the amputation affects your ability to walk, work, and manage daily activities provide context, though the 80% rating is tied to the anatomical location rather than functional findings.
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.
