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Jason · #1 (**permalink**) January 11th, 2008

Amputations: Upper Extremity

Rating
Major Minor

Arm, amputation of:

5120 Disarticulation .................................................. .......................................... 901........ 901

5121 Above insertion of deltoid........................................... ............................... 901........ 801

5122 Below insertion of deltoid .................................................. ....................... 801........ 701

Forearm, amputation of:

5123 Above insertion of pronator teres............................................. ................ 801........ 701

5124 Below insertion of pronator teres............................................. ................ 701........ 601

5125 Hand, loss of use of................................................ ................................... 701........ 601

Multiple finger amputations

5126 Five digits of one hand, amputation .................................................. ..... 701........ 601

Four digits of one hand, amputation of:

5127 Thumb, index, long and ring.............................................. ....................... 701........ 601
5128 Thumb, index, long and little............................................ ........................ 701........ 601
5129 Thumb, index, ring and little............................................ ......................... 701........ 601
5130 Thumb, long, ring and little............................................ ........................... 701........ 601
5131 Index, long, ring and little............................................ ............................... 60.......... 50

Three digits of one hand, amputation of:

5132 Thumb, index and long.............................................. ................................. 60.......... 50
5133 Thumb, index and ring.............................................. .................................. 60.......... 50
5134 Thumb, index and little............................................ .................................... 60.......... 50
5135 Thumb, long and ring.............................................. .................................... 60.......... 50
5136 Thumb, long and little............................................ ...................................... 60.......... 50
5137 Thumb, ring and little............................................ ....................................... 60.......... 50
5138 Index, long and ring.............................................. ....................................... 50.......... 40
5139 Index, long and little............................................ ........................................ 50.......... 40
5140 Index, ring and little............................................ ......................................... 50.......... 40
5141 Long, ring and little............................................ .......................................... 40.......... 30
Two digits of one hand, amputation of:

5142 Thumb and index............................................. ............................................ 50.......... 40
5143 Thumb and long.............................................. ............................................. 50.......... 40
5144 Thumb and ring.............................................. .............................................. 50.......... 40
5145 Thumb and little............................................ ................................................ 50.......... 40
5146 Index and long.............................................. ................................................ 40.......... 30
5147 Index and ring .................................................. ............................................ 40.......... 30
5148 Index and little............................................ .................................................. 40.......... 30
5149 Long and ring.............................................. ................................................. 30.......... 20
5150 Long and little............................................ .................................................. . 30.......... 20
5151 Ring and little............................................ .................................................. .. 30.......... 20

(a) The ratings for multiple finger amputations apply to amputations at the proximal interphalangeal joints or through proximal phalanges.

(b) Amputation through long phalanges will be rated as prescribed for unfavorable ankylosis of the fingers.

(c) Amputations at distal joints, or through distal phalanges, other than negligible losses, will be rated as prescribed for favorable ankylosis of the fingers.

(d) Amputation or resection of metacarpal bones (more than one-half the bone lost) in multiple fingers injuries will require a rating of 10 percent added to (not combined with) the ratings, multiple finger amputations, subject to the amputation rule applied to the forearm.

(e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; i.e., amputation, unfavorable ankylosis, most representative of the levels or combinations. With an even number of fingers involved, and adjacent grades of disability, select the higher of the two grades.

(f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance.

Single finger amputations

5152 Thumb, amputation of:

With metacarpal resection......................................... ........................ 40.......... 30
At metacarpophalangeal joint or through proximal phalanx................. 30.......... 20
At distal joint or through distal phalanx........................................... ... 20.......... 20

5153 Index finger, amputation of

With metacarpal resection (more than one-half the bone lost)............ 30.......... 20

5153 Index finger, amputation of (cont.)

Without metacarpal resection, at proximal interphalangeal joint
or proximal thereto........................................... ................................ 20.......... 20
Through long phalanx or at distal joint............................................. .. 10.......... 10

5154 Long finger, amputation of:

With metacarpal resection (more than one-half the bone lost)...... ......20.......... 20
Without metacarpal resection, at proximal interphalangeal joint
or proximal thereto........................................... ............................... 10.......... 10

5155 Ring finger, amputation of:

With metacarpal resection (more than one-half the bone lost)............ 20.......... 20
Without metacarpal resection, at proximal interphalangeal joint
or proximal thereto........................................... ............................... 10.......... 10

5156 Little finger, amputation of:

With metacarpal resection (more than one-half the bone lost)...... ......20.......... 20
Without metacarpal resection, at proximal interphalangeal joint
or proximal thereto........................................... ............................... 10.......... 10

Note: The single finger amputation ratings are the only applicable ratings for amputations of whole or part of single fingers.

1Entitled to special monthly compensation.

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