Long and little finger loss

Medical records that document the anatomical loss of the long finger and little finger are central to a rating under this code. Operative reports, pathology notes, or clinical examination findings that confirm the loss of both digits — and identify which hand is involved — directly address the criteria that separate the 30 percent rating (major hand) from the 20 percent rating (minor hand).

A VA or private examination should clearly state which hand is your dominant one and which is your nondominant one, since that distinction determines the applicable rating. If your condition involves ankylosis or limited motion rather than outright amputation, the examiner's findings should document the degree of flexion possible at each joint and the gap between the fingertips and the proximal transverse crease of the palm. Statements from you or others about how the loss of these two fingers affects your ability to grip, lift, or perform work tasks can help show the functional impact of the disability.