38 CFR § 4.68 - Amputation rule.

---
identifier: "/us/cfr/t38/s4.68"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "38 CFR § 4.68 - Amputation rule."
title_number: 38
title_name: "Pensions, Bonuses, and Veterans' Relief"
section_number: "4.68"
section_name: "Amputation rule."
chapter_name: "DEPARTMENT OF VETERANS AFFAIRS"
part_number: "4"
part_name: "SCHEDULE FOR RATING DISABILITIES"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "38 U.S.C. 1155, unless otherwise noted."
regulatory_source: "29 FR 6718, May 22, 1964, unless otherwise noted."
cfr_part: "4"
---


# 4.68 Amputation rule.

The combined rating for disabilities of an extremity shall not exceed the rating for the amputation at the elective level, were amputation to be performed. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. This 40 percent rating may be further combined with evaluation for disabilities above the knee but not to exceed the above the knee amputation elective level. Painful neuroma of a stump after amputation shall be assigned the evaluation for the elective site of reamputation.