Transcription of Permanent partial disability awards schedule for dates of ...
1 Permanent partial disability Category awards for dates of Injury from July 1, 2020 through June 30, 2021 TBI=Total Bodily Impairment; dollar amount represents TBI for this time period as set by the consumer price index. Calculations represent % times the TBI. Category %TBI $214, Category %TBI $214, Category %TBI $214, Cervical and Cervicodorsal Respiratory Lower Digestive Tract 2 10 $21, 2 15 $32, 2 5 $10, 3 20 $42, 3 25 $53, 3 15 $32, 4 25 $53, 4 40 $85, 4 30 $64, 5 35 $74, 5 65 $139, Anal Function Dorsal 6 75 $160, 2 5 $10, 2 10 $21, Respiratory with Normal Baseline Spirometry on or after 3/1/94 3 15 $32, 3 20 $42, 4 25 $53, Dorsolumbar and/or Lumbosacral 2 5 $10, Liver and Biliary Tract 2 5 $10, 3 10 $21, 2 5 $10, 3 10 $21, 4 15 $32, 3 20 $42, 4 15 $32, Air Passage 4 40 $85, 5 25 $53, 2 5 $10, 5 60 $128, 6 40 $85, 3 15 $32, Spleen.
2 Loss of One Kidney and Surgical Removal of Bladder with Urinary Diversion 7 60 $128, 4 25 $53, 8 75 $160, 5 35 $74, Pelvis 6 60 $128, 1 15 $32, 2 2 $4, Air Passage due to Nasal Septum Perforations 2 10 $21, 3 5 $10, 3 20 $42, 4 5 $10, 2 2 $4, Upper Urinary Tract 5 5 $10, Loss of Taste and Smell 2 10 $21, 6 5 $10, 1 3 $6, 3 25 $53, 7 10 $21, 2 3 $6, 4 45 $96, 8 10 $21, Speech 5 65 $139, 9 15 $32, 2 5 $10, Additional Impairment of Upper Urinary Tract due to Surgical Diversion Convulsive Neurologic 3 10 $21, 2 10 $21, 4 20 $42, 3 35 $74, 5 30 $64, 1 10 $21, 4 60 $128, 6 35 $74, 2 15 $32, Mental Skin Bladder Function 2 10 $21, 2 5 $10, 2 10 $21, 3 25 $53, 3 10 $21, 3 20 $42, 4 45 $96, 4 25 $53, 4 30 $64, 5 70 $149, 5 40 $85, 5 50 $107, Cardiac 6 60 $128, Anatomical or Functional Loss of Testes 2 10 $21, Upper Digestive Tract, Stomach, Esophagus or Pancreas 3 20 $42, 2 5 $10, 4 35 $74, 3 10 $21, 5 50 $107, 2 5 $10, 4 25 $53, 6 65 $139, 3 10 $21, 5 35 $74, 4 35 $74, 5 60 $128, Permanent partial disability awards schedule for dates of Injury from July 1, 2020 through June 30, 2021 LEG Leg above the knee joint with short thigh stump (3" or less below the tuberosity of ischium)
3 $128, Leg at or above the knee joint with functional stump $115, Leg below knee joint $102, Leg at ankle (syme) $89, FOOT Foot at mid-metatarsals $44, TOE Great toe with resection of metatarsal bone $26, Great toe at metatarsophalangeal joint $16, Great toe at interphalangeal joint $8, 2nd lesser toe with resection of metatarsal bone $9, 3rd lesser toe with resection of metatarsal bone $9, 4th lesser toe with resection of metatarsal bone $9, 5th lesser toe with resection of metatarsal bone $9, 2nd lesser toe at metatarsophalangeal joint $4, 3rd lesser toe at metatarsophalangeal joint $4, 4th lesser toe at metatarsophalangeal joint $4, 5th lesser toe at metatarsophalangeal joint $4.
4 2nd lesser toe at proximal interphalangeal joint $3, 3rd lesser toe at proximal interphalangeal joint $3, 4th lesser toe at proximal interphalangeal joint $3, 5th lesser toe at proximal interphalangeal joint $3, 2nd lesser toe at distal interphalangeal joint $ 3rd lesser toe at distal interphalangeal joint $ 4th lesser toe at distal interphalangeal joint $ 5th lesser toe at distal interphalangeal joint $ ARM Arm at or above the deltoid insertion or by disarticulation of the shoulder $128, Arm at any point below the deltoid insertion to below the elbow joint at the insertion of the biceps tendon $122, Arm at any point from below the elbow joint distal to the insertion of the biceps tendon to and including mid-metacarpal amputation of the hand $115, FINGER All fingers except the thumb at the metacarpophalangeal joints $69, Thumb at metacarpophalangeal joint or with resection of carpometacarpal bone $46, Thumb at interphalangeal joint $23, Index finger at metacarpophalangeal joint or with resection of metacarpal bone $28, Index finger at proximal interphalangeal joint $23, Index finger at distal interphalangeal joint $12, Middle finger at metacarpophalangeal joint or with resection of metacarpal bone $23.
5 Middle finger at proximal interphalangeal joint $18, Middle finger at distal interphalangeal joint $10, Ring finger at metacarpophalangeal joint or with resection of metacarpal bone $11, Ring finger at proximal interphalangeal joint $9, Ring finger at distal interphalangeal joint $5, Little finger at metacarpophalangeal joint or with resection of metacarpal bone $5, Little finger at proximal interphalangeal joint $4, Little finger at distal interphalangeal joint $2, MISC. Loss of one eye by enucleation $51, Loss of central visual acuity in one eye $42, Complete loss of hearing in both ears $102, Complete loss of hearing in one ear $17, Compensation for unspecified disabilities of 100% as compared to total bodily impairment $214.
