Plain-language summaries explain the text; they do not decide whether any level applies.
30%
Official criteria
Recurrent subluxation or instability: unrepaired or failed repair of complete ligament tear causing persistent instability, with both an assistive device and bracing prescribed for ambulation; or patellar instability after surgical repair requiring a prescribed brace and either a cane or walker
Plain-language summary
The highest level requires the listed diagnosis/history and prescribed combination of support devices.
20%
Official criteria
Recurrent subluxation or instability: qualifying persistent instability with a prescribed brace and/or assistive device, as specified for the ligament status; or patellar instability after surgical repair requiring one prescribed brace, cane, or walker
Plain-language summary
This level requires the schedule's specified instability path and prescription evidence.
10%
Official criteria
Qualifying persistent ligament instability without a prescribed assistive device or brace; or diagnosed patellofemoral-complex recurrent instability that does not require a prescribed brace, cane, or walker
Plain-language summary
The lowest compensable level addresses qualifying recurrent instability without a device prescription.
Source record
38 CFR § 4.71a—Schedule of ratings, musculoskeletal system
38 CFR § 4.71a, DC 5257 · Effective Feb 7, 2021 · Reviewed Jul 24, 2026