DC 5150Musculoskeletal SystemCriteria from 38 CFR § 4.71a, DC 5150

Amputation of long and little fingers

The VA rates Amputation of long and little fingers under Diagnostic Code 5150, with separate ratings for the dominant and non-dominant arm: 30% for the dominant arm and 20% for the non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Catalog name: Long and little.

Rating schedule · DC 5150 at a glance

Dominant arm
30%

Major column of the published table

Non-dominant arm
20%

Minor column of the published table

CFR section
§ 4.71a

Where this code is published

Body system
Musculoskeletal System
Secondary conditions
0

None mapped

What are the VA rating criteria for Amputation of long and little fingers?

DC 5150 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5150 rating schedule from 38 CFR § 4.71a: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armMajorNon-dominant armMinor
multiple finger amputations
Two digits of one hand, amputation of:

Long and little

Dominant arm30%Non-dominant arm20%

Source: 38 CFR § 4.71a, eCFR as of .

Other notes printed in this table

These notes appear in the same table in 38 CFR, and their text does not name DC 5150.

  • (a) The ratings for multiple finger amputations apply to amputations at the proximal interphalangeal joints or through proximal phalanges.
  • (b) Amputation through middle phalanges will be rated as prescribed for unfavorable ankylosis of the fingers.
  • (c) Amputations at distal joints, or through distal phalanges, other than negligible losses, will be rated as prescribed for favorable ankylosis of the fingers.
  • (d) Amputation or resection of metacarpal bones (more than one-half the bone lost) in multiple fingers injuries will require a rating of 10 percent added to (not combined with) the ratings, multiple finger amputations, subject to the amputation rule applied to the forearm.
  • (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; i.e., amputation, unfavorable ankylosis, most representative of the levels or combinations. With an even number of fingers involved, and adjacent grades of disability, select the higher of the two grades.
  • (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance.

These diagnostic codes sit next to Amputation of long and little fingers in 38 CFR Part 4. The rating schedule is ordered anatomically, so neighbouring codes usually cover the same joint, organ, or system, and a claim often involves more than one of them.

  1. 5145Thumb and little
  2. 5146Index and long
  3. 5147Index and ring
  4. 5148Index and little
  5. 5149Long and ring
  6. 5151Ring and little
  7. 5152Thumb, amputation of
  8. 5153Index finger, amputation of
  9. 5154Long finger, amputation of
  10. 5155Ring finger, amputation of
All 139 musculoskeletal conditions

The tools, regulations and guides that pick up where the criteria above leave off.

Common Questions About Amputation of long and little fingers VA Ratings

What is the VA rating range for Amputation of long and little fingers?

Dominant arm: 30%; non-dominant arm: 20%, under DC 5150, 38 CFR § 4.71a. The applicable column depends on which arm is dominant under 38 CFR § 4.69.

Which 38 CFR diagnostic code does the VA use for Amputation of long and little fingers?

The VA rates Amputation of long and little fingers under Diagnostic Code (DC) 5150, published in 38 CFR § 4.71a. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.

Can Amputation of long and little fingers qualify for TDIU?

Using the dominant-arm maximum: DC 5150 publishes up to 30% for the dominant arm and up to 20% for the non-dominant arm. That is below the single-disability TDIU threshold of 60%. Combined with other service-connected disabilities, TDIU may be achievable under 38 CFR § 4.16.

What evidence supports a higher rating for Amputation of long and little fingers?

The key evidence for Amputation of long and little fingers is documentation of how the condition affects daily functioning. For musculoskeletal conditions, range of motion measurements (active, passive, weight-bearing, and non-weight-bearing per Correia v. McDonald) and flare-up documentation are critical. A nexus letter from a qualified medical professional linking the current severity to service is essential for contested claims.

What happens at the C&P exam for Amputation of long and little fingers?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5150 rating criteria. Expect range of motion testing in multiple positions. Under Correia v. McDonald, the examiner must test active, passive, weight-bearing, and non-weight-bearing range of motion. Report your worst flare-up symptoms. If you cannot attend during a flare, request the exam be rescheduled.

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