Table 4.1 “Functional Loss” of the Approved Guide is in the following form:
NOTE:In the evaluation of impairment resulting from a skin disorder the actual functional loss is the prime consideration, rather than the extent of cutaneous involvement. Where the condition affects the face Table 4.2 may be more appropriate.
|
% WPI |
DESCRIPTION OF LEVEL OF IMPAIRMENT |
|
0 |
The condition is absent on examination or if present can easily be reversed by appropriate medication or treatment AND causes no interference with activities of daily living when present. |
|
5 |
The condition requires treatment for lengthy periods AND causes no interference with activities of daily living when present. |
|
10 |
The condition is absent on examination or if present can easily be reversed by appropriate medication or treatment AND causes minor interference with activities of daily living when present. |
|
20 |
The condition requires treatment for periods in aggregate up to 3 months per year AND causes interference with activities of daily living when present. |
|
30 |
The condition requires treatment for periods in aggregate up to 4 months per year AND causes minor interference with activities of daily living when present. |
|
40 |
The condition requires treatment for periods in aggregate up to 4 months per year AND causes major interference with activities of daily living when present. |
|
45 |
The condition requires treatment for periods in aggregate up to 6 months per year AND causes minor interference with activities of daily living when present. |
|
50 |
The condition requires treatment for periods in aggregate up to 6 months per year AND causes major interference with activities of daily living when present. |
|
60 |
The condition requires treatment for periods in aggregate up to 9 months per year AND causes major interference with activities of daily living when present. |
|
70 |
The condition requires treatment for periods in aggregate up to 9 months per year AND causes major interference with activities of daily living when present. |
|
75 to 100 |
The condition is present all the time and requires treatment for between 9 and 12 months of the year AND causes major interference with activities of daily living. |