DC 5152Musculoskeletal System38 CFR § 4.71aLast verified: APR 22, 2026

Thumb, amputation of

Thumb, amputation of is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5152, from 20% to 40% based on the frequency and functional severity of symptoms. The maximum 40% rating requires: With metacarpal resection; 30. Most claims establish the 20% or 30% rating before reaching the top tier.

Rating schedule — DC 5152 at a glance

Minimum rating
20%

Lowest schedular rating available

Maximum rating
40%

TDIU may raise effective compensation to 100%

Rating tiers
3

20%, 30%, 40%

CFR section
38 CFR § 4.71a

Part 4 rating schedule

Body system
Musculoskeletal System
Secondary conditions
0

None mapped

What are the VA rating criteria for Thumb, amputation of?

20%Disability Rating

At metacarpophalangeal joint or through proximal phalanx; 30

30%Disability Rating

With metacarpal resection; 40

40%Disability Rating

With metacarpal resection; 30

With metacarpal resection; 40

Common Questions About Thumb, amputation of VA Ratings

What is the VA rating range for Thumb, amputation of?

The VA rates Thumb, amputation of under Diagnostic Code 5152 at 20%, 30%, 40%. The minimum 20% rating requires: At metacarpophalangeal joint or through proximal phalanx; 30. The maximum 40% rating requires: With metacarpal resection; 30.

Which 38 CFR diagnostic code does the VA use for Thumb, amputation of?

The VA rates Thumb, amputation of under Diagnostic Code (DC) 5152, governed by 38 CFR 38 CFR § 4.71a. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.

What is the difference between a 20% and a 40% rating for Thumb, amputation of?

A 20% rating requires: At metacarpophalangeal joint or through proximal phalanx; 30. A 40% rating requires: With metacarpal resection; 30. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.

Can Thumb, amputation of qualify for TDIU (Total Disability Individual Unemployability)?

Veterans rated for Thumb, amputation of may qualify for TDIU if the condition — alone or in combination with other service-connected disabilities — prevents substantially gainful employment. A single disability rated at 60% or higher (or multiple disabilities combining to 70%, with one at 40%) can support a TDIU claim under 38 CFR § 4.16.

What evidence do I need to establish service connection for Thumb, amputation of?

Service connection for Thumb, amputation of requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease, and (3) a medical nexus linking the current diagnosis to that in-service occurrence. A nexus letter from a treating or independent medical examiner is the most reliable nexus evidence.

What is the C&P exam like for Thumb, amputation of?

A Compensation & Pension (C&P) exam for Thumb, amputation of uses a Disability Benefits Questionnaire (DBQ) specific to the body system involved. The examiner documents the frequency, severity, and functional impact of your symptoms. Bring all relevant treatment records and be prepared to describe your worst-day symptoms — the examiner rates your condition based on the full clinical picture, not a single visit.

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