Loss of use of one hand and one foot

To support a 100% rating under this code, the evidence needs to show that you have lost the use of one hand and one foot. For each limb, records documenting anatomical loss — such as surgical or amputation reports — directly establish that. Where the limb is physically present but nonfunctional, medical records and physical examination findings should show that the hand or foot cannot be used for any effective purpose. This includes physician notes, imaging, nerve-conduction studies, or other clinical findings that describe the degree of impairment. Statements from you or people who observe you daily can describe how the loss affects tasks such as gripping, bearing weight, walking, and self-care. If you use a prosthesis or crutches, records noting when permanent use began may also be relevant to any special monthly compensation determination connected to this rating.