Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:212:p6
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 212 (pt 6/6)
Character Range: 361587–362729

of severe strokes, severe Parkinson's disease, severe heart failure, severe respiratory disease, severe liver failure, severe kidney failure and some dementias.

    ADLs may be used to rate a single condition if its effects are well-differentiated, or may be used to rate all conditions together if their effects are difficult to differentiate.

When ADLs are used to rate a single condition, an impairment rating or ratings from other chapters may be combined with a rating derived from Chapter 16 provided that the ratings relate to different conditions.

 When ADLs are used to rate all conditions together, no ratings from other chapters are to be combined with the rating from Chapter 16.

  Calculation of the impairment rating for an accepted condition using ADLs

 Follow the steps below to calculate the impairment rating due to an accepted condition using the ADLs.

 (Each step is elaborated in the following pages.)

 STEP            For each of the six ADLs obtain a grading code for           Page
  1 that activity. 221

 STEP            Add up the grading codes for each of the six ADLs.            Page
2 221

 STEP