TurboVets is fully live. For support, please submit tickets in app.
Sign In to TurboVets
Your Data is Protected. Never Sold. Never Used for Profit.
Read our FAQ
5135
§ 4.71a Schedule of ratings—musculoskeletal system.

Thumb, long and ring finger loss

Amputation of the thumb, long, and ring fingers.

What the rating means

Diagnostic code 5135 covers the combined anatomical loss of the thumb, long finger, and ring finger from the same hand. VA rates this condition at 60 percent if the losses involve your major (dominant) hand, and 50 percent if they involve your minor (nondominant) hand. There is only one rating level for this combination — no intermediate percentages exist under this code.

When two or more digits of the same hand are affected by any combination of amputation, ankylosis, or limitation of motion not otherwise spelled out in the rating schedule, VA assigns the level that best represents the overall disability. If the level of disability falls equally between two levels, the higher level applies. Because this code addresses specific named digits together, the rating reflects the combined functional impact of losing all three digits at once.

Evidence that helps

Medical records documenting the anatomical loss of the thumb, long finger, and ring finger are the foundation of a rating under this code. Operative reports, amputation records, or clinical notes confirming which digits were lost and whether the affected hand is your dominant or nondominant hand are directly relevant to whether the 60 percent or 50 percent rate applies.

A VA or private examination that clearly identifies the hand involved — major or minor — and confirms the absence of each of the three named digits supports the rating criteria. If ankylosis or limited motion is involved rather than outright amputation, examination findings should document joint positions, degrees of motion, and the gap between fingertips and the proximal transverse crease of the palm, since those measurements determine how VA classifies the level of disability. Statements from you or people who know you that describe how the loss of these digits affects tasks requiring grip, pinch, or fine motor control can help show the real-world impact, though the rating itself is tied to the anatomical findings.

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.