Diagnostic Code 5014 · 38 CFR §4.71a
Osteomalacia is a softening of the bones caused by inadequate mineralization, typically due to vitamin D deficiency. Unlike osteoporosis where bones lose mass, osteomalacia involves bones that are present but not properly hardened. This causes diffuse bone pain, muscle weakness, and an increased risk of stress fractures. Veterans may develop osteomalacia from prolonged vitamin D deficiency during deployments with limited sun exposure, malabsorption conditions that developed during service, kidney conditions affecting vitamin D metabolism, or medications that interfere with bone mineralization.
| Rating | Criteria |
|---|---|
| 30% | |
| 20% | |
| 10% | |
| 0% |
Blood work showing vitamin D levels, calcium, phosphorus, and alkaline phosphatase, Bone imaging showing characteristic changes of osteomalacia, Bone biopsy results if performed, Medical records connecting the condition to service or a service-connected cause, Documentation of symptoms including bone pain and muscle weakness