Table 8.2 - Liver and Biliary Tract

% WPI

DESCRIPTION OF LEVEL OF IMPAIRMENT

0

Mildly abnormal liver function tests but good nutrition and strength and no other signs of disease

5

Episodes of biliary colic twice a year or less frequently

10

Signs of stigmata of liver disease BUT no history of jaundice, ascites or bleeding oesophageal varices within the last 5 years.

Liver function tests normal or mildly abnormal.

15

Episodes of biliary colic 3 to 5 times a year

20

Signs of stigmata of liver disease with jaundice, ascites or bleeding oesophageal varices 1 to 5 years ago BUT liver function tests normal or mildly abnormal

25

Signs of stigmata of liver disease with jaundice, ascites or bleeding oesophageal varices 1 to 5 years ago AND liver function tests markedly abnormal

40

Signs of stigmata of liver disease with jaundice, ascites or bleeding oesophageal varices in the past year  OR

Objective signs of progressive liver disease

50

Permanent irreparable biliary tract obstruction

60

Objective signs of progressive liver disease with ONE of the following:

• persistent jaundice
• frequent, recurrent bleeding episodes
• central nervous system manifestations of hepatic insufficiency

70

Objective signs of progressive liver disease with TWO of the following:

• persistent jaundice
• frequent, recurrent bleeding episodes
• central nervous system manifestations of hepatic insufficiency

80

Objective signs of progressive liver disease with ALL of the following:

• persistent jaundice
• frequent, recurrent bleeding episodes
• central nervous system manifestations of hepatic insufficiency

95

Hepatic coma