Ankylosis of Three Digits of One Hand — VA Disability Rating Criteria (DC 5218)

Diagnostic Code 5218 · 38 CFR §4.71a

What Is It?

Ankylosis of three digits of one hand covers loss of motion in three fingers. The rating depends on which specific fingers are affected, whether the ankylosis is in a favorable or unfavorable position, and whether it is the dominant or non-dominant hand. Combinations involving the thumb generally receive higher ratings.

Rating Criteria

RatingCriteria
30%40-50% — Dominant hand depending on which fingers and position
50%30-40% — Non-dominant hand depending on finger combination

Evidence Needed

Medical records documenting complete loss of motion (ankylosis) in the affected finger joints. X-rays or imaging showing joint fusion or fixation. Range of motion testing showing zero degrees of motion. Documentation of whether ankylosis is in favorable or unfavorable position. Service treatment records or nexus opinion linking the condition to military service.

Frequently Asked Questions