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Diagnostic Code 5055: Knee, resurfacing or replacement (prosthesis)
Musculoskeletal System · 38 CFR §4.71a · All codes in this system
| Evaluation criteria | Minor |
|---|---|
| For 4 months following implantation of prosthesis or resurfacing | 100% |
| Prosthetic replacement of knee joint: | |
| With chronic residuals consisting of severe painful motion or weakness in the affected extremity | 60% |
| With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5256, 5261, or 5262. | |
| Minimum evaluation, total replacement only | 30% |
| Note: At the conclusion of the 100 percent evaluation period, evaluate resurfacing under diagnostic codes 5256 through 5262; there is no minimum evaluation for resurfacing. | |
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Source: eCFR Title 38, 38 CFR §4.71a, current as of 2026-11-05. Criteria text is the regulatory text, reproduced verbatim for reference; it is not legal advice.