Two digits of one hand, unfavorable ankylosis of — VA Rating Criteria (38 CFR DC 5219)

The VA rates Two digits of one hand, unfavorable ankylosis of under Diagnostic Code 5219 at the following tiers: 20%, 30%, 40%. The minimum 20% rating requires: Index and long; index and ring; or index and little fingers; 30. The maximum 40% rating requires: Thumb and any finger; 30.

Diagnostic Code 5219 is the VA rating identifier for Two digits of one hand, unfavorable ankylosis of 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 Two digits of one hand, unfavorable ankylosis of under DC 5219 is 40%. This tier requires: Thumb and any finger; 30. Veterans who cannot secure substantially gainful employment due to Two digits of one hand, unfavorable ankylosis of alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Two digits of one hand, unfavorable ankylosis of is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5219. 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 Two digits of one hand, unfavorable ankylosis of 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 Two digits of one hand, unfavorable ankylosis of 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.