Amputation of thumb, index, ring and little fingers

Medical records documenting the amputation of your thumb, index finger, ring finger, and little finger are central to a rating under this code. Surgical reports, operative notes, and imaging can confirm which fingers were lost and at what level. An examination record clearly identifying which hand is your dominant hand helps VA determine whether your major or minor hand is involved, since that distinction separates the 70% and 60% ratings.

If the claim involves functional loss rather than complete anatomical loss, examination findings showing the extent of any remaining motion or ankylosis in each affected digit would support the evaluation. Statements from you or people who know you — describing how the loss affects gripping, writing, lifting, or other daily and work tasks — can show the real-world impact. Records from occupational therapy or rehabilitation can also reflect how hand function has changed since the amputation.