Thumb and little (DC 5145)

Body system: Musculoskeletal SystemRegulation: 38 CFR § 4.71a

Diagnostic Code 5145 covers combined injuries or conditions affecting both your thumb and little finger on the same hand. The VA rates this specific combination at a flat 40% disability rating. This recognizes that losing function in both your thumb and little finger significantly impacts your ability to grip, grasp, and perform fine motor tasks with that hand.

Rating levels

50% — If you've lost your thumb and little 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 little 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.