Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:172:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 172 (pt 1/2)
Character Range: 288626–291897

172

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

Functional Loss
Table 9.1.1

      Impairment

LOSS OF RENAL FUNCTION
       Ratings Criteria
NIL  Normal or insignificantly impaired renal function. TWENTY              Chronic renal failure with creatinine clearance of
                 less than 20mL/min.

                 THIRTY  Chronic renal failure with creatinine clearance of less than 10mL/min.

       SIXTY  Ongoing peritoneal dialysis or haemodialysis.

 No age adjustment permitted for this table

Only one rating is to be selected from 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:

(140-Age)  Weight (kg)
     Creatinine clearance (mL/min) = 800  Serum creatinine level (mmol/L)

    Females:

     Creatinine clearance (mL/min) =

(140-Age)  Weight (kg)  0.85
800  Serum creatinine level (mmol/L)

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

         Impairment

RENAL OTHER IMPAIRMENT
         Ratings Criteria
                       *    Glomerulonephritis, or other kidney disease, with good prognosis.
                       * Acute pyelonephritis with no current symptoms.
         TWO Asymptomatic renal stones.
   * 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.
   * Renal transplant.
                       * Glomerulonephritis likely to progress to chronic renal failure in less than six months.

No age adjustment           permitted for this
 table

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.
 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 Determine an impairment rating for impairment of Page
     1