Thumb, long and little — VA Rating Criteria (38 CFR DC 5136)

The VA rates Thumb, long and little under Diagnostic Code 5136 at the following tiers: 50%, 60%. The minimum 50% rating requires: 60. The maximum 60% rating requires: 50.

Diagnostic Code 5136 is the VA rating identifier for Thumb, long and little 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 Thumb, long and little under DC 5136 is 60%. This tier requires: 50. Veterans who cannot secure substantially gainful employment due to Thumb, long and little alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Thumb, long and little is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5136. 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 Thumb, long and little 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 Thumb, long and little 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.