Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:15:p8
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 15 (pt 8/28)
Character Range: 345799–348940

function

Follow the steps below to calculate the impairment rating due to an accepted loss of lower urinary function.

(Each step is elaborated in the following pages.)

STEP 1  Determine an impairment rating for impairment of urinary excretion if appropriate by applying Table 9.2.1.                                                                          Page 145
STEP 2  Determine an impairment rating for lower urinary tract infections impairment if appropriate.                                                                                        Page 145
STEP 3  If the lower urinary tract condition causes impairment of an intermittent nature, combine the ratings determined in Steps 1 and 2, by applying Chapter 18 (Combined Values Chart).  Page 146
STEP 4  If the lower urinary tract condition causes impairment of an intermittent nature, determine a rating for the condition by applying Chapter 15 (Intermittent Impairment).            Page 146
STEP 5  If the lower urinary tract condition causes impairment of an intermittent nature, compare the ratings obtained in Steps 3 and 4.  Take the higher rating.                           Page 146

Step 1: Determine an impairment rating for impairment of urinary excretion if appropriate by applying Table 9.2.1.

Step 2: Determine an impairment rating for lower urinary tract infections impairment if appropriate by applying Table 9.2.2.

The ratings obtained in Steps 1 and 2 are not to be compared or combined at this stage but are to be included in the final combining of all ratings, except if the condition causes impairment of an intermittent nature.

If the condition does not cause impairment of an intermittent nature, the assessment of an impairment rating for the condition ceases at this point. If the condition causes impairment of an intermittent nature, proceed to Step 3.

Step 3: If the lower urinary tract condition causes impairment of an intermittent nature, combine the ratings determined in Steps 1 and 2 by applying Chapter 18 (Combined Values Chart).

Step 4: If the lower urinary tract condition causes impairment of an intermittent nature, determine a rating for the condition by applying Chapter 15 (Intermittent Impairment).

Step 5: If the lower urinary tract condition causes impairment of an intermittent nature, compare the ratings obtained in Steps 3 and 4.  Take the higher rating.

If the rating obtained in Step 3 is higher than that obtained in Step 4, the impairment rating obtained in Step 1 and the impairment rating obtained in Step 2 are to be included in the final combining of all impairment ratings.

Functional Loss Table 9.2.1
URINARY EXCRETION
Impairment Ratings           Criteria
NIL                             Occasional stress incontinence; infrequent and small amounts of urine lost, and incontinence pad not needed.
                              Mild symptoms of bladder outlet or urethral obstruction, eg. hesitancy, or poor stream.
FIVE                            Bladder outlet or urethral obstruction as above, but with more severe symptoms such as urge frequency, nocturia, or recurrent urinary