Hand and Finger Conditions
Hand and finger conditions are rated under 38 CFR § 4.71a. Ratings depend on which finger, dominant vs. non-dominant hand, and degree of limitation or ankylosis. Thumb and index finger losses carry the highest ratings due to their functional importance.
VA Rating Levels
Favorable ankylosis of thumb at MP joint or minor limitation of motion in index/middle finger. Mild functional impact.
Unfavorable ankylosis of the thumb or favorable ankylosis of two or more digits. More significant grip or pinch impairment.
Loss/unfavorable ankylosis of multiple fingers or the thumb and another digit. Major loss of hand function.
Amputation or functional equivalent at the index finger proximal to the third joint, dominant hand.
Amputation or functional equivalent of the thumb at the metacarpophalangeal joint, dominant hand.
Exam Tips & Key Evidence
- →Each finger can be rated separately — document each one affected
- →Cold injury residuals (frostbite) affecting fingers are rated separately but still under musculoskeletal codes
- →Grip strength and pinch strength tests can support higher ratings
Commonly Related Conditions
38 CFR Reference
38 CFR § 4.71a, Diagnostic Codes 5152–5235