Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:70:p17
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 70 (pt 17/25)
Character Range: 243885–248163

gastro-intestinal condition being assessed, then no impairment rating based on involuntary loss of weight can be given from Table 6.1.2.
Substep 1E  If non-accepted conditions contribute to the percentage loss of weight, Chapter 19 (Partially Contributing Impairment) is to be applied.

Functional Loss Table 6.1.2
LOSS OF GASTROINTESTINAL FUNCTION: MAINTENANCE OF NUTRITION
Impairment Ratings                                           Criteria
NIL                                                          Minor or no modification to diet, eg. high fibre diet or necessity to avoid certain foodstuffs.
TWO                                                          Malabsorption well controlled with appropriate replacement therapy.
FIVE                                                            Prescribed exclusion diet or major dietary restrictions, eg. gluten-free diet.
                                                                Laboratory evidence of malabsorption or nutritional deficiency despite therapy (including dietary restriction), but no signs or symptoms.
TEN                                                          Laboratory evidence of malabsorption together with some signs or symptoms.
TWENTY                                                       Involuntary weight loss of 10% or more with evidence of active disease and minor symptoms only.
THIRTY                                                       Involuntary weight loss of 10% or more with evidence of active disease and associated with local symptoms or mild systemic symptoms.
FORTY                                                           Involuntary weight loss of 20% or more with evidence of active disease.
                                                                Ileostomy, jejunostomy, oesophagostomy or gastrostomy.
SIXTY                                                        Involuntary weight loss of 20% or more with evidence of active disease and associated with severe, frequent local symptoms and systemic symptoms, eg. fever, malaise, anaemia.
                                                             Only one rating is to be selected from this table for any condition or combination of conditions.

No age adjustment permitted for this table

Functional Loss Table 6.1.3
LOSS OF GASTROINTESTINAL FUNCTION: FAECAL EXCRETION
Impairment Ratings                                   Criteria
NIL                                                  Intermittent constipation.
TWO                                                  Persistent constipation.
FIVE                                                 Minor faecal incontinence associated with occasional soiling.
TEN                                                  Faecal soiling necessitating frequent changes of underwear, or a precautionary incontinence pad.
TWENTY                                               Faecal incontinence necessitating use of incontinence pads on most days.
THIRTY                                                  Faecal incontinence necessitating several changes of incontinence pads on most days.
                                                        Colostomy.
FIFTY                                                Complete faecal incontinence.
                                                     Only one rating is to be selected from this table.

No age adjustment permitted for this table

Step 2: Determine any Other Impairment ratings that are applicable.

Determine which of the Other Impairment tables apply to the accepted gastrointestinal condition and select the appropriate impairment rating from each.

There are nine gastrointestinal Other Impairment tables:

   Table 6.1.4    Oral cavity and oesophagus
   Table 6.1.5    Non-ulcer dyspepsia, nausea and vomiting
   Table 6.1.6    Peptic ulcers: duodenal or gastric ulcers
   Table 6.1.7    Effects of past gastric surgery
   Table 6.1.8    Disorders of the large and small bowel
   Table 6.1.9    Disorders of the anus and rectum
   Table 6.1.10   Liver
   Table 6.1.11   Pancreas
   Table 6.1.12   Gall bladder

A gastrointestinal condition may attract an Other Impairment rating under more than one of the above tables. In that case a rating is to be selected from each applicable table.