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Anatomical loss of one hand and one foot
Diagnostic code 5108 · Musculoskeletal system · 38 CFR 4.71a
Rating criteria: the exact regulation text
Quoted from 38 CFR 4.71a. The "Rating" column is the percentage VA assigns for that level.
Printed at the start of this table in the regulation:
| Criteria | Major | Minor |
|---|---|---|
| Note (1): When an evaluation is assigned for joint resurfacing or the prosthetic replacement of a joint under diagnostic codes 5051-5056, an additional rating under § 4.71a may not also be assigned for that joint, unless otherwise directed. | ||
| Note (2): Only evaluate a revision procedure in the same manner as the original procedure under diagnostic codes 5051-5056 if all the original components are replaced. | ||
| Note (3): The term “prosthetic replacement” in diagnostic codes 5051-5053 and 5055-5056 means a total replacement of the named joint. However, in DC 5054, “prosthetic replacement” means a total replacement of the head of the femur or of the acetabulum. | ||
| Note (4): The 100 percent rating for 1 year following implantation of prosthesis will commence after initial grant of the 1-month total rating assigned under § 4.30 following hospital discharge. | ||
| Note (5): The 100 percent rating for 4 months following implantation of prosthesis or resurfacing under DCs 5054 and 5055 will commence after initial grant of the 1-month total rating assigned under § 4.30 following hospital discharge. | ||
| Note (6): Special monthly compensation is assignable during the 100 percent rating period the earliest date permanent use of crutches is established. |
| Criteria | Major | Minor |
|---|---|---|
| 5108 Anatomical loss of one hand and one foot | 1 100 |
Table II—Ratings for Multiple Losses of Extremities With Dictator's Rating Code and 38 CFR Citation
This table is printed in the same section of the regulation and covers these combinations.
| Impairment of one extremity | Impairment of other extremity | |||||
|---|---|---|---|---|---|---|
| Anatomical loss or loss of use below elbow | Anatomical loss or loss of use below knee | Anatomical loss or loss of use above elbow (preventing use of prosthesis) | Anatomical loss or loss of use above knee (preventing use of prosthesis) | Anatomical loss near shoulder (preventing use of prosthesis) | Anatomical loss near hip (preventing use of prosthesis) | |
| Anatomical loss or loss of use below elbow | M Codes M-1 a, b, or c, 38 CFR 3.350 (c)(1)(i) | L Codes L-1 d, e, f, or g, 38 CFR 3.350(b) | M1⁄2 Code M-5, 38 CFR 3.350 (f)(1)(x) | L1⁄2 Code L-2 c, 38 CFR 3.350 (f)(1)(vi) | N Code N-3, 38 CFR 3.350 (f)(1)(xi) | M Code M-3 c, 38 CFR 3.350 (f)(1)(viii) |
| Anatomical loss or loss of use below knee | L Codes L-1 a, b, or c, 38 CFR 3.350(b) | L1⁄2 Code L-2 b, 38 CFR 3.350 (f)(1)(iii) | L1⁄2 Code L-2 a, 38 CFR 3.350 (f)(1)(i) | M Code M-3 b, 38 CFR 3.350 (f)(1)(iv) | M Code M-3 a, 38 CFR 3.350 (f)(1)(ii) | |
| Anatomical loss or loss of use above elbow (preventing use of prosthesis) | N Code N-1, 38 CFR 3.350 (d)(1) | M Code M-2 a, 38 CFR 3.350 (c)(1)(iii) | N1⁄2 Code N-4, 38 CFR 3.350 (f)(1)(ix) | M1⁄2 Code M-4 c, 38 CFR 3.350 (f)(1)(xi) | ||
| Anatomical loss or loss of use above knee (preventing use of prosthesis) | M Code M-2 a, 38 CFR 3.350 (c)(1)(ii) | M1⁄2 Code M-4 b, 38 CFR 3.350 (f)(1)(vii) | M1⁄2 Code M-4 a, 38 CFR 3.350 (f)(1)(v) | |||
| Anatomical loss near shoulder (preventing use of prosthesis) | O Code O-1, 38 CFR 3.350 (e)(1)(i) | N Code N-2 b, 38 CFR 3.350 (d)(3) | ||||
| Anatomical loss near hip (preventing use of prosthesis) | N Code N-2 a, 38 CFR 3.350 (d)(2) | |||||
Notes for the whole table
1 Also entitled to special monthly compensation.
Related codes in the regulation
- 5104 Anatomical loss of one hand and loss of use of one footSame formula
- 5105 Anatomical loss of one foot and loss of use of one hSame formula
- 5106 Anatomical loss of both handsSame formula
- 5107 Anatomical loss of both feetSame formula
- 5109 Loss of use of both handsSame formula
- 5110 Loss of use of both feetSame formula
- 5111 Loss of use of one hand and one footSame formula
The VA exam form for this condition
VA examiners record their findings on a Disability Benefits Questionnaire (DBQ). Reading it shows you what the exam will measure and ask.
Rules that apply to this body system
Where this comes from
38 CFR 4.71a, VA's Schedule for Rating Disabilities, from the official eCFR.
Regulation text current as of October 16, 2026.
Read it on eCFR.govInformation, not advice
This page shows the text of VA's rating regulation for information. It is not a rating estimate, and it is not legal or medical advice. VA decides every rating on the evidence in your file.
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