Thumb, index, long and little (DC 5128)

Body system: Musculoskeletal SystemRegulation: 38 CFR § 4.71a

Diagnostic Code 5128 covers amputation or complete loss of use of your thumb, index finger, middle finger, and little finger on one hand. This is a serious condition that significantly impacts your ability to grip and manipulate objects. The VA assigns a fixed rating percentage based on which specific fingers are affected, ranging from 30% to 60% depending on the combination. You'll need to look at the detailed amputation tables in 38 CFR § 4.71a to find your exact rating.

Rating levels

70% — If you've lost your thumb, index, long, and little 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 little 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.