Ankle Limitation of Motion

DC 5271Musculoskeletal38 CFR 4.71a, DC 5271

Limited ability to move your ankle up and down. The VA rates ankle limitation of motion based on whether the limitation is moderate or marked.

Rating Levels

You have marked limitation of ankle motion. This is the maximum rating under this code.

What the VA looks for

⚠Not understanding the difference between "moderate" and "marked" limitation — there are no specific degree thresholds, so document exactly how limited your motion is compared to normal (dorsiflexion 20 degrees, plantar flexion 45 degrees).
⚠Not reporting DeLuca factors — pain on motion, weakened movement, excess fatigability, and flare-ups can support a higher rating even with borderline range of motion.
⚠Not filing for ankle instability separately if your ankle gives way or rolls — instability may be rated under a different code.
⚠Not connecting ankle problems to knee, hip, or back conditions caused by altered gait as secondary claims.

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…