Amputation of the thumb, index, and long fingers.
To support a rating under diagnostic code 5132, your medical records should clearly document the amputation of all three digits — the thumb, index finger, and long finger — on the same hand. Operative reports, pathology records, or imaging that confirms the anatomical loss of each digit are central to establishing the diagnosis.
Records identifying which hand is your major (dominant) hand and which is your minor (nondominant) hand matter directly to which percentage applies, so any medical or military documentation noting hand dominance is useful. If a prosthetic device has been fitted, records showing the type and extent of that treatment may also be relevant.
Statements from you or people who know you that describe how the loss of these three digits affects your ability to grip, hold objects, perform work tasks, or carry out daily activities can help VA understand the full impact of the disability. These statements should be specific about the tasks you can no longer do or can only do with difficulty because of the amputation.
Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.