Flatfoot, acquired (DC 5276) | VA Rating Tool

Diagnostic Code5276
CategoryThe Musculoskeletal System
SubcategoryThe Foot
Also Known Asflat feet, Flatfoot, acquired, pes planus, fallen arches, arch pain, foot pain, orthotics, insoles
CFR Section38 CFR ยง 4.71a
๐Ÿ“Š What Veterans Actually Get
10%
Most Common Rating
50.0%
of Vets Get This
70.0%
Approval Rate
#10
Most Claimed

Flat feet are most commonly rated at 10% (moderate, with weight-bearing line over or medial to the great toe). About 50% of claimants receive 10%. The 30% bilateral rating requires marked deformity, pain on manipulation, and swelling.

Pro Tip: Bring your custom orthotics to the exam. If they don't help, say so โ€” 'not improved by orthopedic shoes or appliances' is criteria language for higher ratings. Worn-out shoes showing uneven wear patterns are visual evidence.
Rating Criteria
Rating Criteria
50% Bilateral
30% Bilateral
30% Unilateral
20% Unilateral
10% Moderate; weight-bearing line over or medial to great toe, inward bowing of the tendo achillis, pain on manipulation and use of the feet, bilateral or unilateral
0% Mild; symptoms relieved by built-up shoe or arch support

Conditions Secondary to This

6 links
Degenerative arthritis, other than post-traumatic
5003
Strong

Flat feet alter biomechanics and increase stress on knee, hip, and ankle joints, accelerating arthritis.

Knee, other impairment
5257
Strong

Flat feet alter lower limb alignment and place extra stress on the knee joint.

Lumbosacral or cervical strain
5237
Strong

Flat feet change posture and gait, causing lower back strain.

Plantar fasciitis
5269
Strong

Flat feet are a primary cause of plantar fasciitis.

Tenosynovitis, tendinitis, tendinosis or tendinopathy
5024
Moderate

Flat feet put extra strain on the Achilles tendon and related soft tissues.

Thigh, limitation of flexion
5252
Moderate

Altered biomechanics from flat feet affect the kinetic chain up to the hips.

This May Be Secondary To

7 links
Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010)
DC 5242
Moderate

Pain-related gait changes can alter foot mechanics and contribute to plantar and flatfoot symptoms.

Hallux valgus
DC 5280
Moderate

Bunions and flat feet frequently co-occur and aggravate each other through altered foot biomechanics.

Intervertebral disc syndrome
DC 5243
Moderate

Changes in gait from disc disease can alter foot mechanics and contribute to plantar and flatfoot symptoms.

Knee, other impairment
DC 5257
Moderate

Altered gait mechanics affect the feet and can worsen flatfoot-type symptoms.

Leg, limitation of extension
DC 5261
Moderate

Abnormal gait from limited knee extension can alter foot mechanics.

Leg, limitation of flexion
DC 5260
Moderate

Abnormal walking mechanics from limited knee motion can stress the feet.

Lumbosacral or cervical strain
DC 5237
Moderate

Gait changes from back pain alter foot mechanics, causing plantar pain and flatfoot-related symptoms.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.