Amputation of the thumb, index, and little fingers.
To support a rating under this code, medical records should document the anatomical loss or loss of use of the thumb, index finger, and little finger on the same hand. Records from surgery, pathology, or imaging can confirm amputation or structural loss. For loss of use without amputation, examination findings showing the degree of ankylosis or motion limitation in each affected digit are important, including measurements of joint angles and the gap between fingertips and the palm or between the thumb pad and fingers.
If your condition involves ankylosis, the examiner's notes should record whether each joint is fixed in a favorable or unfavorable position, and whether both joints of a digit are involved. Records showing which hand is your dominant hand help VA determine whether the major or minor rating applies. Statements from you or people who know you describing how the loss of these three digits affects tasks at work and in daily life can also help show the full extent of the disability.
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.
