Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:54:p22
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 54 (pt 22/36)
Character Range: 139410–142791

and

         from Table 3.1.5:
         10 impairment points.

Medical evidence shows that the incapacity of the veteran's right upper limb is due 80% to the shoulder condition and 20% to the amputated thumb. Apportioning the 40 impairment points in the ratio of 4:1, 34 points are obtained for the shoulder, and 9 points for the thumb (Table 20.1).

After comparing the apportioned functional impairment rating of 34 for the right shoulder with the Other Impairment rating of 10 from Table 3.1.5, the veteran gets 34 points for the shoulder. After comparing the apportioned functional impairment rating of 9 for the amputated right thumb with the Other Impairment rating of 20 from Table 3.1.3, the veteran gets 20 points for the amputation of the right thumb.

In this case the final impairment ratings for the right upper limb are 34 points and 20 points. These are to be included in the final combining of all ratings.

An Upper Limb Worksheet is provided on page 70.

A separate Upper Limb Worksheet is to be used for each upper limb. If, for either upper limb, two Other Impairment ratings are applicable the Functional Impairment rating (E) is to be compared with the Other Impairment ratings in accordance with Step 8.

PART 3.2: LOWER LIMBS

Because the two lower limbs constitute a functional unit, a single functional impairment rating is calculated for both lower limbs together.

Calculation of the impairment rating for conditions of the lower limbs

Follow the steps below to calculate the impairment rating due to accepted conditions of the lower limbs:

(Each step is elaborated in the following pages.)

Step 1  Establish which joints in the lower limbs, if any, have some restriction of movement as a result of accepted conditions affecting the lower limbs.                                                                                                   Page 50
Step 2  (Omit this step if there is no restriction of joint movement in the limbs.)                                                                                                                                                                          Page 51
        Calculate the functional impairment due to restriction of the range of movement of joints in the lower limbs as a result of accepted conditions of the lower limbs.
Step 3  Make any applicable age adjustment to the final functional impairment rating for the limbs by applying Table 3.6.1 in Part 3.6 of this chapter.                                                                                                      Page 53
Step 4  Calculate the functional impairment rating for the lower limbs as a whole by applying Table 3.2.2.                                                                                                                                                   Page 54
Step 5  Compare the functional impairment rating for the lower limbs as a whole with the functional impairment rating due to any restricted range of movement. Take the higher of these two ratings as the final functional impairment rating for the limb.  Page 56
Step 6  Determine if any Other Impairment rating applies to the lower limbs.                                                                                                                                                                                 Page 56
Step 7