5223.0550 Musculoskeletal Schedule; Amputations Of Lower Extremities


Published: 2015

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5223.0550 MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF LOWER EXTREMITIES.


§
Subpart 1.

Amputations.

For permanent partial impairment due to amputation of lower extremities, the disability of the whole body is:

§
A.

amputation of the lower limb through the sacroiliac joint, 50 percent;


§
B.

disarticulation, as defined in part 5223.0310, subpart 21, at hip joint, 40 percent;


§
C.

amputation above knee joint, three inches or less below tuberosity of ischium, 40 percent;


§
D.

amputation above knee joint more than three inches below tuberosity of ischium, 36 percent;


§
E.

disarticulation at knee joint, 34 percent;


§
F.

amputation below knee joint, four inches or less below intercondylar notch, 34 percent;


§
G.

amputation below knee joint more than four inches below intercondylar notch, 28 percent;


§
H.

amputation at ankle, Syme type to midmetatarsal, 26 percent;


§
I.

midmetatarsal amputation, 14 percent;


§
J.

amputation of all toes at metatarsophalangeal joints, eight percent;


§
K.

amputation of great toe:

§
(1)

with resection of metatarsal bone, eight percent;


§
(2)

at metatarsophalangeal joint, five percent;


§
(3)

at interphalangeal joint, four percent; for dates of injury on or after August 9, 2010, at interphalangeal joint to insertion of flexor hallucis longus, four percent;


§
(4)

for dates of injury on or after August 9, 2010, distal to insertion of flexor hallucis longus, zero percent;



§
L.

amputation of any of second to fifth toes:

§
(1)

with resection of metatarsal bone, two percent;


§
(2)

at metatarsophalangeal joint, one percent;


§
(3)

at proximal interphalangeal joint, zero percent;


§
(4)

at distal interphalangeal joint, zero percent.