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38 CFR Part 4 — 38 CFR § 4.71a

Subastragalar or tarsal joint, ankylosis of — VA Diagnostic Code 5272

Musculoskeletal

Diagnostic code

5272

38 CFR § 4.71a lists Diagnostic Code 5272 in the table captioned “The Ankle.” The title is “Subastragalar or tarsal joint, ankylosis of:”. In poor weight-bearing position is 20. In good weight-bearing position is 10. Neither number carries a superscript. Appendix B to Part 4 indexes “Subastragalar or tarsal joint, ankylosis.” with a period and without the word “of.”

Reviewed 2026-10-05. Text checked against the eCFR versioner full-text XML for 2026-10-01 on 2026-10-05. Title 38 was up to date as of 2026-10-01 and last amended on 2026-08-27. The § 4.71a source note prints 29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. 11, 1969; 40 FR 42536, Sept. 15, 1975; 41 FR 11294, Mar. 18, 1976; 43 FR 45350, Oct. 2, 1978; 51 FR 6411, Feb. 24, 1986; 61 FR 20439, May 7, 1996; 67 FR 48785, July 26, 2002; 67 FR 54349, Aug. 22, 2002; 68 FR 51456, Aug. 27, 2003; 69 FR 32450, June 10, 2004; 80 FR 42041, July 16, 2015; 85 FR 76460, Nov. 30, 2020, 85 FR 85523, Dec. 29, 2020, 86 FR 8142, Feb. 4, 2021. The § 4.69 source note prints 62 FR 30239, June 3, 1997. The § 4.63 source note prints 29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978. The § 4.71 source note prints 29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978; 67 FR 48785, July 26, 2002. The § 4.26 source note prints 29 FR 6718, May 22, 1964, as amended at 88 FR 22917, Apr. 14, 2023.

The rating criteria at each level

5272 Subastragalar or tarsal joint, ankylosis of

Rating %: 20

Criteria (verbatim). In poor weight-bearing position

Rating %: 10

Criteria (verbatim). In good weight-bearing position

The title ends with a colon. The two criteria lines do not end with a period. “Weight-bearing” is hyphenated in both lines.

The Ankle table has one Rating column. It does not split Major and Minor.

The 20 and the 10 do not have a superscript. Footnote 2 of the lower-extremity amputation table is a different table. It is not printed on DC 5272.

38 CFR § 4.71 says Plates I and II provide a standardized description of ankylosis and joint motion measurement. The anatomical position is considered as 0°, with the two major exceptions named in that section. The DC 5272 lines do not state a degree. They state poor weight-bearing position and good weight-bearing position. DC 5270 is ankle ankylosis in the same table. DC 5271 is limited motion of the ankle. The public page for limited ankle motion is the ankle guide. DC 5273 is malunion of the os calcis or astragalus: marked deformity 20, moderate deformity 10.

DC 5167 is loss of use of the foot, superscript 2 and 40, in the lower-extremity amputation table. DC 5284 is “Foot injuries, other,” and its note says: “With actual loss of use of the foot, rate 40 percent.” That sentence is not printed on DC 5272. 38 CFR § 4.7 assigns the higher rating when the disability picture more nearly approximates the criteria required for that rating. Otherwise, the lower rating will be assigned. 38 CFR § 4.6 requires each element affecting the evidence to be studied so that decisions will be equitable and just. 38 CFR § 4.14 says the evaluation of the same disability under various diagnoses is to be avoided. The same section says the evaluation of the same manifestation under different diagnoses are to be avoided.

The code prints no 0 percent line. 38 CFR § 4.31 says that in every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. 38 CFR § 4.68 says the combined rating for disabilities of an extremity shall not exceed the rating for the amputation at the elective level, were amputation to be performed. The example is diagnostic code 5165. The example does not name DC 5272.

Source: 38 CFR § 4.71a, Diagnostic Code 5272, eCFR full-text XML for 2026-10-01.

What the words mean in your records

20 poor, 10 good

The schedule’s words are “In poor weight-bearing position” and “In good weight-bearing position.” The hyphen is in “weight-bearing.” The lines do not add a degree measurement.

Appendix B drops “of”

The rating title is “Subastragalar or tarsal joint, ankylosis of:”. Appendix B says “Subastragalar or tarsal joint, ankylosis.”

Same table as ankle ankylosis

DC 5270, DC 5271, DC 5272, DC 5273, and DC 5274 are the rows under the caption “The Ankle.” DC 5272 is the subastragalar or tarsal joint. It is not the ankle-ankylosis row.

Evidence that speaks to each level

20

What the rater needs to see. Ankylosis of the subastragalar or tarsal joint in poor weight-bearing position.

Where that usually lives. The examination of the joint and the weight-bearing position. Section 4.71 points to Plates I and II for how ankylosis and joint motion are described.

10

What the rater needs to see. Ankylosis of the same joint in good weight-bearing position.

Where that usually lives. The same examination.

VA’s public DBQ list, checked October 5, 2026, names “Ankle” under Musculoskeletal. The file is Ankle.

The exam form

DC 5272 prints 20 and 10. This page does not say the ankle form replaces those two lines.

Related codes and how they interact

The ankle table and the foot table are different captions.

DC 5270 is ankle ankylosis. DC 5271 is limited motion of the ankle. DC 5272 is subastragalar or tarsal joint ankylosis. Weak foot, hallux valgus, and hallux rigidus are later, under the caption “The Foot.”

Secondary conditions and presumptions

The 2026-10-01 text of 38 CFR § 3.309 does not contain “subastragalar.” DC 5272 is a rating-schedule line.

A separate question, when a presumption does not decide it, is a medical question on the facts under 38 CFR § 3.310. Paragraph (a) covers disability proximately due to or the result of a service-connected disease or injury. Paragraph (b) covers increase in severity and requires a medical baseline.

Short answers

How does VA rate subastragalar or tarsal joint ankylosis under DC 5272?

Under 38 CFR § 4.71a, poor weight-bearing position is 20 percent and good weight-bearing position is 10 percent. Education only. VA decides on the evidence.

What does Appendix B call this code?

Appendix B indexes “Subastragalar or tarsal joint, ankylosis.” The rating title adds “of” and ends with a colon.

FAQ

What percentages does DC 5272 print?

20 for ankylosis in poor weight-bearing position, and 10 for ankylosis in good weight-bearing position. Neither number has a superscript. Education only.

Is this the ankle-ankylosis code?

No. Ankle ankylosis is DC 5270, in the same table. DC 5272’s title is “Subastragalar or tarsal joint, ankylosis of:”.

Does this row use the loss-of-use note from the foot-injury code?

No. The note “With actual loss of use of the foot, rate 40 percent” is printed under DC 5284 and under DC 5283. It is not printed on DC 5272. Loss of use of the foot as its own row is DC 5167.

Next steps

Education only. Not legal or medical advice. My Claim Packet is not a VA-accredited representative and does not file claims. VA decides every claim on its own evidence.

Other codes in this body system

Nearby catalog entries in Musculoskeletal, ordered by diagnostic code number. All Musculoskeletal codes

Also: DC code lookup (tools) lists the same index in a compact layout.

Source: 38 CFR Part 4, Diagnostic Code 5272 • va.gov

⚠️ Important Disclaimer

This page provides general educational information based on public VA regulations and VA.gov resources. It is not legal or medical advice, and My Claim Packet is not a VA-accredited representative. Any worksheets or draft documents produced by the tools must be reviewed for accuracy and are not filed with VA for you. Ratings and service connection are decided case-by-case from the individual record. Consult a VA-accredited VSO, claims agent, attorney, or qualified clinician for help with your situation, and verify current rules using the linked official source.

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