Loss of Index Finger at Metacarpal Level — VA Disability Rating (DC 5138)

Diagnostic Code 5138 · 38 CFR §4.71a

What Is It?

Amputation of the index finger with metacarpal resection (ray amputation). Higher rating than distal amputation. 30% dominant, 20% non-dominant.

Rating Criteria

RatingCriteria
20%Non-dominant extremity: amputation at metacarpal level (ray amputation). Rated at 20%.
30%Dominant extremity: amputation at metacarpal level (ray amputation). Rated at 30%.

Evidence Needed

Service treatment records or VA medical records documenting the amputation. Operative reports if surgical. Documentation of the specific amputation level. Prosthetic evaluation records. For traumatic amputations, line of duty determination and incident documentation.

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