Loss of Thumb and Three Fingers of One Hand — VA Disability Rating (DC 5121)

Diagnostic Code 5121 · 38 CFR §4.71a

What Is It?

Amputation of the thumb and three fingers of one hand. Rated at 60% dominant or 50% non-dominant. Severe impairment of grip and pinch function.

Rating Criteria

RatingCriteria
50%Non-dominant extremity: amputation thumb plus three fingers. Rated at 50%.
60%Dominant extremity: amputation thumb plus three fingers. Rated at 60%.

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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