Note (1): The term “prosthetic replacement” in diagnostic codes 5051–5053 and 5055–5056 means a total replacement of the named joint. However, in DC 5054, “prosthetic replacement” means a total replacement of the head of the femur or of the acetabulum.
Note (2): When an evaluation is assigned for joint resurfacing or the prosthetic replacement of a joint under diagnostic codes 5051–5056, an additional rating under § 4.71a may not also be assigned for that joint, unless otherwise directed.
Note (3): Only evaluate a revision procedure under diagnostic codes 5051–5056 if it involves a total replacement of the joint.
Note (4): The 100 percent rating for 1 year following implantation of prosthesis will commence after initial grant of the 1-month total rating assigned under § 4.30 following hospital discharge.
Note (5): The 100 percent rating for 4 months following implantation of prosthesis or resurfacing under DCs 5054 and 5055 will commence after initial grant of the 1-month total rating assigned under § 4.30 following hospital discharge.
Note (6): Special monthly compensation is assignable during the 100 percent rating period the earliest date permanent use of crutches is established.
| Rating Criteria | Evaluation Percentage |
|---|---|
| 5054 – Hip, resurfacing or replacement (prosthesis): | |
| For 4 months following implantation of prosthesis or resurfacing | 100 |
| Following implantation of prosthesis with painful motion or weakness such as to require the use of crutches | 90 |
| Markedly severe residual weakness, pain or limitation of motion following implantation of prosthesis | 70 |
| Moderately severe residuals of weakness, pain or limitation of motion | 50 |
| Minimum evaluation, total replacement only | 30 |
| Note: At the conclusion of the 100 percent evaluation period, evaluate resurfacing under diagnostic codes 5250 through 5255; there is no minimum evaluation for resurfacing. |