TABLE II-RATINGS FOR MULTIPLE LOSSES OF EXTREMITIES WITH DICTATOR'S RATING CODE AND VA REGULATION NOTE: Need for aid and attendance or permanently bedridden qualifies for subpart L, Code L 1-1 or L. VAR 1350 (B) (38 CFR 3.350 (b)). Paraplegia with loss of use of both lower extremities and loss of anal and bladder; s-hincter control qualifies for subpart O, Code D 1-VAR 1350 (E) (38 CFR 3.350 (e)). Any of the above plus additional disabilities rated 50% or 100% qualifies for the next intermediate or full rate Code P 1 or Code P 2 respectively. VAR 1350 (F) (3) and (4) (38 CFR 3.350 (f) (3) and (4)). AMPUTATIONS: UPPER EXTREMITY AMPUTATIONS: UPPER EXTREMITY-Continued Rating Major Minor At 40 (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 applicance. SINGLE FINGER AMPUTATIONS 5152 Thumb, amputation of: With metacarpal resection. metacarpophalangeal through proximal phalanx 40 joint or 30 40 40 At distal joint or through distal phalanx.... 5153 Index finger, amputation of 20 30 30 40 40 With metacarpal resection (more than one-half the bone lost)... Without metacarpal resection, at proximal interphalangeal joint or proximal thereto 40 Through middle phalanx or at distal joint....... 5154 Middle finger, amputation of: With metacarpal resection (more than one-half the bone lost).. Without metacarpal resection, at proximal interphalangeal joint or proximal thereto. 5155 Ring finger, amputation of: With metacarpal resection (more than one-half the bone lost).. Without metacarpal resection, at proximal interphalangeal joint or proximal thereto 5156 Little finger, amputation of: 10 With metacarpal resection (more than one-half the bone lost)......... Without metacarpal resection, at proximal interphalangeal joint or proximal thereto 20 10 NOTE: The single finger amputation ratings are the only applicable ratings for amputations of whole or part of single fingers. 1 Entitled to special monthly compensation. 10 200 |