Diagnostic Code 5276 · 38 CFR §4.71a
Flatfoot (pes planus) is a condition where the arch of the foot collapses, causing the entire sole to contact the ground when standing. Veterans commonly develop or worsen flatfoot from prolonged marching, running, standing, and carrying heavy loads during military service. DC 5276 rates flatfoot based on severity — mild, moderate, severe, or pronounced — and provides different ratings for bilateral (both feet) versus unilateral (one foot) involvement. The condition can cause pain in the feet, ankles, knees, and even the lower back due to altered biomechanics.
| Rating | Criteria |
|---|---|
| 0% | Mild flatfoot. Symptoms relieved by built-up shoe or arch support. |
| 10% | Moderate flatfoot, bilateral or unilateral. Weight-bearing line falls over or medial to the great toe, inward bowing of the Achilles tendon, pain on manipulation and use of the feet. |
| 20% | Severe unilateral flatfoot. Objective evidence of marked deformity (pronation, abduction), pain on manipulation and use accentuated, indication of swelling on use, characteristic callosities. |
| 30% | Severe bilateral flatfoot. Same symptoms as the 20% unilateral criteria but affecting both feet. |
| 50% | Pronounced bilateral flatfoot. Marked pronation, extreme tenderness of plantar surfaces, marked inward displacement and severe spasm of the Achilles tendon on manipulation, not improved by orthopedic shoes or appliances. |
Physical examination findings showing the degree of arch collapse, Achilles tendon alignment, callosity formation, and swelling. X-rays of the feet showing the degree of deformity. Service treatment records showing foot complaints during service or documenting the progression of flatfoot. Current treatment records showing use of orthotics, arch supports, or specialty footwear. A comparison between entrance and separation physical exams showing worsening of a pre-existing flat foot condition is strong evidence for aggravation claims.
Yes. If your flatfoot worsened during military service (aggravation), you can claim it. The VA will compare your condition at entry to your current condition. Evidence of worsening — increased pain, greater arch collapse, new symptoms — supports an aggravation claim.
Yes. At the severe and pronounced levels, bilateral flatfoot receives a higher rating than unilateral. Pronounced bilateral flatfoot is rated at 50%, while severe unilateral is 20% and severe bilateral is 30%.