Document ID: chunk:federal_register_of_legislation:F2023L00203:clause:1_75
Version: federal_register_of_legislation:F2023L00203
Segment Type: clause
Provision Reference: sch 1 cl 75
Character Range: 158893–160729

75     Histological severity – chronic hepatitis with cirrhosis.                                                  History of jaundice, ascites and/or bleeding oesophageal varices in the last 12 months.
       Persistent signs of advanced hepatic insufficiency.                                                        Nutritional state adversely affected. Profound fatigue and physical weakness.
                                                                                                                  Assistance required with activities of daily living.

    Notes to Table 8.5
      1. Signs of liver disease include: the stigmata of liver disease (spider angiomata, palmar erythema, and gynaecomastia); jaundice; palpably enlarged liver; evidence of abnormal liver size on ultrasound; evidence of intrahepatic lesions on ultrasound or positive antibodies to any of the viruses known to have the potential to cause chronic liver disease.
      2. Jaundice does not include a mild elevation of plasma bilirubin with normal liver enzymes.
      3. Liver function tests include estimates of total bilirubin, albumin, alkaline phosphatase (ALP), aspartate transaminase (AST), alanine transaminase (ALT), and gamma glutamyl transferase (GGT).
      4. All the criteria, both primary and secondary, must be present before a particular WPI rating can be allocated. However, liver biopsy is not mandatory and should not be undertaken solely for the purpose of permanent impairment assessment.
      5. Where liver biopsy has not been undertaken the histological criteria may be disregarded.
      6. Assessors should refer to the Principles of Assessment for guidance on awarding an impairment value within a range.

     8.6        Biliary tract
Table 8.6: Biliary tract
See note to Table 8.6 for further information.

%WPI  Criteria