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Forefoot Amputation, Proximal to the Metatarsal Bones VA disability rating & claim guide

The VA rates Forefoot Amputation, Proximal to the Metatarsal Bones under diagnostic code 5166, in 38 CFR § 4.71a (musculoskeletal system), and the schedule provides a single evaluation under it: 40%.

DC 5166Musculoskeletal SystemData last updated September 23, 2026

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A CLEARER PATH FORWARD

Make sense of your next step.

01Understand the rating02Know what to gather03Plan your preparation
Based on 38 CFR Part 4Free condition guideTake it one step at a time

THE ESSENTIALS

How the VA rates Forefoot Amputation, Proximal to the Metatarsal Bones

Amputation of the front of the foot at a level above (proximal to) the metatarsal bones, taking more than one-half of the metatarsal length. A transmetatarsal amputation that takes up to half of the metatarsals is a separate, lower-rated code.

Requires operative or imaging records establishing how much of the metatarsal bones was lost. More than one-half of metatarsal loss is evaluated here; up to one-half is evaluated as a transmetatarsal amputation under the code that also covers amputation of all toes.

Diagnostic code
5166
Rating schedule
38 CFR § 4.71a
Schedule levels
40%
How does the VA choose a rating level?

There is no higher or lower step inside this code: a rating decision either finds its criteria met or it does not. Where they are not met, 38 CFR § 4.31 assigns a 0% evaluation: service connection granted, at a level that does not pay.

EXPLORE THE PERCENTAGES

Forefoot Amputation, Proximal to the Metatarsal Bones VA rating criteria (DC 5166)

This condition has one published rating level. Read the criteria, then explore the details and monthly pay.

VA RATING40%Forefoot Amputation, Proximal to the Metatarsal Bones

WHAT THIS LEVEL MEANS

The front of the foot was removed above the metatarsal bones, taking more than half of those bones.

Explore 40% criteria & monthly pay
Forefoot Amputation, Proximal to the Metatarsal Bones: the criteria for each rating, quoted from 38 CFR § 4.71a, DC 5166
Rating38 CFR criteria (quoted)In plain English (Vetrify’s summary)Monthly pay, 2026 (single veteran)
40%

“Forefoot, amputation proximal to metatarsal bones (more than one-half of metatarsal loss)”

The front of the foot was removed above the metatarsal bones, taking more than half of those bones.$795.84

VA pays on the combined rating, not per condition: each amount is what a veteran with no dependents receives when that percentage is the combined rating, after all separate ratings are combined under 38 CFR 4.25.

These are published rating criteria. Selecting a level does not predict your VA decision.

BUILD YOUR EVIDENCE, ONE PIECE AT A TIME

Evidence for your Forefoot Amputation, Proximal to the Metatarsal Bones claim

A long list feels easier when you have a place to start. Use this checklist to see what you have and what still needs gathering.

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THE EXAM FORM

Which DBQ is used for Forefoot Amputation, Proximal to the Metatarsal Bones?

VA's page says: “You can use these forms to submit medical evidence from your health care providers.”

Source: VA: Public Disability Benefits Questionnaires (DBQs), read September 18, 2026.

SMALL DETAILS. BETTER PREPARATION.

Preparing your Forefoot Amputation, Proximal to the Metatarsal Bones claim

Start with the practical tips, then explore the common oversights. You don’t need to work through everything at once.

Practical tips for your claim3 tips
  • 01

    Include physical therapy notes and gait issues

  • 02

    Submit prescriptions for orthotics or prosthetics

  • 03

    Show how partial foot loss limits work or physical activity

C&P exam pitfalls to keep in mind2 tips
  • 01

    Not including secondary issues like balance or skin breakdown

  • 02

    Failing to demonstrate limitations beyond appearance

Common filing mistakes2 tips
  • 01

    Only submitting surgical notes without mobility impact evidence

  • 02

    Not showing secondary pain, infections, or footwear dependency

When symptoms may first appear2 tips
  • 01

    Often caused by trauma or diabetic complications

  • 02

    Ulcers or bone infection can trigger surgical need

THE BROADER PICTURE

Forefoot Amputation, Proximal to the Metatarsal Bones by the numbers

Approval outlook
Moderate – varies depending on complications and evidence of impairment.
Veterans service-connected
~1,800 veterans
Typical rating awarded
~40%

Vetrify editorial estimates informed by VA published claims data (VBA Annual Benefits Report) and the VA rating schedule, not official VA statistics.

LET’S CLEAR A FEW THINGS UP

Common questions about Forefoot Amputation, Proximal to the Metatarsal Bones

Is Forefoot Amputation, Proximal to the Metatarsal Bones a VA-rated disability?

Yes. The VA rates Forefoot Amputation, Proximal to the Metatarsal Bones under VASRD diagnostic code 5166 (Musculoskeletal System). Amputation of the front of the foot at a level above (proximal to) the metatarsal bones, taking more than one-half of the metatarsal length. A transmetatarsal amputation that takes up to half of the metatarsals is a separate, lower-rated code.

What VA disability rating can I get for Forefoot Amputation, Proximal to the Metatarsal Bones?

Possible VA ratings for Forefoot Amputation, Proximal to the Metatarsal Bones are 40%, 0%. The 0% level comes from 38 CFR 4.31, which assigns it wherever no compensable level is met. Examples: 40%: Forefoot, amputation proximal to metatarsal bones (more than one-half of metatarsal loss).

What's the typical VA rating awarded for Forefoot Amputation, Proximal to the Metatarsal Bones?

Vetrify estimates the typical rating awarded for Forefoot Amputation, Proximal to the Metatarsal Bones at around 40%, based on VA claims data and the rating schedule. An estimated 1,800 veterans are service-connected for Forefoot Amputation, Proximal to the Metatarsal Bones. Estimated approval outlook: Moderate – varies depending on complications and evidence of impairment.

What evidence helps prove Forefoot Amputation, Proximal to the Metatarsal Bones for VA disability?

Strong evidence for a Forefoot Amputation, Proximal to the Metatarsal Bones claim includes: Operative notes of foot amputation; Podiatry reports and orthotic prescriptions; VA gait analysis or walking tests.

Which DBQ is used for Forefoot Amputation, Proximal to the Metatarsal Bones?

VA's Amputations Disability Benefits Questionnaire (DBQ) is on its public list of DBQs. VA's page says: "You can use these forms to submit medical evidence from your health care providers."

What mistakes should veterans avoid when claiming Forefoot Amputation, Proximal to the Metatarsal Bones?

Common pitfalls when filing for Forefoot Amputation, Proximal to the Metatarsal Bones: Only submitting surgical notes without mobility impact evidence; Not showing secondary pain, infections, or footwear dependency.

Official sources

  1. 38 CFR § 4.71a, Schedule of ratings, musculoskeletal system (Diagnostic Code 5166)
  2. 38 CFR § 4.31, zero percent evaluations

Criteria in quotation marks are the regulation’s own words; everything else on this page is Vetrify’s summary of it. The eCFR text is authoritative. See how Vetrify derives its numbers.

How these figures are checked: our methodology and the open dataset.

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PUT THE PIECES TOGETHER

What could your combined rating look like?

See how Forefoot Amputation, Proximal to the Metatarsal Bones combines with your other service-connected conditions using the official VA combined-ratings formula.

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