Minn. R. agency 151, ch. 5223, pt. 5223.0200
Current through Register Vol. 49, No. 20, November 12, 2024
Part 5223.0200 - VASCULAR DISEASE AFFECTING EXTREMITIES The following schedule shall be used to determine the percentage of disability of the whole body for permanent partial disability due to vascular disease. Permanent partial disability from vascular disease affecting the extremities must be rated according to the following classifications. The system shall be used only after a complete history and physical examination. The full evaluation shall include imaging examination (X-ray with and without contrast, computer axial tomography scanning, sonography, radionuclide studies) volume studies, or flow studies.
A. Vascular disease schedule, lower extremities. Percentage of Disability of Whole Body
| Intermittent claudication distance | Pain at rest | Physical signs of diagnosis | Edema |
| 0 percent | No | No | None, no ulceration | Rare and transient |
| 10 percent | Approximately one city block | No | Healed, painless stump, or healed ulcer | Persistent, incompletely controlled |
| 30 percent | Approximately 1/4 city block | No | Healed stump but persistent signs of activity, or persistent superficial ulcer | Very severe and only partially controlled |
| 60 percent | Less than 1/4 city block | Sometimes | Amputation above wrist or ankle with continued sign of disease, or widespread deep ulcer | Marked and uncontrollable |
| 90 percent | Constant pain | Constant | Amputation above wrist or ankle in more than one limb, or wide, deep ulceration of more than one limb | Marked and uncontrollable |
B. Peripheral vascular disease, upper extremities. (1) Class 1. The following findings are present: Decreased pulse or pulses; minimal loss of subcutaneous tissue of fingertips; calcification of arteries as detected by radiographic examination or Raynaud's phenomenon that occurs with exposure to temperature lower than zero degrees centigrade (32 degrees Fahrenheit) but is readily controlled by medication; 0 percent.(2) Class 2. Objective signs of vascular damage as evidenced by findings such as that of a healed, painless stump of an amputated digit showing evidence of persistent vascular disease, or of a healed ulcer; and Raynaud's phenomenon occurs on exposures lower than four degrees centigrade (39 degrees Fahrenheit) but is controlled by medication, 10 percent.(3) Class 3. Objective signs of vascular damage as evidenced by healed amputation of two or more digits of one extremity, with evidence of persisting vascular disease or superficial ulceration; and Raynaud's phenomenon occurs on exposure to temperatures lower than ten degrees centigrade (50 degrees Fahrenheit) and it is only partially controlled by medication; 30 percent.(4) Class 4. Objective evidence of vascular damage as evidenced by signs such as amputation of two or more digits of two extremities with evidence of persistent vascular disease, or persistent widespread or deep ulceration involving one extremity; and Raynaud's phenomenon occurs on exposure to temperatures lower than 15 degrees centigrade (59 degrees Fahrenheit) and is only partially controlled by medication; 54 percent.Minn. R. agency 151, ch. 5223, pt. 5223.0200
Statutory Authority: MS s 176.105