VASRD 5223 · Musculoskeletal System
DC 5223 covers two digits of the same hand ankylosed in a favorable position, most often the thumb and one finger. It is the favorable counterpart of DC 5219 and pays 10 percent less on every row but one: which two digits are involved, and whether it is the dominant hand, set the evaluation.
| Rating | Criteria |
|---|---|
| 30% | Your thumb and one finger on your dominant hand are both fused, in a favorable position. |
| 20% | The same thumb-and-finger combination on your non-dominant hand, or the index finger plus one other finger on either hand. |
| 10% | Any two of the middle, ring and little fingers fused in a favorable position, on either hand. |
DC 5223 has three rating rows, each with a major (dominant) and a minor (non-dominant) value. The thumb and any finger is 30 percent major and 20 percent minor. The index finger with the long, ring or little finger is 20 percent in both columns. Long and ring, long and little, or ring and little is 10 percent in both columns. So the record has to establish which two digits are ankylosed, that the position is favorable rather than unfavorable - unfavorable ankylosis of the same two digits is DC 5219, which pays 10 percent more on every row except one: an index-finger pair on the non-dominant hand is 20 percent under both codes, so for that combination the favorable/unfavorable finding does not change the evaluation - and which hand is dominant. Where three, four or five digits are ankylosed favorably, the evaluation moves up the table to DC 5222, 5221 or 5220.
Approval outlook
Moderate to high – especially if dominant hand affected.
Veterans service-connected
~4,100 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 Favorable Ankylosis of Two Digits of One Hand. Service-connecting a secondary condition can increase your combined rating.
Chronic Hand Pain
Restricted motion puts pressure on surrounding joints.
Wrist Instability
Impaired thumb use can lead to poor wrist control.
Rating criteria on this page are an educational summary of the cited regulation — the eCFR text is authoritative. See how Vetrify derives its numbers.
See how Favorable Ankylosis of Two Digits of One Hand combines with your other service-connected conditions using the official VA combined-ratings formula.
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