Loss of Wage Earning Capacity. Permanent Impairment. This year New York State has had a new tool. background.
The physician’s functional evaluation should include the following considerations and be recorded on the Doctor’s Report of MMI/Permanent Impairment (Form C-4.3).
Physician should rate the injured worker’s residual exertional capacity according to the standard classification system
Before an impairment rating is considered, the patient must reach maximum medical improvement (MMI). Appropriate medical treatment for the claim related injury or illness does not terminate upon a patient reaching MMI.
Classification should not occur until MMI has been reached. For purposes of these Guidelines, in cases that do not involve surgery or fractures, MMI cannot be determined prior to 6 months from the date of injury or disablement, unless otherwise agreed upon by the parties. Nothing in these Guidelines is intended to prevent an application for reclassification if the medical condition worsens.
Objective tests, where listed in these Guidelines, generally carry more weight than subjective symptoms. The performance of objective tests should be determined by the patient’s clinical condition. Inclusion of objective tests as criteria in these Medical Impairment Guidelines does not imply that the tests should be performed.
Medical impairment is generally predictive of residual functional ability/loss. Medical impairment cannot be directly translated to loss of wage earning capacity (LWEC).Assistive devices (such as canes, crutches, wheelchairs) are not taken into account in determining medical impairment but may be considered in the assessment of residual functional ability/loss
Severity ranking within a specific Impairment Table is generally predictive of the expected functional loss from the medical impairment.
The Guidelines cite standards of medical-scientific literature that may make reference to categories of persons based on physiological differences; this does not result in discriminatory determination of loss of wage earning capacity.
This can cause weakness in the biceps and wrist extensors,
and pain/numbness that runs down the arm to the thumb.
On physical exam, the brachioradialis reflex (mid-forearm) may be diminished.
Mild numbness of thumb
No atrophy noted
Weakness = ?
Atrophy = 0
Numbness = ?
Numbness = 4
4+6+10 = 20
Severity Ranking E