VASRD 5166 · Musculoskeletal System

Forefoot Amputation, Proximal to the Metatarsal Bones VA Disability Rating

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.

VA Rating Tiers

RatingCriteria
40%The front of the foot was removed above the metatarsal bones, taking more than half of those bones.

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

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.

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.

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Best Evidence to Gather

  • Operative notes of foot amputation
  • Podiatry reports and orthotic prescriptions
  • VA gait analysis or walking tests

Strategy Tips

  • Include physical therapy notes and gait issues
  • Submit prescriptions for orthotics or prosthetics
  • Show how partial foot loss limits work or physical activity

C&P Exam Pitfalls

  • Not including secondary issues like balance or skin breakdown
  • Failing to demonstrate limitations beyond appearance

Common Filing Mistakes

  • Only submitting surgical notes without mobility impact evidence
  • Not showing secondary pain, infections, or footwear dependency

Onset Patterns

  • Often caused by trauma or diabetic complications
  • Ulcers or bone infection can trigger surgical need

Secondary Conditions

Conditions commonly linked to Forefoot Amputation, Proximal to the Metatarsal Bones. Service-connecting a secondary condition can increase your combined rating.

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 h…
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%. Examples: 40%: The front of the foot was removed above the metatarsal bones, taking more than half of those bones..
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 – vari…
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.
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.
What conditions are commonly secondary to Forefoot Amputation, Proximal to the Metatarsal Bones?
Conditions often service-connected as secondary to Forefoot Amputation, Proximal to the Metatarsal Bones include: Gait Disturbance, Callus Formation. Filing for secondary conditions can increase a veteran's combined VA rating.

Official sources

  1. 38 CFR § 4.71a — Schedule of ratings — musculoskeletal system (Diagnostic Code 5166)

Rating criteria on this page are an educational summary of the cited regulation — the eCFR text is authoritative. See how Vetrify derives its numbers.

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