Thumb, index, ring and little (DC 5129)

Body system: Musculoskeletal SystemRegulation: 38 CFR § 4.71a

Diagnostic Code 5129 covers amputation or complete loss of use of your thumb, index finger, ring finger, and little finger - basically losing four of your five fingers on one hand. The VA doesn't list specific rating percentages under this code because it cross-references to the amputation rating schedule in 38 CFR § 4.71a. Your rating will be based on exactly which fingers are affected and at what level they were amputated or lost function, typically resulting in a significant disability rating due to the severe impact on hand function.

Rating levels

70% — If you've lost your thumb, index, ring, 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, ring, 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.