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5130
§ 4.71a Schedule of ratings—musculoskeletal system.

Amputation of thumb, long, ring and little fingers

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

What the rating means

Diagnostic code 5130 covers amputation of the thumb, long, ring, and little fingers together. VA rates this condition at 70% if the amputation affects your major (dominant) arm and hand, or 60% if it affects your minor (nondominant) arm and hand. There is only one rating level for this combination of finger losses — the only distinction the regulation draws is which hand is involved.

If your situation involves two or more digits affected by a combination of amputation, ankylosis, or limitation of motion that is not otherwise specified in the rating schedule, VA will assign the evaluation level that best represents the overall disability. When the level of disability falls equally between one level and the next higher level, VA assigns the higher evaluation.

Because this code covers a specific combination of fingers, VA looks at the full picture of loss across all affected digits in that hand together, not each finger in isolation.

Evidence that helps

Medical records documenting the amputation of the thumb, long, ring, and little fingers are the foundation of a rating under this code. Surgical operative reports, pathology records, and post-operative notes that confirm which fingers were removed and on which hand — and whether that hand is your dominant or nondominant one — directly support the applicable percentage.

A VA or private examination that identifies the hand as major or minor is important because it determines whether a 70% or 60% rating applies. If any remaining fingers or joints on the same hand are also affected, exam findings showing the degree of motion, ankylosis, or functional loss help VA decide whether a different evaluation better represents the overall disability.

Statements from you, family members, or coworkers describing how the loss of these fingers affects tasks at work and in daily life — gripping, writing, handling objects — can show the functional impact, though the rating itself is set by the anatomical loss and which hand is involved.

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.