![]() Generally, workers who have a ratable permanent impairment are entitled to additional pay after they have reached the point of maximum medical improvement. The United States Department of Labor has guidelines for evaluating medical evidence necessary to show a “ratable permanent impairment” for certain federal workers. These partial impairment ratings are expressed in terms of a percentage of permanent impairment. In North Carolina ( not in Virginia) this can also include permanent impairment to the spine. In the context of a workers’ compensation case, a permanent partial impairment rating will typically be a measure of any permanent damage or restriction that is objectively measured in a specific body part, such as the upper extremities, lower extremities, hands, or feet. Different federal agencies and different states use the AMA guidelines (either directly or indirectly) to assess a worker’s permanent partial impairment.
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