Table 8 - Digestive System

% WPI

DESCRIPTION OF LEVEL OF IMPAIRMENT

0

Symptoms present but no anatomical loss or alteration

5

Symptoms and/or signs present AND there is anatomical loss or alteration BUT continuous treatment is not required AND weight and nutrition are maintained at a steady level

OR

Mild incontinence of gas or liquid stool

10

Objective signs of disease present AND at least ONE of the following:

• dietary restrictions needed for control
• drugs needed for control
• weight loss of up to 10% of desirable weight

15

Objective signs of disease present AND at least TWO of the following:

• dietary restrictions needed for control
• drugs needed for control
• weight loss of up to 10% of desirable weight

20

Partial faecal incontinence requiring continual treatment

OR

20

Objective signs of disease present AND ALL of the following:

• dietary restrictions needed for control
• drugs needed for control
• weight loss of up to 10% of desirable weight

25

Objective signs of disease present AND ONE of the following:

• dietary restrictions and drugs produce partial but incomplete control
• weight loss of 10 to 20% of desirable weight

30

Objective signs of disease present AND BOTH of the following:

• dietary restrictions and drugs produce partial but incomplete control
• weight loss of 10 to 20 percent of desirable weight

40

Objective signs of disease present with TWO of the following:

• disturbed bowel habit
• pain (periodic or continual)
• continual manifestations (for example, fever or anaemia)
• weight loss of 10 to 20 percent of desirable weight

45

Complete faecal incontinence

50

Objective signs of disease present with ALL of the following:

• disturbed bowel habit
• pain (periodic or continual)
• continual manifestations (for example, fever or anaemia)
• weight loss of 10 to 20 percent of desirable weight

55-

75

Objective signs of disease present and a combination of the following:

• severe persistent disturbance of bowel habit
• severe persistent pain
• constitutional manifestations
• weight loss of more than 20 percent of desirable weight
•   severe limitation of activity

% 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

% WPI

DESCRIPTION OF LEVEL OF IMPAIRMENT

5

ANY ONE of the following:

• inguinal hernia (readily reducible)
• ventral hernia well supported

10

ANY ONE of the following:

• small recurrent inguinal hernia (operable but not readily reducible)
• colostomy

15

ANY ONE of the following:

• large recurrent inguinal hernia (inoperable and not readily reducible)
• oesophagostomy
• gastrostomy
• ventral hernia not well supported

20

ANY ONE of the following:

• massive ventral hernia (inoperable with severe diastasis of rectus)
• jejunostomy
• ileostomy