Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:70:p23
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 70 (pt 23/25)
Character Range: 263349–267033

for hearing loss calculations.                                                                                        Page 108
STEP 3  Calculate the APHL.                                                                                                                                                            Page 109
STEP 4  Determine what age adjustment (if any) must be subtracted from the APHL. Subtract it.                                                                                          Page 120
STEP 5  Determine the functional impairment rating by applying Formula 7.1. If the paired organs policy does not apply, this will be the final impairment rating for loss of hearing.  Page 122
STEP 6  Determine if the paired organs policy applies by applying Table 7.1.10. If the policy applies, calculate the adjusted impairment rating.                                       Page 122

Hearing Worksheets
A set of Hearing Worksheets, at the end of this chapter (pages 127 to 131), 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
                                A single selection to cover the veteran's accepted hearing loss is to be made from this table, ignoring the non-accepted hearing losses at this stage.

No age adjustment permitted for this table

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