Hand And Finger DBQ: Official VA Form

The public Hand and Finger Disability Benefits Questionnaire records medical information for VA evaluation. The form itself provides its current questions, definitions, examination and clinician requirements. A completed form is evidence; it does not establish service connection or guarantee an evaluation.

Related Diagnostic Code Subjects

15 code subjects are associated with this form in this educational directory. These editorial subject associations are not official VA assignments, and the form may not be appropriate for every examination or claim.

• DC 5216: Five digits of one hand, unfavorable ankylosis of
• DC 5217: Four digits of one hand, unfavorable ankylosis of
• DC 5218: Three digits of one hand, unfavorable ankylosis of
• DC 5219: Two digits of one hand, unfavorable ankylosis of
• DC 5220: Five digits of one hand, favorable ankylosis of
• DC 5221: Four digits of one hand, favorable ankylosis of
• DC 5222: Three digits of one hand, favorable ankylosis of
• DC 5223: Two digits of one hand, favorable ankylosis of
• DC 5224: Thumb, ankylosis of
• DC 5225: Index finger, ankylosis of
• DC 5226: Long finger, ankylosis of
• DC 5227: Ring or little finger, ankylosis of
• DC 5228: Thumb, limitation of motion
• DC 5229: Index or long finger, limitation of motion
• DC 5230: Ring or little finger, limitation of motion

Read The Form Before Arranging An Examination

Review who may complete the form, which conditions it includes or excludes, and whether testing is required. VA can still request a claim examination. Report actual findings; this reference does not provide suggested answers.

Read The Claim Examination Guide · Return To The Rating Schedule