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5149
§ 4.71a Schedule of ratings—musculoskeletal system.

Long and ring finger loss

Amputation of the middle and ring fingers on one hand.

What the rating means

Diagnostic code 5149 covers the combined loss of the long finger and ring finger. VA rates this condition at 30 percent if the loss involves the major hand — meaning the hand you write with or use most — and 20 percent if it involves the minor hand. There is only one rating level for each side; the regulation does not provide higher or lower percentages within this code. When two or more digits of the same hand are affected by a combination of amputation, ankylosis, or limited motion that is not listed elsewhere in the rating schedule, VA assigns the evaluation level that best represents the overall disability. If the disability falls equally between two levels, the higher level applies.

Evidence that helps

To support a rating under this code, medical records should document the nature of the loss — whether it is anatomical amputation or loss of use — of both the long and ring fingers. Surgical reports, imaging, and physical examination findings that confirm the extent and character of the loss are relevant. If the condition involves ankylosis rather than amputation, examination findings should show which joints are fixed, the degree of any remaining flexion, and whether a gap of more than or no more than two inches exists between the fingertip and the proximal transverse crease of the palm. Records identifying which hand is your major or minor hand are also useful. Statements from you or people who know you that describe how the loss affects grip, daily tasks, or your ability to work can help show the functional impact.

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.