VASRD 5224 · Musculoskeletal
The thumb is fixed in one position and no longer moves. DC 5224 pays 20 percent when the fixed position is unfavorable and 10 percent when it is favorable, and unlike most upper-extremity codes it pays the same whether the thumb is on the dominant or the non-dominant hand.
DC 5224 has exactly two rating rows - 'Unfavorable' at 20 percent and 'Favorable' at 10 percent - and the major (dominant) and minor (non-dominant) columns carry identical values, so hand dominance does not change the evaluation here. What has to be established is that the thumb is ankylosed and what position it is fixed in. The code's note directs two further considerations: 'Also consider whether evaluation as amputation is warranted and whether an additional evaluation is warranted for resulting limitation of motion of other digits or interference with overall function of the hand.' A thumb that still moves but cannot reach the fingers is not rated here - that is DC 5228, limitation of motion of the thumb.
Approval outlook
Moderate – especially if documented by orthopedic or hand specialist.
Veterans service-connected
~8,200 veterans
Typical rating awarded
~20%
Vetrify editorial estimates informed by VA published claims data (VBA Annual Benefits Report) and the VA rating schedule — not official VA statistics.
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Conditions commonly linked to Ankylosis of Thumb. Service-connecting a secondary condition can increase your combined rating.
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