NOTE Need for aid and attendance or permanently bedridden qualifies for subpar L. Code L 1 k 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 sphincter control qualifies for subpar O Code 01 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 (1)(3) and (4)).

AMPUTATIONS: UPPER EXTREMITY-Continued

Rating

Major Minor

Arm, amputation of

Disarticulation

190

190

Above insertion of deltoid.

190

180

Below insertion of deltoid...

'80

170

Forearm, amputation of

Above insertion of pronator teres.

180

170

Ring and little....

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

5155

5156

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

Thumb, amputation of

With metacarpal resection.

At metacarpophalangeal joint or
through proximal phalanx.....

At distal joint or through distal
phalanx.

Index finger, amputation of

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

Through middle phalanx or at
distal joint..

Middle finger, amputation of

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

Ring finger, amputation of

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

Without metacarpal resection, at proximal interphalangeal joint or proximal thereto.

Little finger, amputation of With metacarpal resection (more than one-half the bone lost)...... Without metacarpal resection, at proximal interphalangeal joint or proximal thereto. NOTE. The single finger amputation ratings are the only applicable ratings for amputations of whole or part of single fingers.

'Entitled to special monthly compensation.

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