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Home Providers & Professionals Disability Pensions 2006 Table of Disabilities Ch15 Endocrine and Metabolic Impairment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
New Table of DisabilitiesApril 2006 EditionChapter 15
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Table 15.1 | Loss of Function – Diabetes Mellitus | This table is used to rate impairment from diabetes mellitus. |
Table 15.2 | Other Impairment – Diabetic Foot Ulcers | This table is used to rate impairment from diabetic foot ulcers. |
Table 15.3 | Loss of Function – Endocrine and Metabolic Disorders (Excluding Diabetes Mellitus) | This table is used to rate impairment from endocrine and metabolic disorders other than diabetes mellitus. |
Table 15.1 is used to rate impairment from diabetes mellitus. Only one rating may be selected. If more than one rating is applicable, the ratings are compared and the highest selected.
Diabetes mellitus may result in permanent impairment of other organ systems (e.g. diabetic retinopathy, diabetic neuropathy, diabetic foot ulcers, diabetic nephropathy). If this is the case, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s). Diabetic foot ulcers are rated within this chapter from Table 15.2.
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Table 15.2 is used to rate impairment from diabetic foot ulcers. Only one rating may be selected. If more than one rating is applicable, the ratings are compared and the highest selected.
Any resulting amputation is rated using the Amputation Table in Chapter 17, Musculoskeletal Impairment. The ratings from Table 15.2 and the Chapter 17 rating are compared and the highest selected.
If diabetic foot ulcers and peripheral vascular arterial disease are both entitled, the conditions are bracketed and one rating is obtained from Table 13.2 (Jumps to Chapter 13) within Chapter 13, Hypertension and Vascular Impairment. No rating is taken from Table 15.2.
Diabetic foot ulcers may result in permanent impairment of other organ systems (e.g. chronic osteomyelitis). If this is the case, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s).
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Table 15.3 is used to rate impairment from endocrine and metabolic disorders other than diabetes mellitus. One rating may be selected for each entitled condition (excluding diabetes and hypothalmic-pituitary axis disorders). If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
In the majority of cases, treatment will completely control or permanently correct endocrine and metabolic disorders. If activities of daily living are affected despite optimal treatment or if optimal treatment cannot be provided due to other medical conditions, a rating will be determined from Chapter 19, Activities of Daily Living. If a rating is applicable from both Table 15.3 and the ADL chapter, the ratings are compared and the highest selected.
Endocrine and metabolic disorders may result in permanent impairment of other organ systems. If this is the case, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s).
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Only one rating may be given from Table 15.1. If more than one rating is applicable, the ratings are compared and the highest selected.
Each bullet () represents one criterion. In order for a rating to be established for Table 15.1, all criteria designated at that rating level must be met.
Table 15.1 – Loss of Function – Diabetes Mellitus
Rating | Criteria |
Four |
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Thirteen |
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Twenty-one |
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Thirty-four |
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* Intrinsic complications – pruritus; transient skin infections; hypoglycemic reactions; ketoacidosis.
Only one rating may be given from Table 15.2. If more than one rating is applicable, the ratings are compared and the highest selected.
Each bullet () represents one criterion. In order for a rating to be established for Table 15.2, all criteria designated at that rating level must be met.
Table 15.2 – Other Impairment – Diabetic Foot Ulcers
Rating | Criteria |
Nine |
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Twenty-one |
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One rating from Table 15.3 may be given for each entitled endocrine and metabolic disorder (excluding diabetes mellitus and hypothalmic-pituitary axis disorders). If more than one rating is applicable for a disorder, the ratings are compared and the highest selected.
In cases of entitled hypothalmic-pituitary axis disorders, one rating from Table 15.3 may be selected for each resulting endocrine abnormality. If more than one rating is applicable, the ratings are added.
Each bullet () represents one criterion. In order for a rating to be established for Table 23.1 (Jumps to Chapter 23), follow the "and(s)" and "or(s)".
Table 15.3 – Loss of Function – Endocrine and Metabolic Disorders (excluding Diabetes Mellitus)
Rating | Criteria |
Nil |
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One |
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Two |
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Three |
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Four |
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Nine |
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Step 1: | Determine the rating from Table 15.1 (Loss of Function – Diabetes Mellitus). |
Step 2: | Does the Partially Contributing Table apply? If yes, apply to the rating at Step 1. |
Step 3: | Determine the Quality of Life rating. |
Step 4: | Add the ratings at Step 2 and Step 3. |
Step 5: | If partial entitlement exists, apply to the Step 4 rating. |
This is the Disability Assessment for diabetes mellitus. | |
Step 6: | Determine the rating from Table 15.2 (Other Impairment – Diabetic Foot Ulcers). |
Step 7: | Does the Partially Contributing Table apply? If yes, apply to the rating at Step 6. |
Note : | If diabetic foot ulcers and peripheral vascular disease are both present, no rating is taken from this chapter. A rating is taken only from Table 13.2 – Other Impairment – Peripheral Vascular Arterial Disease in Chapter 13, Hypertension and Vascular Impairment. |
Step 8: | Determine the Quality of Life rating. |
Step 9: | Add the ratings at Step 7 and Step 8. |
Step 10: | If partial entitlement exists, apply to rating at Step 9. |
This is the Disability Assessment for diabetic foot ulcers. |
Step 1: | Determine the rating from Table 15.3 (Loss of Function – Endocrine and Metabolic Disorders [excluding diabetes mellitus]). |
Note: | If the condition to be rated from Table 15.3 is a hypothalmic - pituitary axis disorder, one rating may be taken from Table 15.3 for each resulting pituitary abnormality. If this is the case, the individual ratings are added. |
Step 2: | Does the Partially Contributing Table apply? If yes, then apply to the rating at Step 1. |
Step 3: | Determine the Quality of Life rating. |
Step 4: | Add the ratings at Step 2 and Step 3. |
Step 5: | If partial entitlement exists, apply to the Step 4 rating. |
Step 6: | If activities of daily living are affected despite optimal treatment, determine the rating from Chapter 19, Activities of Daily Living. |
Step 7: | Compare ratings at Step 5 and Step 6 and select the highest. |
This is the Disability Assessment for diabetic foot ulcers. |