Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:54:p9
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 54 (pt 9/36)
Character Range: 96184–100485

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 than the rating from Table 2.1.1, the rating from Table 2.1.1 is to be discarded and each of the components of the rating for accepted target organ damage is to be included in the final combining of all impairment ratings.

Impairment ratings from Table 2.1.1 are not routinely compared with ratings from the functional loss tables in Chapter 1 (Cardiorespiratory Impairment) except if hypertensive cardiomyopathy is present. Instead, they are to be compared with the impairment rating for the total loss of function due to target organ damage.

The total impairment rating for target organ damage is not to be combined with the impairment rating obtained from Table 2.1.1.

PART 2.2: VASCULAR CONDITIONS OF THE LOWER LIMBS

Each vascular condition of the lower limbs is characterised as belonging to one or more of three categories. These categories are:
    (arterial) peripheral vascular disease;
    varicose veins and vascular leg ulcers; and
    oedema.

Each category is to be assessed by applying a specific table from this part of the Guide. Depending on their effects, vascular conditions of the lower limbs may be rated under one or more of these tables.

Determination of the impairment rating for vascular conditions of the lower limbs

Follow the steps below to determine the impairment rating for each type of accepted vascular condition of the lower limbs.

(Each step is elaborated in the following pages.)

Step 1   Establish whether any effect on lower limb function is present.                                                                                                                                                                                                             Page 34
Step 2   Establish whether any effect on the skin is present.                                                                                                                                                                                                                        Page 34
Step 3   (Omit this step if there is no effect on lower limb function)                                                                                                                                                                                                               Page 34
         Determine the impairment rating for the effects on lower limb function.
Step 4   (Omit this step if there is no effect on skin)                                                                                                                                                                                                                              Page 34
         Determine the impairment rating for the effects on the skin.
Step 5   Determine the Other Impairment rating for the vascular conditions of the lower limbs by applying Tables 2.2.1, 2.2.2, and 2.2.3.                                                                                                                                            Page 34
Step 6   Combine the impairment ratings obtained in Steps 3 and 4.                                                                                                                                                                                                                   Page 36
Step 7   Combine the impairment ratings obtained in Step 5.                                                                                                                                                                                                                          Page 36
Step 8   Compare the impairment ratings obtained in Steps 6 and 7.                                                                                                                                                                                                                   Page 36
Step 9   If the comparison made in Step 8 shows that the impairment rating obtained in Step 6 is greater than the impairment rating obtained in Step 7, then the ratings obtained in Steps 3 and 4 are