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5229
§ 4.71a Schedule of ratings—musculoskeletal system.

Index or middle finger limited motion

The index or middle finger has reduced range of motion, affecting its ability to bend or move fully.

What the rating means

VA rates limitation of motion of the index or long (middle) finger under diagnostic code 5229. There are two possible ratings: 10% and 0%. The same percentages apply whether the affected hand is your major or minor hand.

A 10% rating applies when your finger cannot fully flex — measured by a gap of one inch (2.5 cm) or more between the fingertip and the proximal transverse crease of the palm when you flex the finger as far as possible — or when extension of the finger is limited by more than 30 degrees.

A 0% rating applies when flexion leaves a gap of less than one inch (2.5 cm) between the fingertip and the proximal transverse crease of the palm, and extension is limited by no more than 30 degrees. If two or more fingers on the same hand are affected, VA evaluates each finger separately and then combines those evaluations.

Evidence that helps

To support a 10% rating, medical records or a VA examination should document that when you flex your index or long finger as far as possible, the fingertip remains at least one inch (2.5 cm) away from the proximal transverse crease of your palm. Alternatively, records showing that your ability to straighten the finger is limited by more than 30 degrees would also support this level. Examination findings that measure the gap in centimeters or record the degrees of extension loss are especially useful.

For the lower end of the rating scale, an examiner's finding that the gap is less than one inch and that extension loss is 30 degrees or less would correspond to the 0% level.

Statements from you or people who know you describing difficulty gripping, pinching, or performing tasks that require full finger movement can help show how the limited motion affects your daily life and work. These statements are most helpful when they connect directly to the specific movement restrictions — flexion gap or extension loss — that the rating criteria describe.

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.