Loss of both hands

Because the only rating under this code is 100%, the evidence needs to show anatomical loss of both hands. Medical records documenting surgical amputation, operative reports, or pathology records that confirm the physical removal of both hands would directly establish this. Imaging such as X-rays can also confirm the absence of the anatomical structures. A VA compensation and pension examination finding that documents the absence of both hands on physical exam is equally relevant. Statements from you or people who know you describing how the loss affects daily tasks — such as self-care, dressing, or using equipment — can support the overall record, though the core criterion here is anatomical, meaning the physical loss itself, rather than a functional measure.