VA Disability Rating for Index or Long Finger Limitation of Motion
Diagnostic Code 5229 · 38 CFR §4.71a
What Is It?
DC 5229 rates limitation of motion of the index finger or the long (middle) finger. These fingers are important for precision grip, pointing, typing, and many fine motor tasks. The rating is based on two measurements: the gap between the fingertip and the proximal transverse crease of the palm when you flex the finger as far as it will go, and how far short of straight the finger stops in extension. Either a gap of one inch or more, or extension limited by more than 30 degrees, meets the 10 percent level. Veterans commonly develop limitations in these fingers from fractures, dislocations, tendon injuries, or crush injuries sustained during military service.
Rating Criteria
| Rating | Criteria |
|---|---|
| 10% | With a gap of one inch (2.5 cm.) or more between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible; or with extension limited by more than 30 degrees. The same 10 percent applies to the major and the minor hand. |
| 0% | With a gap of less than one inch (2.5 cm.) between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, and extension limited by no more than 30 degrees. |
Evidence Needed
- Measurement of the gap between fingertip and palm crease
- Medical records linking the finger condition to service
- Imaging showing joint or structural damage
- Documentation of functional limitations
- Grip strength measurements
C&P Exam Tips
- Allow the examiner to measure the gap when you try to close your fist
- Show any deformity or swelling in the finger joints
- Describe difficulty with tasks requiring precision grip
- Mention which hand is affected and whether it is dominant
- Report pain during finger flexion
How to File
File under DC 5229 for index or long finger limitation of motion. The maximum rating is 10 percent per finger. If multiple fingers are affected, each can be rated separately. Include the gap measurement and service connection evidence.
Common Mistakes
- Not having the gap measured during the exam.
- Filing only for one finger when multiple fingers are limited.
- Not documenting the impact on grip and fine motor tasks.
- Missing underlying arthritis or tendon problems causing the limitation.
Frequently Asked Questions
Can each affected finger be rated separately?
Yes, each finger can receive its own rating. If your index and long fingers are both limited, you can receive 10 percent for each, which combines to a higher overall rating.
What if my finger cannot straighten fully either?
Extension is measured under this code too. If extension is limited by more than 30 degrees, that alone meets the 10 percent level, even when the fingertip can still reach within an inch of the palm. The 0 percent level requires both a gap of less than one inch and extension limited by no more than 30 degrees.