Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:8d:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 8D (pt 1/2)
Character Range: 114068–116837

8D

The veteran's accepted right upper limb condition(s) will receive (up to) three impairment ratings:
  + The functional impairment rating corresponding to the impairment of the right upper limb due to all causes other than amputations and dislocation of shoulder (if such a rating is obtained in substep 8A);
+ The impairment rating obtained in substep 8B; and
+ The impairment rating obtained in substep 8C.

These ratings are not to be combined at this stage but are to be included in the final combining of all ratings.

Examples

    Example 1

    A veteran has an amputation of the right thumb as the only accepted disability of the right upper limb.
By following steps 1 to 7 inclusive, a rating will have been selected from Table 3.1.2:
probably 20 to 40 impairment points (depending on the severity of the effect on the hand)

           from Table 3.1.3:
             20 impairment points.

    These two ratings are compared and the veteran receives the higher as the final impairment rating for the right upper limb.

    Example 2

    A veteran has an amputation of his right thumb and dislocation of the right shoulder as the only accepted conditions of the right upper limb.

           By following steps 1 to 7 inclusive, a rating will have been selected from Table 3.1.2:
say, 40 impairment points (the veteran can use the right upper limb reasonably well in a few circumstances only)

        from Table 3.1.3:
          20 impairment points; 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 88.

     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