Thumb and index (DC 5142)

Body system: Musculoskeletal SystemRegulation: 38 CFR § 4.71a

Diagnostic Code 5142 covers combined injuries or conditions affecting both your thumb and index finger on the same hand. The VA rates this condition at a flat 40% disability rating when you have significant problems with both digits that impact your hand function. This is a higher rating than you'd typically get for individual finger injuries because losing function in both your thumb and index finger together severely affects your ability to grip, pinch, and perform fine motor tasks.

Rating levels

  • 50% — If you've lost your thumb and index finger on your dominant hand, you receive a 50% rating. On the non-dominant hand the same amputation rates at 40%. 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.
  • 40% — If you've lost your thumb and index finger on your non-dominant hand, you receive a 40% rating. On the dominant hand the same amputation rates at 50%. 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.