Upper third, one-third of the distance from perineum to knee joint measured from perineum (DC 5161)

Body system: Musculoskeletal SystemRegulation: 38 CFR § 4.71a

This diagnostic code covers amputation or complete loss of use of your leg in the upper third of your thigh - specifically, the area that's one-third of the distance from your perineum (the area between your genitals and anus) to your knee joint, measured from the perineum. The VA doesn't list specific rating percentages here because this is a cross-reference code that sends you to the main amputation rating table in 38 CFR § 4.71a. Amputation ratings are typically fixed percentages based on exactly where the amputation occurs, and upper thigh amputations generally receive high ratings due to the significant impact on mobility and daily functioning.

Rating levels

  • 80% — This rating applies to leg amputations where the leg is cut off in the upper third of the thigh. The amputation point is measured as one-third of the distance from your perineum (the area between your genitals and anus) down to your knee joint, starting from the perineum. Essentially, this covers amputations that remove most of your thigh, leaving only the uppermost portion attached to your hip.

Disclaimer: This tool is for informational purposes only and is not legal or medical advice. Always consult with your VSO representative or a qualified veterans benefits attorney for guidance on your specific claim.