Index or long finger, limitation of motion — VA Rating Criteria (38 CFR DC 5229)

The VA rates Index or long finger, limitation of motion under Diagnostic Code 5229 at the following tiers: 0%, 10%. The minimum 0% rating requires: With a gap of less than one inch (2.5 cm.) between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, and; extension is limited by no more than 30 degrees; 0. The maximum 10% rating requires: With a gap of one inch (2.5 cm.) or more between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, or; with extension limited by more than 30 degrees; 10.

Diagnostic Code 5229 is the VA rating identifier for Index or long finger, limitation of motion within 38 CFR 38 CFR § 4.71a. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.

The highest schedular rating for Index or long finger, limitation of motion under DC 5229 is 10%. This tier requires: With a gap of one inch (2.5 cm.) or more between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, or; with extension limited by more than 30 degrees; 10. Veterans who cannot secure substantially gainful employment due to Index or long finger, limitation of motion alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Index or long finger, limitation of motion is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5229. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.

Secondary conditions caused or aggravated by Index or long finger, limitation of motion may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.

Service connection for Index or long finger, limitation of motion requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.