Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:15:p15
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 15 (pt 15/28)
Character Range: 366372–369727

in the final combining of all ratings.

For those conditions of the female reproductive system that occur on a cyclical basis, Chapter 15 (Intermittent Impairment) is to be applied.

PART 10.3: BREASTS

A rating given for mastectomy under this Part is not the final rating for cancer of the breast. The steps to be followed in assessing cancer of the breast are given below, for convenience. In following these steps it is essential to apply both Chapter 14 and the tables in this Part.

Calculation of the impairment rating for cancer of the breast

Follow the steps below to calculate the impairment rating due to breast cancer.

Steps 2 to 6 are elaborated in Chapter 14 (Malignant Conditions).

STEP 1  Find the applicable rating for the relevant mastectomy or other surgical procedure (Tables 10.3.1 or 10.3.2).
STEP 2  Determine any applicable ratings for other effects of surgery (for example, effects on the use of the arm).
STEP 3  Determine any applicable ratings for the effects of any chemotherapy or radiotherapy.
STEP 4  Determine any applicable ratings due to the effects of spread of the cancer.
STEP 5  Combine all the above ratings by applying Chapter 18 (Combined Values Chart).
STEP 6  Find the applicable rating from Chapter 14 (Malignant Conditions).
STEP 7  Compare the rating obtained in Step 5 with the rating obtained in Step 6. Take the higher rating. This is the final rating for cancer of the breast.

Functional Loss Table 10.3.1
BREASTS: FEMALE
Impairment Ratings            Criteria
NIL                           No significant breast condition.
FIVE                             Persistent mammary discharge.
                                 Total loss of sensation of one nipple.
                                 Partial bilateral loss of sensation over T4&5 dermatome.
                                 Lumpectomy.
                               Partial unilateral mastectomy.
TEN                              Total loss of sensation of both nipples.
                               Total bilateral loss of sensation over T4&5 dermatome.
FIFTEEN                       Unilateral mastectomy.
THIRTY                        Bilateral mastectomy.
                              Only one rating is to be selected from this table.

No age adjustment permitted for this table

Functional Loss Table 10.3.2
BREASTS: MALE
Impairment Ratings            Criteria
NIL                           No significant breast condition.
TWO                              Gynaecomastia.
                               Unilateral mastectomy.
FIVE                             Persistent mammary discharge.
                               Bilateral mastectomy.
                              Only one rating is to be selected from this table.

No age adjustment permitted for this table

CHAPTER 11

SKIN IMPAIRMENT

INTRODUCTION

This chapter is to be applied in assessing skin conditions. Chapter 17 (Disfigurement and Social Impairment) is also to be applied to the assessment of skin conditions if appropriate.

For any relatively minor skin condition, the major consideration is whether it occurs on a more or less permanent basis or whether it occurs intermittently. If the condition occurs on an intermittent basis, the application of Chapter 15 (Intermittent Impairment) is to be considered.

For a more noticeable