Diagnostic Code 5221 · 38 CFR §4.71a
This code covers ankylosis of the middle (long) finger combined with another finger (ring or little) on the same hand, not involving the thumb or index finger. The middle finger contributes to grip strength, and its loss of motion combined with another finger affects grasping ability.
| Rating | Criteria |
|---|---|
| 20% | 20-30% — Dominant hand: middle finger plus another depending on position |
| 30% | 20% — Non-dominant hand: middle finger plus another |
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.