Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:4:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 4 (pt 1/3)
Character Range: 317036–320088

4          impairment.)                                                                                       191
           Compare the impairment rating obtained in Step 2
           with the impairment rating obtained in Step 3. Take
           the higher rating.

 Step 1: Establish whether the skin condition causes any loss of function.

 Skin conditions may cause loss of function of hands by interfering with movement or sensation.  They may cause loss of function of joints as a result of scarring and contractions which may limit or interfere with the movement at the joint. Skin conditions may cause conditions of the eyelids (for example, ectropion or entropion, or difficulties in closing or opening the eyes).

 If any such effect of the accepted skin condition exists, this should be confirmed before applying Table 11.1.

 Step 2: Calculate the impairment rating for the total functional loss from any accepted skin condition.

 Depending on its nature and extent, functional loss may be assessed by:

 + applying Chapter 16 (Activities of Daily Living);
+ applying Chapter 15 (Intermittent Impairment), or
+ applying one or more system specific tables.
                                    Chapter 11: Skin Impairment

    The rating obtained from the table applied in assessing functional loss may need to be modified by:

      + applying Chapter 19 (Partially Contributing Impairment) if there is some contribution from a non-accepted condition; or

      + applying Chapter 20 (Apportionment) if there is some contribution from another accepted condition.

    If ratings from Chapter 16, Chapter 15 and one or more system specific tables are possible, all three are not to be given. Instead, all attributable system specific ratings are to be combined and compared with any attributable rating from Chapter 16 and from Chapter 15. The veteran is to be given the highest of the attributable ratings from Chapter 16, Chapter 15 or the combined system specific ratings as the functional impairment rating for accepted skin conditions.

    Step 3: Establish the Other Impairment rating for the accepted skin condition using Table 11.1.

    Only one rating is to be given from Table 11.1 for any condition or combination of conditions.

    Step 4: Compare the impairment rating obtained in Step 2 with the impairment rating obtained in Step 3. Take the higher rating.

    This step determines the final impairment rating for accepted skin conditions.

    At Step 2 allowance was made for the effect of any non-accepted skin condition and of any accepted condition which is not a skin condition on the functional loss from the accepted skin conditions. Compare the result obtained in Step 2 with the result obtained in Step 3. Take the higher of the two ratings. This is the final impairment rating for the accepted skin condition.

Other
  Impairment
Table 11.1 SKIN DISORDERS

     Impairment
     Ratings Criteria
              * Skin disorder causing symptoms which are easily tolerated, or are present only for