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5138
§ 4.71a Schedule of ratings—musculoskeletal system.

Index, long and ring finger loss

Amputation of the index, middle, and ring fingers on one hand.

What the rating means

Diagnostic code 5138 covers the anatomical loss of the index, long, and ring fingers together. VA rates this condition based on which hand is affected. If the loss is in your major hand — typically your dominant hand — the rating is 50%. If the loss is in your minor hand — typically your non-dominant hand — the rating is 40%. There are only these two possible ratings under this code.

When two or more digits of the same hand are affected by any combination of amputation, ankylosis, or limitation of motion not otherwise specified in the rating schedule, VA assigns the evaluation level that best represents the overall disability. The higher level applies when the disability is equally balanced between two levels. This means that certain combinations of finger conditions on the same hand may be rated under this code even without complete amputation of all three fingers.

Evidence that helps

Medical records documenting the anatomical loss of the index, long, and ring fingers are the most direct evidence for a rating under this code. Operative reports, pathology records, or clinical notes confirming amputation or equivalent loss of all three fingers help establish the diagnosis. A VA or private medical examination that clearly identifies which hand is affected — major or minor — is critical, because the rating differs depending on dominant versus non-dominant hand.

If your condition involves a combination of amputation, ankylosis, or severely limited motion across two or more of these digits rather than outright amputation, records showing the specific joints involved, range-of-motion measurements, and fingertip-to-palm gap measurements support how VA evaluates the overall disability level. Statements from you or people who know you describing how the loss of these three fingers affects your ability to grip, perform work tasks, or manage daily activities can also help VA understand the full extent of the disability.

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.