DC 5152Musculoskeletal SystemCriteria from 38 CFR § 4.71a, DC 5152

Amputation of thumb

The VA rates Amputation of thumb under Diagnostic Code 5152, with separate ratings for the dominant and non-dominant arm: 20% to 40% for the dominant arm and 20% to 30% for the non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Catalog name: Thumb, amputation of.

Rating schedule · DC 5152 at a glance

Dominant arm
20% to 40%

Major column of the published table

Non-dominant arm
20% to 30%

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 thumb?

DC 5152 is rated separately for your dominant arm and your non-dominant arm. 38 CFR § 4.69 decides which arm is dominant.

DC 5152 rating schedule from 38 CFR § 4.71a: criteria, then the dominant arm and non-dominant arm percentages.
CriteriaDominant armMajorNon-dominant armMinor
single finger amputations
Thumb, amputation of:

With metacarpal resection

Dominant arm40%Non-dominant arm30%

At metacarpophalangeal joint or through proximal phalanx

Dominant arm30%Non-dominant arm20%

At distal joint or through distal phalanx

Dominant arm20%Non-dominant arm20%

Source: 38 CFR § 4.71a, eCFR as of .

Notes for DC 5152

  • Note: The single finger amputation ratings are the only applicable ratings for amputations of whole or part of single fingers.

These diagnostic codes sit next to Amputation of thumb 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. 5147Index and ring
  2. 5148Index and little
  3. 5149Long and ring
  4. 5150Long and little
  5. 5151Ring and little
  6. 5153Index finger, amputation of
  7. 5154Long finger, amputation of
  8. 5155Ring finger, amputation of
  9. 5156Little finger, amputation of
  10. 5170Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss
All 139 musculoskeletal conditions

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

Common Questions About Amputation of thumb VA Ratings

What is the VA rating range for Amputation of thumb?

Dominant arm: 20% to 40%; non-dominant arm: 20% to 30%, under DC 5152, 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 thumb?

The VA rates Amputation of thumb under Diagnostic Code (DC) 5152, published in 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% dominant-arm rating for Amputation of thumb?

These figures are the dominant-arm column of DC 5152. A 20% dominant-arm rating is published for: At distal joint or through distal phalanx. A 40% dominant-arm rating is published for: With metacarpal resection. The non-dominant arm is rated on its own column, 20% to 30%.

Can Amputation of thumb qualify for TDIU?

Using the dominant-arm maximum: DC 5152 publishes up to 40% for the dominant arm and up to 30% for the non-dominant arm. That alone does not meet the single-disability TDIU threshold of 60%. With other service-connected disabilities combining to 70% or more, one of them at 40% or more, TDIU under 38 CFR § 4.16(a) may apply, and extraschedular TDIU under § 4.16(b) is available if the condition alone prevents work regardless of rating.

What evidence supports a higher rating for Amputation of thumb?

The key evidence for Amputation of thumb 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 thumb?

The C&P examiner uses a Musculoskeletal System DBQ and evaluates your condition against the DC 5152 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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