VA Flat Feet (Pes Planus) Rating Guide
Flat feet are rated 0% to 50% under DC 5276, with bilateral involvement rating higher than a single affected foot at the same severity level. Here's exactly what each level requires and the evidence that documents it clearly.
Flat feet (pes planus) is rated under DC 5276 at 0%, 10%, 20% (unilateral) or 30% (bilateral), or 30% (unilateral) or 50% (bilateral). The highest ratings require pronounced symptoms with marked deformity that doesn't improve with orthopedic devices.
The VA rates pes planus (flat feet) under Diagnostic Code 5276. The difference between rating levels often hinges on a handful of specific findings that examiners check during the C&P exam. Knowing what each level requires lets you advocate for an accurate rating — and identify when an under-rating warrants an appeal.
Rating Criteria
0%
Mild symptoms, relieved by a built-up shoe or arch support.
10%
Moderate — weight-bearing line falls over or medial to the great toe, inward bowing of the Achilles tendon, and pain on use.
20%/30% (unilateral/bilateral)
Severe — objective evidence of marked deformity, pain on manipulation and use, and characteristic callosities.
30%/50% (unilateral/bilateral)
Pronounced — marked pronation, extreme tenderness, marked inward displacement, and severe spasm of the Achilles tendon that isn't improved by orthopedic shoes or appliances.
Evidence That Drives the Rating
- Podiatry records documenting the specific findings and severity over time
- Weight-bearing X-rays, which are specifically what the rating criteria are built around
- Records of any orthotic prescriptions and whether they improved symptoms
- Photographs of visible deformity where relevant
Developed knee, hip, or back pain from years of altered gait?
Learn About Secondary ConditionsWhat to Expect at the C&P Exam
The examiner will complete the DBQ specific to pes planus (flat feet). Bring symptom logs, treatment records, and a clear description of how the condition affects daily life and work. Describe your worst typical day, not your best day.
Why 'Not Improved by Orthopedic Devices' Matters at the Top Level
The pronounced 30%/50% rating specifically requires that symptoms persist despite orthopedic shoes or appliances — meaning a documented trial of orthotics that didn't resolve the condition actually strengthens a claim for the top rating level, rather than counting against it. If you've tried orthotics without success, make sure that's clearly documented.
Was It Noted at Entrance? This Changes Your Claim Strategy
If flat feet were noted on your entrance physical, the VA presumes the condition pre-existed service, and your claim needs to show aggravation beyond natural progression rather than new onset. If it wasn't noted at entrance, the presumption of soundness generally applies, making it a more standard direct service connection claim instead.
Common mistakes to avoid
- Not getting weight-bearing imaging specifically, since standard imaging doesn't capture the same findings.
- Not making sure callosities and deformity are explicitly noted during the C&P exam.
Frequently asked questions
Conclusion
Understanding the rating schedule for pes planus (flat feet) turns a passive exam into an active conversation. Walk in knowing what level your symptoms support — and what evidence backs it up.
Developed knee, hip, or back pain from years of altered gait?
Learn About Secondary Conditions