Middle Finger Amputation

DC 5154Musculoskeletal38 CFR 4.71a, DC 5154

Amputation of the middle (third, long) finger at various levels. The middle finger contributes to power grip and hand stability. The VA assigns a fixed 20 percent rating for middle finger amputation regardless of dominance, except at the PIP joint level which receives a lower rating.

How the VA rates this condition

This condition has a fixed rating under VA regulations. Unlike most conditions, the rating does not vary based on severity. If the VA grants service connection, the rating percentage is set by regulation.

Diagnostic code

DC 5154

Rating range

20% – 20%

Rating levels

Rating criteria are defined in 38 CFR 4.71a, DC 5154. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You have amputation of the middle finger through the proximal phalanx or with metacarpal resection (either hand). This is the standard rating for middle finger amputation above the PIP joint.

What the VA looks for

Surgical or trauma records of middle finger amputation
Amputation level at or above PIP joint documented
X-ray confirming level of bone involvement
Impact on grip strength measured
Hand function assessment completed

Common Pitfalls

⚠Not documenting the exact level of amputation — the rating depends on the precise level. Operative reports and X-rays must clearly document where the amputation occurred.
⚠Not claiming special monthly compensation (SMC) — when combined with other finger or hand disabilities, middle finger amputation may contribute to loss-of-use determination that qualifies for SMC-k.
⚠Not filing phantom limb pain as a separate secondary claim — phantom pain or sensation in the missing finger should be documented and may warrant a separate neurological rating.
⚠Not documenting prosthetic fit issues — finger prostheses or adaptive devices and their impact on daily function should be recorded.

Related DBQ Forms

DBQ Amputations

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…

Middle Finger Amputation

How the VA rates this condition

Diagnostic code

DC 5154

Rating range

20% – 20%

Rating levels

Rating Levels

You have amputation of the middle finger through the proximal phalanx or with metacarpal resection (either hand). This is the standard rating for middle finger amputation above the PIP joint.

What the VA looks for

Surgical or trauma records of middle finger amputation
Amputation level at or above PIP joint documented
X-ray confirming level of bone involvement
Impact on grip strength measured
Hand function assessment completed

Common Pitfalls

⚠Not documenting the exact level of amputation — the rating depends on the precise level. Operative reports and X-rays must clearly document where the amputation occurred.

⚠Not claiming special monthly compensation (SMC) — when combined with other finger or hand disabilities, middle finger amputation may contribute to loss-of-use determination that qualifies for SMC-k.

⚠Not filing phantom limb pain as a separate secondary claim — phantom pain or sensation in the missing finger should be documented and may warrant a separate neurological rating.

⚠Not documenting prosthetic fit issues — finger prostheses or adaptive devices and their impact on daily function should be recorded.