Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:3d:p3
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 3D (pt 3/13)
Character Range: 228844–231934

for hearing loss calculations. 131

    STEP Calculate the APHL. Page
3 132

    STEP Determine what age adjustment (if any) must be sub- Page
     4 tracted from the APHL. Subtract it.  145

    STEP Determine the functional impairment rating by Page
5 applying Formula 7.1. If the paired organs policy does 147 not apply, this will be the final impairment rating for
             loss of hearing.

    STEP Determine if the paired organs policy applies by Page
     6 applying Table 7.1.10. If the policy applies, calculate 148
             the adjusted impairment rating.

                     Hearing Worksheets

        A set of Hearing Worksheets, at the end of this chapter (pages 152 to 157), is designed to facilitate the calculation of impairment due to accepted hearing loss. When performing a hearing loss assessment, the assessor should use the appropriate worksheet.

        These worksheets may also be of assistance in gaining an understanding of the procedures set out in this chapter.

  Step 1: Use Table 7.1.1 to determine the type of accepted hearing loss.

 For the purpose of assessment, every type of accepted hearing loss is considered to consist of one or more of the following four components:

 + right sensorineural deafness;
+ left sensorineural deafness;
+ right conductive  deafness; and
+ left conductive deafness.

 Fifteen different types of accepted hearing loss are recognised. Each consists of one or more of the above four components. The 15 types of possible accepted hearing loss are listed in Table 7.1.1 below. Every accepted hearing loss or combination of hearing losses will be found to be equivalent to one of the types of hearing loss listed in Table 7.1.1.

  Procedural
  Table 7.1.1

TYPES OF ACCEPTED HEARING LOSS

Type 1 Bilateral mixed deafness Type 2 Right mixed deafness Type 3              Left mixed deafness
     Type 4 Bilateral sensorineural deafness
Type 5 Bilateral sensorineural deafness with right conductive deafness
Type 6 Bilateral sensorineural deafness with left conductive deafness
     Type 7 Bilateral conductive deafness
Type 8 Bilateral conductive deafness with right sensorineural deafness
     Type 9 Bilateral conductive deafness with left sensorineural
              deafness
Type 10 Left  conductive deafness with right sensorineural deafness
Type 11 Right conductive deafness with left sensorineural deafness
     Type 12 Right conductive deafness
Type 13 Right sensorineural deafness Type 14 Left sensorineural deafness Type 15              Left conductive deafness

 No age adjustment permitted for this table

A single selection to cover the veteran's accepted hearing loss is to be made from this table, ignoring the non­accepted hearing losses at this stage.
    Step 2: Determine whether the audiogram is reliable and suitable for hearing
loss calculations.

    The audiogram

    Assessment of hearing impairment requires a pure tone audiogram. For the purposes of assessment of impairment, hearing loss is to be measured without the benefit of any hearing aid. Measurements of