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5127
§ 4.71a Schedule of ratings—musculoskeletal system.

Amputation of thumb, index, long and ring fingers

Amputation of the thumb, index, long, and ring fingers.

What the rating means

Diagnostic code 5127 covers the amputation of the thumb, index, long, and ring fingers together. VA rates this combination at 70% if it affects your major arm and 60% if it affects your minor arm. Your major arm is generally the one you use to write or perform dominant tasks; your minor arm is the other one. These are the only two rating levels listed under this code — there are no intermediate steps between them.

If your condition involves amputation of some of these fingers combined with ankylosis or limited motion in others on the same hand, VA may evaluate the hand under the rule for multiple affected digits, choosing the rating level that best represents the overall disability. When the disability falls equally between two levels, the higher level applies. If your situation is not straightforwardly covered by this code, VA will look at the combination as a whole to find the evaluation that most accurately reflects your loss.

Evidence that helps

To support a 70% rating (major arm) or 60% rating (minor arm), your records need to confirm both the amputation of the thumb, index, long, and ring fingers and which hand is involved. Surgical or operative reports documenting the amputations, along with clear notes identifying the affected hand, are central. VA examination findings that confirm the anatomical losses and describe the residual hand function also matter.

If any of the remaining fingers on the same hand have ankylosis or limited motion that is being evaluated alongside the amputations, range-of-motion measurements and findings about finger position — such as whether joints are fixed in favorable or unfavorable positions and how large the gap is between fingertips and the palm — would be relevant. Statements from you or people who know you describing how the loss affects grip, daily tasks, and work activities can help show the functional impact that exam findings alone may not fully capture.

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.