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Four digits of one hand, amputation of: Thumb, index, long and ring
Diagnostic code 5127 · 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.
| Criteria | Major | Minor |
|---|---|---|
| 5127 Thumb, index, long and ring | 1 70 | 1 60 |
Printed after this group of codes in the regulation:
| Criteria | Major | Minor |
|---|---|---|
| (a) The ratings for multiple finger amputations apply to amputations at the proximal interphalangeal joints or through proximal phalanges. | ||
| (b) Amputation through middle phalanges will be rated as prescribed for unfavorable ankylosis of the fingers. | ||
| (c) Amputations at distal joints, or through distal phalanges, other than negligible losses, will be rated as prescribed for favorable ankylosis of the fingers. | ||
| (d) Amputation or resection of metacarpal bones (more than one-half the bone lost) in multiple fingers injuries will require a rating of 10 percent added to (not combined with) the ratings, multiple finger amputations, subject to the amputation rule applied to the forearm. | ||
| (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; i.e., amputation, unfavorable ankylosis, most representative of the levels or combinations. With an even number of fingers involved, and adjacent grades of disability, select the higher of the two grades. | ||
| (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance. |
Notes for the whole table
1 Entitled to special monthly compensation.
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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