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5140
§ 4.71a Schedule of ratings—musculoskeletal system.

Index, ring and little finger loss

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

What the rating means

Diagnostic code 5140 covers the combined anatomical loss of the index, ring, and little fingers on one hand. VA rates this condition at 50% if the loss involves your major hand (typically your dominant hand) and 40% if it involves your minor hand (typically your nondominant hand). These are the only two rating levels listed under this code.

Because multiple digits of the same hand are involved, VA looks at the overall disability when evaluating the combined loss. If your condition involves some combination of amputation, ankylosis, or limited motion that is not spelled out elsewhere in the rating schedule, VA assigns the level that best represents the total picture, choosing the higher level when the disability falls equally between two levels.

For ankylosis of these fingers, whether a joint is fixed in a favorable or unfavorable position affects how VA evaluates it, and certain combinations of joint ankylosis are treated as equivalent to amputation at a specific level.

Evidence that helps

Medical records documenting the anatomical loss of the index, ring, and little fingers are the core evidence for a rating under this code. Operative or surgical reports, pathology notes, and imaging can establish that the loss occurred and identify exactly which fingers and which hand are affected. Your dominant or nondominant hand status matters for the rating level, so records or statements that clearly identify which hand is your major and which is your minor are helpful.

If your condition involves ankylosis rather than outright amputation, examination findings that measure the gap between your fingertips and the proximal transverse crease of your palm — with fingers flexed as far as possible — help VA determine whether the ankylosis is favorable or unfavorable. Range-of-motion measurements for each affected joint, noting the degrees of flexion at the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints, support that determination. Statements from you or people who know you describing how the loss of these three fingers affects your ability to grip, handle objects, or perform work tasks can also reflect the functional impact of your condition.

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.