Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:15:p20
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 15 (pt 20/28)
Character Range: 380881–384361

the impairment rating.

Step 3: Determine an Other Impairment rating for the accepted endocrine condition.

There are two Other Impairment tables for loss of endocrine function. Table 12.1.1 is to be applied if assessing diabetes mellitus, while Table 12.1.2 is be applied if assessing any other endocrine condition. Both tables provide an impairment rating based on the type of treatment required by the veteran.

Step 4: Compare the total functional impairment rating of the affected body systems with the rating obtained in Step 3. Take the higher of these two ratings.

The rating obtained in Step 4 is to be included in the final combining of all ratings.

Step 5: If recognisable episodes of increased impairment are superimposed on the underlying condition, also assess the endocrine condition under Chapter 15 (Intermittent Impairment).

If recognisable episodes of increased impairment are superimposed on the underlying condition (for example, insulin-dependent diabetes with superimposed hypoglycaemic episodes), the endocrine condition is to be assessed under Chapter 15 (Intermittent Impairment). The rating from Chapter 15 and the rating obtained in Step 4 are to be included in the final combining of all ratings.

However, a rating from Chapter 15 is not to be combined with a rating from any other system-specific table for the same condition.

Other Impairment Table 12.1.1
DIABETES MELLITUS
Impairment Ratings             Criteria
NIL                            Glycosuria or hyperglycaemia controlled by weight loss.
TWO                            Gestational diabetes mellitus.
FIVE                            Diabetes mellitus necessitating dietary control.
                                Diabetes mellitus controlled by use of oral hyperglycaemics.
TEN                            Diabetes mellitus controlled with insulin.
TWENTY                         Diabetes mellitus uncontrolled.
                               A rating from this table is to be selected when the endocrine disorder is not associated with loss of function. If an assessable loss of function occurs in another system the higher rating is to be chosen. The two are not to be combined.

No age adjustment permitted for this table
For the purposes of Table 12.1.1, "Diabetes mellitus uncontrolled" means blood sugar level consistently 15 mmol/L or more, despite treatment.

Other Impairment Table 12.1.2
ENDOCRINE DISORDERS (excluding Diabetes Mellitus)
Impairment Ratings                                 Criteria
NIL                                                An endocrine disorder controlled by regular oral medication taken less often than daily or by injections less often than once a month.
TWO                                                   An endocrine disorder requiring daily oral medication.
                                                    An endocrine disorder requiring regular injections not more often than once a month.
FIVE                                               An endocrine disorder requiring injections not more often than once a fortnight.
TEN                                                An endocrine disorder requiring daily injections.
                                                   A rating from this table is to be selected when the endocrine disorder is not associated with loss of function. If an assessable loss of function occurs in another system the higher rating is to be chosen. The two are not to be combined.