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Diagnostic Code 5262: Tibia and fibula, impairment of

Musculoskeletal System · 38 CFR §4.71a · All codes in this system

Evaluation criteriaRating
Nonunion of, with loose motion, requiring brace40%
Malunion of:
Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5270 or 5271 for the ankle, whichever results in the highest evaluation.
Medial tibial stress syndrome (MTSS), or shin splints:
Requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment, both lower extremities30%
Requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment, one lower extremity20%
Requiring treatment for no less than 12 consecutive months, and unresponsive to either shoe orthotics or other conservative treatment, one or both lower extremities10%
Treatment less than 12 consecutive months, one or both lower extremities0%

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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.