Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:15:p7
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 15 (pt 7/28)
Character Range: 342706–346062

a rating has been obtained in Step 4, compare it with the rating obtained in Step 3. Take the higher rating.            Page 144

Step 1: Determine a functional impairment rating for renal impairment using Table 9.1.1.

Functional Loss Table 9.1.1
LOSS OF RENAL FUNCTION
Impairment Ratings           Criteria
NIL                          Normal or insignificantly impaired renal function.
TWENTY                       Chronic renal failure with creatinine clearance of less than 20 mL/min.
THIRTY                       Chronic renal failure with creatinine clearance of less than 10 mL/min.
SIXTY                        Ongoing peritoneal dialysis or haemodialysis.
                             Only one rating is to be selected from this table.

No age adjustment permitted for this table

Creatinine clearance may be estimated either by analysis of a 24 hour urine collection or from the serum creatinine level by applying the following formulae.

Males:

Females:

Direct measurements of creatinine clearance are more accurate than estimates of creatinine clearance by applying the appropriate formulae. If both measurements are available that which better reflects the current status of the veteran's health during the period of assessment is to be used.

Step 2: Determine an Other Impairment rating for renal impairment using Table 9.1.2.

Other Impairment Table 9.1.2
RENAL OTHER IMPAIRMENT
Impairment Ratings            Criteria
NIL                              Glomerulonephritis, or other kidney disease, with good prognosis.
                               Acute pyelonephritis with no current symptoms.
TWO                           Asymptomatic renal stones.
FIVE                             Nephrectomy.
                                 Glomerulonephritis likely to cause chronic renal failure in 5–10 years.
                               Any disorder of upper urinary tract resulting in recurrent pyelonephritis, or hydronephrosis within past 12 months.
TEN                           Glomerulonephritis likely to cause chronic renal failure in less than five years.
TWENTY                           Renal transplant.
                               Glomerulonephritis likely to progress to chronic renal failure in less than six months.
                              Only one rating is to be selected from this table for any condition or combination of conditions. If more than one rating is applicable, the higher rating is to be selected.

No age adjustment permitted for this table

Step 3: Compare the ratings obtained in Steps 1 and 2. Take the higher rating.

Step 4: If the renal disease is causing generalised effects, apply Chapter 16 (Activities of Daily Living) to determine a rating.

Step 5: If a rating has been obtained in Step 4, compare it with the rating obtained in Step 3. Take the higher rating.

PART 9.2: LOWER URINARY TRACT FUNCTION

A rating for urinary excretion and one for lower urinary tract infections may be determined under this Part.

Calculation of the impairment rating for loss of lower urinary tract 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