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5132
§ 4.71a Schedule of ratings—musculoskeletal system.

Amputation of thumb, index and long fingers

Amputation of the thumb, index, and long fingers.

What the rating means

Diagnostic code 5132 covers the amputation of the thumb, index finger, and long finger together. VA rates this combination at 60% if the affected hand is your major hand — meaning your dominant hand — and 50% if it is your minor hand, meaning your nondominant hand. There is only one rating level for this combination under this code; the percentage does not go higher or lower based on additional findings about these three digits.

If your condition involves two or more digits of the same hand affected by any combination of amputation, ankylosis, or limitation of motion not otherwise spelled out in the schedule, VA will assign the evaluation level that best represents the overall disability. When the level of disability falls equally between two levels, VA assigns the higher one. VA does not assign a separate additional rating for the same joint if a prosthetic replacement rating has already been assigned under diagnostic codes 5051 through 5056.

Evidence that helps

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.

Secondary conditions

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.