Forefoot Amputation (Chopart)

DC 5167Musculoskeletal38 CFR 4.71a, DC 5167

Amputation of the foot at the Chopart joint (midtarsal joint), which removes the entire forefoot while preserving the heel and ankle. This is a significant amputation that greatly impacts mobility and requires a prosthetic device. The VA assigns a fixed rating for this level of amputation.

How the VA rates this condition

The VA rates this condition based on objective clinical measurements and test results. The examiner will use standardized tests or lab values to determine the severity of your condition rather than relying primarily on subjective symptom reports.

Diagnostic code

DC 5167

Rating range

40% – 40%

Rating levels

Rating criteria are defined in 38 CFR 4.71a, DC 5167. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You have amputation of the forefoot at the level proximal to the metatarsal bones. This includes Chopart and similar midfoot amputations that remove the forefoot but preserve the hindfoot.

What the VA looks for

Surgical or trauma records of forefoot amputation
X-ray confirming amputation at or proximal to metatarsals
Use of prosthetic device documented
Significant gait abnormality requiring assistive device

Common Pitfalls

⚠Not claiming loss of use — if the residual foot is so impaired that you would be equally well served by an amputation with a prosthesis, you may qualify for the higher "loss of use" rating.
⚠Not documenting prosthetic needs — your prosthetic requirements, fitting issues, and skin breakdown should all be documented as they support the severity of your disability.
⚠Forgetting phantom pain — chronic phantom limb pain should be documented and may warrant a separate neurological rating.

Related DBQ Forms

DBQ Foot Conditions Including Flatfoot (Pes Planus)

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…