Rating guide · Joints
Knee Claims: Every Way a Knee Can Be Rated
Airborne landings, ruck marches, climbing in and out of vehicles. Knees take a beating in service. The VA has several separate ways to rate them, and one knee can qualify under more than one.
- Bending
- Straightening
- Instability
- Cartilage & replacement
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Bending (Flexion)
A normal knee bends to about 140 degrees. The examiner should note where pain begins and estimate extra loss during flare-ups.
Straightening (Extension)
Instability
The current rules tie instability ratings to the ligament injury and to any prescribed brace or assistive device. If your provider prescribed a brace or cane, make sure it’s documented.
Meniscus, Replacement and What Comes Next
- Meniscus that locks, hurts and swells: 20%. Removed but still symptomatic: 10%.
- Total knee replacement: 100% for 4 months after surgery ($3,938.58 a month alone in 2026), then 30% minimum, or 60% with severe painful motion or weakness.
When both knees are service-connected, the bilateral factor adds to your combined rating. And knee problems often lead to hip and back issues that can be claimed as secondary.
Knee VA Rating: Common Questions
Can one knee get three ratings?
Potentially. Limited flexion, limited extension and instability are separate problems, and each can be rated when the evidence supports it.
Does wearing a brace raise my rating?
A prescribed brace or assistive device is required for the 20% and 30% instability levels under the current rules. Without one, persistent instability is rated 10%.
What happens after my knee replacement?
A service-connected total knee replacement is rated 100% for 4 months, then at least 30%, or 60% with severe residuals.
Do my bad knees affect my back claim?
They can. Knee problems that change your gait may cause or worsen hip and back conditions that can be claimed as secondary.
Kansas Veterans: Get the Rating You Earned
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