Rating guide · Joints
Knee Claims: Stacking the Right Ratings
Bad knees are one of the most common service injuries, and one of the most commonly underrated. A single knee can qualify for separate ratings if it’s stiff, unstable, or has cartilage damage.
- Motion limits
- Instability & braces
- Meniscus
- Replacement
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Why One Knee Can Have Several Ratings
Limited bending, limited straightening and instability are different problems, so the VA can rate each one when the evidence supports it, as long as no symptom is counted twice. Normal motion runs from 0 degrees (straight) to 140 degrees (fully bent), and the examiner should note where pain starts and estimate losses during flare-ups.
Both knees service-connected? The bilateral factor adds a little to your combined rating.
Instability: Prescriptions Now Matter
Under the current rules, instability ratings depend on the ligament injury and whether a medical provider has prescribed a brace, cane, crutches or walker. If you use one, get the prescription documented.
Limited Bending
Limited Straightening
Meniscus Tears and Knee Replacements
A meniscus that locks, hurts and swells rates 20%. One that was removed but still causes symptoms rates 10%.
A total knee replacement on a service-connected knee is rated 100% for 4 months after surgery ($3,938.58 a month alone in 2026), then at least 30%, or 60% with severe painful motion or weakness. Let the VA know your surgery date so the temporary rating is applied.
A painful knee shifts your weight, which can wear on the other knee, the hips and the back. Those can be claimed as secondary conditions.
Knee VA Rating: Common Questions
What does a brace prescription do for my rating?
Under the current instability criteria, 20% and 30% ratings depend on a provider prescribing a brace and/or an assistive device. Without a prescription, persistent instability is rated 10%.
Can both knees be rated?
Yes. Each service-connected knee is rated on its own, and the bilateral factor adds a little more when both are rated.
How is a knee replacement rated?
100% for 4 months after surgery, then a minimum of 30%, or 60% with severe painful motion or weakness.
Is knee arthritis ratable?
Yes. X-ray-confirmed arthritis is generally rated on limitation of motion, and painful motion can support at least the minimum compensable rating.
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