Amputations

Topics:

The Arms and Hands
The Fingers
The Legs and Feet
Hand and Feet Combinations
Other Amputation Conditions
DBQ for Amputations
Principles that Apply

Reminder: The VA will give a Military Disability Rating for each service-connected condition a service member has, but the DoD will only rate service-connected conditions that make a service member Unfit for Duty.

The VA offers additional compensation for some especially serious amputation conditions. See the Special Monthly Compensation page to see if your condition qualifies.

 


The Arms and Hands

Note: Arm and hand conditions may have higher ratings for the dominant hand. If you are right-handed, then your right hand/arm is dominant. If you are left-handed, then your left hand/arm is dominant. For the ambidextrous, the rating for the dominant hand will apply regardless of which hand is injured.Amputation of the elbow

Code 5120: If the entire arm is amputated from the shoulder joint down, it is rated 90% for either arm.

Code 5121: If it is amputated below the shoulder but above the point where the deltoid attaches to the arm, then it is rated 90% for the dominant and 80% for the non-dominant.

Code 5122: An amputation below the deltoid but above the elbow is rated 80% for the dominant arm and 70% for the non-dominant arm.

Code 5123: If the arm is amputated above the insertion of the pronator teres, then it isAmputation of the hands rated 80% for the dominant arm and 70% for the non-dominant.

Code 5124: If the amputation is below the insertion of the pronator teres, then it is rated 70% for the dominant and 60% for the non-dominant arm.

Code 5125: If the hand is amputated at a point where it cannot be used at all, then it is rated 70% for the dominant and 60% for the non-dominant hand.

Code 5106: If both hands have been amputated, it is rated 100%.

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The Fingers

Amputation of the fingersA table is going to work best for explaining the very elaborate and confusing rating process for amputation of the fingers. The problem is there are four different sections (“grades”) where the fingers can be amputated, and each is rated differently. Make sure to note the exact grades in the image to the left so that you can find your correct rating. Also, different ratings are given for different combinations of fingers.

So, how to use the charts below. First choose the table that has the appropriate number of finger amputations. Next, find the row within the table with Xs indicating the appropriate fingers amputated. If you have three fingers—thumb, index, and little—then look at the chart for three fingers and find the row that marks those three fingers.

Next, determine what grade of amputation applies. See the image above. Each grade marks a place where the finger is amputated, so find which grade applies to your fingers. If multiple fingers have been amputated at different locations, the average grade applies. So, if the thumb is amputated at grade 2, the index at grade 3, and the little at grade 2, then the overall average grade is 2. If the thumb is grade 4, the index grade 3, and the little grade 2, then the overall average grade would be 3. If there are an even number of fingers amputated and there is a tie, the higher rating will be given. Got it? I hope so.

Single Finger Amputations
Two Finger Amputations
Three Finger Amputations
Four Finger Amputations
Five Finger Amputations

 

Single Finger Amputations

Thumb

Index

Long

Ring

Little

Grade 1

Grade 2

Grade 3

Grade 4

Code

Ratings

Dominant

Non-dominant

x

 

 

 

 

 

 

 

x

5152

40%

30%

x

 

 

 

 

 

 

x

 

5152

30%

20%

x

 

 

 

 

 

x

 

 

5152

20%

20%

 

x

 

 

 

 

 

 

x

5153

30%

20%

 

x

 

 

 

 

 

x

 

5153

20%

20%

 

x

 

 

 

 

x

 

 

5153

10%

10%

 

x

 

 

 

x

 

 

 

5225

10%

10%

 

 

x

 

 

 

 

 

x

5154

20%

20%

 

 

x

 

 

 

 

x

 

5154

10%

10%

 

 

x

 

 

 

x

 

 

5226

10%

10%

 

 

x

 

 

x

 

 

 

5226

10%

10%

 

 

 

x

 

 

 

 

x

5155

20%

20%

 

 

 

x

 

 

 

x

 

5155

10%

10%

 

 

 

x

 

 

x

 

 

5227

0%

0%

 

 

 

x

 

x

 

 

 

5227

0%

0%

 

 

 

 

x

 

 

 

x

5156

20%

20%

 

 

 

 

x

 

 

x

 

5156

10%

10%

 

 

 

 

x

 

x

 

 

5227

0%

0%

 

 

 

x

x

 

 

 

5227

0%

0%

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Two Finger Amputations

Thumb

Index

Long

Ring

Little

Grade 1

Grade 2

Grade 3

Grade 4

Code

Ratings

Dominant

Non-dominant

x

x

 

 

 

 

 

 

x

5142

60%

50%

x

x

 

 

 

 

 

x

 

5142

50%

40%

x

x

 

 

 

 

x

 

 

5219

40%

30%

x

x

 

 

 

x

 

 

 

5223

30%

20%

x

 

x

 

 

 

 

 

x

5143

60%

50%

x

 

x

 

 

 

 

x

 

5143

50%

40%

x

 

x

 

 

 

x

 

 

5219

40%

30%

x

 

x

 

 

x

 

 

 

5223

30%

20%

x

 

 

x

 

 

 

 

x

5144

60%

50%

x

 

 

x

 

 

 

x

 

5144

50%

40%

x

 

 

x

 

 

x

 

 

5219

40%

30%

x

 

 

x

 

x

 

 

 

5223

30%

20%

x

 

 

 

x

 

 

 

x

5145

60%

50%

x

 

 

 

x

 

 

x

 

5145

50%

40%

x

 

 

 

x

 

x

 

 

5219

40%

30%

x

 

 

 

x

x

 

 

 

5223

30%

20%

 

x

x

 

 

 

 

 

x

5146

50%

40%

 

x

x

 

 

 

 

x

 

5146

40%

30%

 

x

x

 

 

 

x

 

 

5219

30%

20%

 

x

x

 

 

x

 

 

 

5223

20%

20%

 

x

 

x

 

 

 

 

x

5147

50%

40%

 

x

 

x

 

 

 

x

 

5147

40%

30%

 

x

 

x

 

 

x

 

 

5219

30%

20%

 

x

 

x

 

x

 

 

 

5223

20%

20%

 

x

 

 

x

 

 

 

x

5148

50%

40%

 

x

 

 

x

 

 

x

 

5148

40%

30%

 

x

 

 

x

 

x

 

 

5219

30%

20%

 

x

 

 

x

x

 

 

 

5223

20%

20%

 

 

x

x

 

 

 

 

x

5149

40%

30%

 

 

x

x

 

 

 

x

 

5149

30%

20%

 

 

x

x

 

 

x

 

 

5219

20%

20%

 

 

x

x

 

x

 

 

 

5223

10%

10%

 

 

x

 

x

 

 

 

x

5150

40%

30%

 

 

x

 

x

 

 

x

 

5150

30%

20%

 

 

x

 

x

 

x

 

 

5219

20%

20%

 

 

x

 

x

x

 

 

 

5223

10%

10%

 

 

 

x

x

 

 

 

x

5151

40%

30%

 

 

 

x

x

 

 

x

 

5151

30%

20%

 

 

 

x

x

 

x

 

 

5219

20%

20%

 

 

x

x

x

 

 

 

5223

10%

10%

 

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Three Finger Amputations

Thumb

Index

Long

Ring

Little

Grade 1

Grade 2

Grade 3

Grade 4

Code

Ratings

Dominant

Non-dominant

x

x

x

 

 

 

 

 

x

5132

70%

60%

x

x

x

 

 

 

 

x

 

5132

60%

50%

x

x

x

 

 

 

x

 

 

5218

50%

40%

x

x

x

 

 

x

 

 

 

5222

40%

30%

x

x

 

x

 

 

 

 

x

5133

70%

60%

x

x

 

x

 

 

 

x

 

5133

60%

50%

x

x

 

x

 

 

x

 

 

5218

50%

40%

x

x

 

x

 

x

 

 

 

5222

40%

30%

x

x

 

 

x

 

 

 

x

5134

70%

60%

x

x

 

 

x

 

 

x

 

5134

60%

50%

x

x

 

 

x

 

x

 

 

5218

50%

40%

x

x

 

 

x

x

 

 

 

5222

40%

30%

x

 

x

x

 

 

 

 

x

5135

70%

60%

x

 

x

x

 

 

 

x

 

5135

60%

50%

x

 

x

x

 

 

x

 

 

5218

50%

40%

x

 

x

x

 

x

 

 

 

5222

40%

30%

x

 

x

 

x

 

 

 

x

5136

70%

60%

x

 

x

 

x

 

 

x

 

5136

60%

50%

x

 

x

 

x

 

x

 

 

5218

50%

40%

x

 

x

 

x

x

 

 

 

5222

40%

30%

x

 

 

x

x

 

 

 

x

5137

70%

60%

x

 

 

x

x

 

 

x

 

5137

60%

50%

x

 

 

x

x

 

x

 

 

5218

50%

40%

x

 

 

x

x

x

 

 

 

5222

40%

30%

 

x

x

x

 

 

 

 

x

5138

60%

50%

 

x

x

x

 

 

 

x

 

5138

50%

40%

 

x

x

x

 

 

x

 

 

5218

40%

30%

 

x

x

x

 

x

 

 

 

5222

30%

20%

 

x

x

 

x

 

 

 

x

5139

60%

50%

 

x

x

 

x

 

 

x

 

5139

50%

40%

 

x

x

 

x

 

x

 

 

5218

40%

30%

 

x

x

 

x

x

 

 

 

5222

30%

20%

 

x

 

x

x

 

 

 

x

5140

60%

50%

 

x

 

x

x

 

 

x

 

5140

50%

40%

 

x

 

x

x

 

x

 

 

5218

40%

30%

 

x

 

x

x

x

 

 

 

5222

30%

20%

 

 

x

x

x

 

 

 

x

5141

50%

40%

 

 

x

x

x

 

 

x

 

5141

40%

30%

 

 

x

x

x

 

x

 

 

5218

30%

20%

 

x

x

x

x

 

 

 

5222

20%

20%

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Four Finger Amputations

Thumb

Index

Long

Ring

Little

Grade 1

Grade 2

Grade 3

Grade 4

Code

Ratings

Dominant

Non-dominant

x

x

x

x

 

 

 

 

x

5127

80%

70%

x

x

x

x

 

 

 

x

 

5127

70%

60%

x

x

x

x

 

 

x

 

 

5217

60%

50%

x

x

x

x

 

x

 

 

 

5221

50%

40%

x

x

x

 

x

 

 

 

x

5128

80%

70%

x

x

x

 

x

 

 

x

 

5128

70%

60%

x

x

x

 

x

 

x

 

 

5217

60%

50%

x

x

x

 

x

x

 

 

 

5221

50%

40%

x

x

 

x

x

 

 

 

x

5129

80%

70%

x

x

 

x

x

 

 

x

 

5129

70%

60%

x

x

 

x

x

 

x

 

 

5217

60%

50%

x

x

 

x

x

x

 

 

 

5221

50%

40%

x

 

x

x

x

 

 

 

x

5130

80%

70%

x

 

x

x

x

 

 

x

 

5130

70%

60%

x

 

x

x

x

 

x

 

 

5217

60%

50%

x

 

x

x

x

x

 

 

 

5221

50%

40%

 

x

x

x

x

 

 

 

x

5131

70%

60%

 

x

x

x

x

 

 

x

 

5131

60%

50%

 

x

x

x

x

 

x

 

 

5217

50%

40%

x

x

x

x

x

 

 

 

5221

40%

30%

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Five Finger Amputations

Thumb

Index

Long

Ring

Little

Grade 1

Grade 2

Grade 3

Grade 4

Code

Ratings

Dominant

Non-dominant

x

x

x

x

x

 

 

 

x

5126

80%

70%

x

x

x

x

x

 

 

x

 

5126

70%

60%

x

x

x

x

x

 

x

 

 

5216

60%

50%

x

x

x

x

x

x

 

 

5220

50%

40%

 

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The Legs and Feet

 

Amputation of the feetCode 5160: If the entire leg is amputated at the hip joint, it is rated 90%.

Code 5161: If it is amputated in the upper part of the thigh, then it is rated 80%.

Code 5162: If it is amputated at mid to lower thigh, then it is rated 60%.

Code 5163: If the leg has been amputated but the stump is bad and a second amputation at thigh level is recommended, then it is rated 60%. (This one is a bit odd and is only rarely used.)

Code 5164: If the amputation is at a place around the knee where the knee cannot be used at all, then it is rated 60%.

Code 5165: If the amputation is below the knee, and the knee can still move, then it is rated 40%.

Code 5167: If the leg is amputated at the ankle or in a place so that the foot cannot be used at all, then it is rated 40%. Amputation of the ball of the foot

Code 5107: If both feet have been amputated, it is rated 100%.

Code 5166: If the ball of the foot and toes are amputated, then the rating is 40%.

Code 5170: If all the toes are amputated, not including the ball of the foot, it is rated 30%.

Code 5171: If just the big toe is amputated from the ball of the foot, then it is rated 30%. If the big toe is amputated at a point beyond the ball of the foot, then it is rated 10%.Amputation of the toes

Code 5172: If one or two toes (not the big toe) are amputated from the ball of the foot, then it is rated 20%. If one or two are amputated at a point beyond the ball of the foot, then it is rated 0%.

Code 5173: If two, three, or four toes (not the big toe) are amputated at a point beyond the ball of the foot, then it is rated 10%. If the big toe is one of the toes amputated, then it increases to 20%.

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Hand and Feet Combinations

Code 5104: If a hand has been amputated and one foot is not amputated, but cannot be used, it is rated 100%.

Code 5105: If a foot has been amputated and one hand is not amputated, but cannot be used, it is rated 100%.

Code 5108: If a foot and a hand have been amputated, it is rated 100%.

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Other Amputation Conditions

These are all the definitive “amputation” ratings. For any other amputation-like condition, like the removal of ribs or part of the jaw, please see the page for that body part for rating information.

If the condition is not addressed by the VASRD, then it is rated analogously under the code that most closely describes it (see the Analogous and Equivalent Codes page). The bottom line rule is to rate any condition under the code that BEST describes it, even if it is not exact.

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DBQ for Amputations

Here is the Disability Benefits Questionnaire (DBQ) used for amputations: Amputations DBQ.

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Principles that Apply

Probative Value: If two exams record the condition differently, the exam with the most thorough data and performed by the most qualified person in that specialty will be the exam the rating is based on.

Special Monthly Compensation: Amputations of a hand and foot or more may qualify for additional compensation from the VA.

Pyramiding: A single condition can only be rated once! However, if another condition exists that is additional to the amputation condition (not simply caused by it), then it can also be rated.

A Tie Goes to the Veteran: If there are two equally strong exams with conflicting information, or if the condition can be equally rated under two different codes, then the one that gives the highest rating will be assigned. Every conflict should be resolved in favor of the higher rating.

Accurate Measurements: It is essential that the necessary information to rate your condition is recorded by the physician in your exam. All ranges of motion should be measured with a goniometer. With the information on this page, you should know what needs to be measured and recorded. Make sure this happens correctly to ensure that you receive a proper rating.

Hospital or Convalescent Ratings: Some conditions require periods of hospitalization or constant medical care (at-home nurse, etc.). Any condition that requires this is rated 100% during this intensive treatment. Once it ends, then the 100% rating will continue for a certain period. This period is 3 months unless another length (6 months, 1 year, etc.) is directly specified in the condition ratings. Some patients may need more time to recover than others, so the physician or Rating Authorities can lengthen this time period if they see fit.

 

Please see the Musculoskeletal Principles and the VASRD Principles pages for further guidance.

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