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5230
§ 4.71a Schedule of ratings—musculoskeletal system.

Ring or little finger limited motion

The ring or little finger has reduced range of motion, affecting its ability to bend or move fully.

What the rating means

Under diagnostic code 5230, VA rates limitation of motion of the ring or little finger at 0% regardless of how severe the restricted movement is. There is only one rating level: 0% for any limitation of motion, whether your affected hand is your major hand or your minor hand. "Major" refers to your dominant hand and "minor" to your nondominant hand.

Because this condition is rated at 0% under its own code, VA may also look at whether a different diagnostic code better captures your overall hand disability. If two or more fingers on the same hand are affected together by some combination of limited motion, ankylosis, or amputation, VA evaluates each digit separately and then combines those evaluations, or assigns the level that best represents the total disability when the schedule does not address that combination directly.

Evidence that helps

Because any limitation of motion of the ring or little finger is rated at 0%, the main role of medical evidence here is to document that a service-connected limitation of motion exists and to establish which hand is your major (dominant) hand and which is your minor (nondominant) hand.

Useful evidence includes range-of-motion measurements from a physician or VA examination showing the degrees of flexion and extension at the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints. Normal ranges under the rating schedule are zero to 90 degrees of flexion at the metacarpophalangeal joint, zero to 100 degrees at the proximal interphalangeal joint, and zero to 70 or 80 degrees at the distal interphalangeal joint. If other fingers on the same hand are also affected, records documenting each finger's motion or ankylosis become relevant because those digits may be evaluated separately and combined.

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.