Musculoskeletal System§ 4.71aUpdated
Rating criteria

VA Diagnostic Code 5104Anatomical loss of one hand and loss of use of one foot

A single 100% rating under § 4.71a. Here is what the VA requires for it.

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  1. 100%

    Anatomical loss of one hand and loss of use of one foot

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • 1 Also entitled to special monthly compensation.

Anatomical Loss of One Hand and Loss of Use of One Foot (Diagnostic Code 5104)

Understanding This Rating

This VA disability rating addresses the anatomical loss of one hand combined with the loss of use of one foot. It falls under the Musculoskeletal System and is evaluated under 38 CFR § 4.71a.

"Anatomical loss" refers to the physical loss of the hand itself, while "loss of use of one foot" refers to a condition affecting the foot on the other side of the body. This diagnostic code specifically covers the situation where both of these conditions are present together.

Available Rating Level

Under Diagnostic Code 5104, there is a single rating level:

RatingWhat It Reflects
100%Anatomical loss of one hand and loss of use of one foot

What the VA Looks For

When rating under this diagnostic code, the VA evaluates whether the veteran has:

  • Anatomical loss of one hand, and
  • Loss of use of one foot

Both conditions must be present for this evaluation to apply.

Additional Note

Veterans evaluated under this diagnostic code are also entitled to special monthly compensation.


This information is drawn directly from the VA rating schedule (38 CFR § 4.71a, Diagnostic Code 5104). It is provided for general educational purposes and does not constitute legal advice or a guarantee of any outcome. Every claim is evaluated individually based on the evidence and criteria that apply.

These criteria are a rendering of § 4.71a, diagnostic code 5104. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 5104 and attach the evidence for the level you are asking for. Other Musculoskeletal System codes may cover your secondary conditions.

Find out which rating your evidence supports.

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