Document ID: chunk:federal_register_of_legislation:F2022C00922:front:0:p2
Version: federal_register_of_legislation:F2022C00922
Segment Type: other
Provision Reference: 
Character Range: 2970–6153

(Balance of Probabilities) (No. 71 of 2020).
     3               Authority
This instrument is made under subsection 196B(3) of the Veterans' Entitlements Act 1986.
     5               Application
This instrument applies to a claim to which section 120B of the VEA or section 339 of the Military Rehabilitation and Compensation Act 2004 applies.
     6               Definitions
The terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.
     7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about peripheral artery disease and death from peripheral artery disease.
Meaning of peripheral artery disease
(2)          For the purposes of this Statement of Principles, peripheral artery disease means atherosclerosis of one or more arteries of the upper or lower limbs which causes partial or complete occlusion of those vessels and either:
(a)          warrants medical treatment; or
(b)          results in at least one of the following clinical manifestations:
(i)            chronic limb ischaemia;
(ii)         critical limb ischaemia; or
(iii)       intermittent claudication or other exertional leg pain symptoms that restrict walking ability.
             Note 1: Signs of chronic limb ischaemia typically include subcutaneous atrophy, hair loss, thickened nails, smooth and shiny skin, coolness, pallor, cyanosis and dependent rubor.
             Note 2: Signs of critical limb ischaemia typically include rest pain, ulceration, gangrene and necrosis.
             Note 3: This definition includes atherosclerosis of the iliac arteries.
(3)          While peripheral artery disease attracts ICD‑10‑AM code I70.2, in applying this Statement of Principles the meaning of peripheral artery disease is that given in subsection (2).
(4)          For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
Death from peripheral artery disease
(5)          For the purposes of this Statement of Principles, peripheral artery disease, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's peripheral artery disease.
            Note: terminal event is defined in the Schedule 1 – Dictionary.
     8               Basis for determining the factors
On the sound medical‑scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that peripheral artery disease and death from peripheral artery disease can be related to relevant service rendered by veterans or members of the Forces under the VEA, or members under the MRCA.
Note: MRCA, relevant service and VEA are defined in the Schedule 1 – Dictionary.
     9               Factors that must exist
At least one of the following factors must