Loss of one hand and loss of use of one foot

To support a rating under this code, the evidence needs to show two things: anatomical loss of one hand and loss of use of one foot. For the hand, medical records documenting amputation or surgical removal confirm anatomical loss. Operative reports, pathology notes, and imaging can all reflect this.

For the foot, "loss of use" is a functional finding rather than an amputation. Medical records, VA examination findings, and physician statements that describe your inability to use the foot in a manner approaching normal function would be relevant. Records showing that you permanently rely on crutches are also meaningful, because the regulation specifically ties permanent crutch use to the potential assignment of special monthly compensation during the 100 percent rating period. Statements from you or people who observe you daily about how the combined loss of a hand and foot affects your mobility and activities can help show the full picture the regulation describes.