Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:54:p8
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 54 (pt 8/36)
Character Range: 93320–96418

nephropathy is to be assessed by applying Chapter 9.

    If other renal conditions are present, they must be allowed for by applying Chapter 20 (Apportionment) or Chapter 19 (Partially Contributing Impairment) as appropriate.

Accepted hypertensive cerebral haemorrhage is to be assessed according to the specific effects of the haemorrhage.

The impairment ratings attributable to the accepted target organ damage are to be combined by applying Chapter 18 (Combined Values Chart) to obtain the total impairment rating for accepted target organ damage.

Target organ damage that is not an accepted condition cannot be assessed under this Guide. Target organ damage can be assessed under this Guide only after it has been claimed and has become an accepted condition.

The criterion in Table 2.1.1 which refers to "hypertension of such a degree that target organ damage is present" is not an assessment of the target organ damage itself but is a measure of the severity of the hypertension.

Step 3: Determine an impairment rating for hypertension from Table 2.1.1.
Other Impairment Table 2.1.1
HYPERTENSION
Impairment Ratings
                              Criteria
NIL                           Hypertension adequately controlled by diet and weight loss without long-term medication.
TWO                           Hypertension requiring long-term medication but without side-effects of the medication and with no evidence of target organ damage.
FIVE                             Hypertension with diastolic pressure consistently at or greater than 90 mm Hg despite treatment.
                                 Hypertension: controlled but frequent minor side effects of medication which cause no loss of function.
TEN                              Hypertension: diastolic pressure consistently greater than 100 mm Hg.
                                 Hypertension of such a degree that target organ damage is present.
                                 Hypertension: controlled but with side effects of medication causing a significant and persistent loss of function.
                              Only one rating is to be selected from this table.

No age adjustment permitted for this table

For the purpose of determining a rating of 10 impairment points from Table 2.1.1  (dot point 2) target organ damage has to be present either as an accepted condition or as a non-accepted condition.

Step 4: (Omit this step if is there is no target organ damage.) Compare the rating obtained in Step 2 with the rating obtained in Step 3. Take the higher rating.

The total impairment rating for accepted target organ damage is to be compared with any applicable rating from Table 2.1.1, and the higher of the two is to be taken as the impairment rating for the accepted hypertension.

Substep 4A  If the impairment rating from Table 2.1.1 is higher than the total rating for accepted target organ damage, the latter rating is to be discarded and its components are not to be used in any further calculations.
Substep 4B  If the impairment rating for accepted target organ damage is higher