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It is called a distal clavicle resection. We see this surgery done a lot in conjunction with surgeries for rotator cuff tears and labral tears. In a distal clavicle resection, the clavicle bone is cut and re-aligned. This surgery will get an impairment rating boost of 6%. That's a big add on! How Do I Get The Surgery Impairments Added To My Impairment With the goal of reducing physician burden, advancing the science of impairment rating, and delivering the most equitable ratings for patients, the AMA recommends that jurisdiction-specific adjustments (“non-medical adjustments” or “legal adjustments” required by a regulatory body) be applied only after a standard AMA Guides impairment rating has been completed by a physician.

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Impairment ratings should be based upon the most recent version of the Sixth Edition Guides. Currently, the reprinted 2009 AMA, Sixth Edition is the most recent version. OWCP’s instructions for rating multiple impairments in a scheduled member Features of AMA Guides 6th ed: (2)(2) ¾AMA Guides is internally-consistent, hence easy to apply across multiple organ systems ¾AMA Guides is functionally-based to help capture impact of impairment upon ADLs ¾AMA Guides has high precision and resolution of impairment ratings ¾AMA Guides is transparent and promotes Impairment – Sixth Edition September 6, 2012 Presented by: Matthew Kremke, MBA, Director of Advocacy Janet Thron, Senior Acquisitions Editor Slide Credits: Christopher Brigham, MD Senior Contributing Editor, AMA Guides, Sixth Edition Marjorie Eskay-Auerbach, MD, JD Contributing Editor, AMA Guides, Sixth Edition The AMA periodically publishes and updates a physician impairment rating guide (the AMA Guides). The 6th Edition, published in 2008, incorporates the definitions and terminology of the ICF and provides a simple means of assessment of ADLs as part of the rating process. It also has shifted the ratings criteria towards a diagnosis-based approach This 6th edition of AMA Guides to the evaluation of permanent impairment and disability is widely used basis for determining impairment and disability in State workers' compensation systems, federal systems, automobile casualty and personal injury across country. Our medical software is the first 3D model for AMA Guides 6th edition. The AMA Guides Sixth Edition clearly indicates that disability (or PPD) is a determination made by an administrative law judge and may or may not have a relationship to an impairment.

Older Editions Christopher R. Brigham, MD Senior Contributing Editor, AMA Guides, Sixth Edition Editor,AMAGuides Newsletter Issues to Discuss • Concept of Currently, the “most recent” edition of the AMA Guides is the 6 th Ed. The 6 th Ed. was adopted in December 2007. However, when Rule 113(B) was adopted, the “most recent” edition of the AMA Guides was the 5 th Ed. Differences in ratings between the two editions resulted in litigation over the meaning of the phrase “most recent Example: 41 year old truck driver with loss of elbow range of motion calculated at 10% UE, plus 2% WPI for pain. 10% UE is converted, to 6% WPI. 2% WPI for pain is added, and 8% WPI is the standard rating. 16.03.01.00 – 8 – [1.4]11 – 350H – 14 – 14% PD. www.bradfordbarthel.com 8.
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24/7 online access, comprehensive training, tools. 1. Simple and Allowed by the 1. Simple and Allowed by the AMA Guides AMA Guides 2. Based on the Example on Page 56, injury must be extremely severe to justify more than the “mild” category (6% WPI): 60% strength loss was interpreted as “mild.” 3.
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