Thumb, index, long and ring (DC 5127)

Body system: Musculoskeletal SystemRegulation: 38 CFR § 4.71a

Diagnostic code 5127 covers situations where you've lost your thumb, index, long (middle), and ring fingers through amputation or complete loss of use. This is a serious hand injury that significantly impacts your ability to grip, grasp, and perform daily tasks. The VA uses fixed percentages based on exactly which fingers are affected and whether it's your dominant or non-dominant hand, with ratings typically ranging from 50% to 70% depending on the specific combination.

Rating levels

70% — If you've lost your thumb, index, long, and ring fingers on your dominant hand, you receive a 70% rating. On the non-dominant hand the same amputation rates at 60%. VA treats the hand you write with as your "major" (dominant) hand; the other is your "minor" (non-dominant) hand, and ratings are 10% lower because loss of function on the non-dominant side is considered less disabling.
60% — If you've lost your thumb, index, long, and ring fingers on your non-dominant hand, you receive a 60% rating. On the dominant hand the same amputation rates at 70%. VA treats the hand you write with as your "major" (dominant) hand; the other is your "minor" (non-dominant) hand, and ratings are 10% lower because loss of function on the non-dominant side is considered less disabling.

Disclaimer: This tool is for informational purposes only and is not legal or medical advice. Always consult with your VSO representative or a qualified veterans benefits attorney for guidance on your specific claim.