Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:54:p13
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 54 (pt 13/36)
Character Range: 108636–111703

Aortic aneurysm of 6 cm diameter or more.
                                            Aortic aneurysm surgically corrected.
TEN                                      Other vascular conditions (eg. severe deep venous thrombosis) that are difficult to control.
                                         The impairment from any single condition can only receive one rating from this table. If the impairment from a given condition (eg, an aortic aneurysm) satisfies more than one criterion, it is to be given only the highest applicable rating.

No age adjustment permitted for this table

Aneurysms, atherosclerosis, and cerebrovascular disease

Impairment from atherosclerosis is to be rated by applying the appropriate tables in Chapter 1, Part 2.2 of Chapter 2, and Chapter 5 (Neurological Impairment) according to the losses of function or other impairments which it causes.

Impairment from cerebral aneurysms and cerebrovascular disease is to be rated by applying Chapter 5 (Neurological Impairment) and any other applicable chapter, according to the other effects of the cerebrovascular disease.

CHAPTER 3

IMPAIRMENT OF SPINE AND LIMBS

This chapter contains six parts:
Part 3.1 — Upper Limbs
Part 3.2 — Lower Limbs
Part 3.3 — Spine
Part 3.4 — Resting Joint Pain

Part 3.5 — Ranges of Joint Movement

Part 3.6 — Spine and Limbs Age Adjustment

INTRODUCTION

This chapter is used to assess the motor function of the spine and limbs. Sensory loss is to be assessed under Chapter 5 (Neurological Impairment).

Impairment of limbs

When a previously-accepted condition is later removed by an amputation that is also an accepted condition, the rating is to be based on the amputation or the resulting functional deficit, whichever results in the higher impairment rating. The previously accepted condition is not to be given an impairment rating.

PART 3.1: UPPER LIMBS

Functional impairment is to be calculated separately for each upper limb. Thus one functional impairment rating may be calculated for the right upper limb and another for the left upper limb.

Calculation of the impairment rating for conditions of each upper limb

Follow the steps below to calculate the impairment rating for accepted conditions of each upper limb:
(Steps 2–8 are elaborated in the following pages.)

STEP 1  If accepted condition(s) affect only the right upper limb, follow steps 2–8.

        If accepted condition(s) affect only the left upper limb, follow steps 2–8 substituting "left" for "right" in the instructions.

        If accepted condition(s) affect both upper limbs, follow steps 2–8 to assess the right upper limb, and then, to assess the left upper limb, repeat steps 2–8 substituting "left" for "right" in the instructions.
STEP 2  Establish which joints in the right upper limb, if any, have some restriction of movement as a result of accepted conditions affecting the right upper limb.                                                                                                Page 40
STEP 3  (Omit this step if is there is no restriction