436-035-0420 Gastrointestinal and Genitourinary Systems (1) Impairments in mastication (chewing) and deglutition (swallowing) are determined based on the following criteria: (a) Diet limited to semi-solid or soft foods — 8% (b) Diet limited to liquid foods — 25% (c) Eating requires tube feeding or gastrostomy — 50% (2) Impairment of the upper digestive tract (esophagus, stomach and duodenum, small intestine, pancreas) is valued under the following classes: [Classes not included. See ED. NOTE.] (3) Colonic and rectal impairment is rated under the following classes: [Classes not included. See ED. NOTE.] (6) Biliary tract impairment is determined under the following classes: (a) Class 1: 5% for an occasional episode of biliary tract dysfunction. (b) Class 2: 20% for recurrent biliary tract impairment irrespective of treatment. (c) Class 3: 40% for irreparable obstruction of the bile tract with recurrent cholangitis. (d) Class 4: 75% for persistent jaundice and progressive liver disease due to obstruction of the common bile duct. (7) Impairment of the upper urinary tract is determined under the following classes: [Classes not included. See ED. NOTE.] (8) Impairment of the bladder: When evaluating permanent impairment of the bladder, the status of the upper urinary tract must also be considered. The appropriate impairment values for both are combined under OAR 436-035-0011(5). Impairment of the bladder is determined under the following classes: (a) Class 1: 5% when the patient has symptoms and signs of bladder disorder requiring intermittent treatment with normal function between episodes of malfunction. (b) Class 2: 18% when (a) there are symptoms or signs of bladder disorder requiring continuous treatment; OR (b) there is good bladder reflex activity, but no voluntary control. (c) Class 3: 30% when the bladder has poor reflex activity, that is, there is intermittent dribbling, and no voluntary control. (d) Class 4: 50% when there is no reflex or voluntary control of the bladder, that is, there is continuous dribbling. (9) Urethra: When evaluating permanent impairment of the urethra, one must also consider the status of the upper urinary tract and bladder. The values for all parts of the urinary system are combined under OAR 436-035-0011(5). Impairment of the urethra is determined under the following classes: (a) Class 1: 3% when symptoms and signs of urethral disorder are present that require intermittent therapy for control. (b) Class 2: 15% when there are symptoms and signs of a urethral disorder that cannot be effectively controlled by treatment. (10) Penile sexual dysfunction: When evaluating permanent impairment due to sexual dysfunction of the penis, one must also consider the status of the urethra upper urinary tract and bladder. The values for all parts of the system are combined under OAR 436-035-0011(6). Loss or alteration of the gonads is valued under OAR 436-035-0430. Impairment due to sexual dysfunction of the penis is determined under the following classes: [Classes not included. See ED. NOTE.] (11) Cervix/uterus/vagina: When evaluating permanent impairment of the cervix/uterus/vagina, one must also consider the status of the urethra, upper urinary tract and bladder. The values for all parts of the system are combined under OAR 436-035-0011(5). Loss or alteration of the gonads is valued under OAR 436-035-0430. Impairment of the cervix/uterus/vagina is determined under the following classes: [Classes not included. See ED. NOTE.] [ED. NOTE: Classes referenced are available from the agency.] [ED. NOTE: To view attachments referenced in rule text, click here to view rule.] Statutory/Other Authority: ORS 656.726 Statutes/Other Implemented: ORS 656.005, 656.214, 656.268 & 656.726 History: WCD 8-2012, f. 11-26-12, cert. ef. 1-1-13 WCD 2-2010, f. 5-5-10, cert. ef. 6-1-10 WCD 10-2007, f. 11-1-07, cert. ef. 1-1-08 WCD 8-2005, f. 12-6-05, cert. ef. 1-1-06 WCD 9-2004, f. 10-26-04, cert. ef. 1-1-05 WCD 2-2003, f. 1-15-03, cert. ef. 2-1-03 WCD 6-1998, f. 5-13-98, cert. ef. 7-1-98 WCD 2-1991, f. 3-26-91, cert. ef. 4-1-91 Reverted to WCD 7-1988, f. 12-21-88, cert. ef. 1-1-89 WCD 18-1990(Temp), f. 9-14-90, cert. ef. 10-1-90 WCD 7-1988, f. 12-21-88, cert. ef. 1-1-89 WCD 5-1988, f. 9-2-88, cert. ef. 8-19-88 WCD 2-1988, f. 6-3-88, cert. ef. 7-1-88