| Table 2 to Article 13.09 Assessment of Peripheral Venous Disorders |
| Assessment |
Symptoms |
Anatomical Distribution |
Edema |
Skin |
Support Stockings |
Limb Enlargement |
| 0% to 5% |
MildMild |
Unilateral Or Bilateral Below Knee Unilateral Above and Below Knee |
Nil to Minimal Nil to Minimal |
No Change No Change |
NoNo |
No No |
| 5% to 10% |
Mild Mild |
Bilateral Above and Below Knee Unilateral Above and Below Knee |
Minimal Mild |
No Change or Dry Scaling No Change or Dry Scaling |
No Possible |
No No |
| 10% to 20% |
Moderate Moderate |
Extensive Bilateral Involvement Severe Unilateral Involvement |
Mild Mild |
Probable Bronzing Bronzing with Early Skin Atrophy |
May or May Not Wear Support Hose May or May Not Wear Support Hose |
Possible Possible |
| 20% to 30% |
Pronounced |
Severe Unilateral or Bilateral Involvement |
Moderate |
Bronzing, Scaling Possible Healed Ulcer or Mild Chronic Ulceration |
Probable |
Probable |
| Cases in which there is more severe disability will be assessed on individual merit. |
| Disease of veins of the upper extremities is rare and will be assessed on individual merit. |
Providers & Professionals 
