Physical Evaluation Board Forum

Jason · #1 (**permalink**) January 11th, 2008

Prosthetic Implants

Rating
Major Minor

5051 Shoulder replacement (prosthesis).

Prosthetic replacement of the shoulder joint:
For 1 year following implantation of prosthesis ........................... 100.... 100
With chronic residuals consisting of severe, painful motion
or weakness in the affected extremity......................................... . 60....... 50
With intermediate degrees of residual weakness, pain or
limitation of motion, rate by analogy to diagnostic codes
5200 and 5203.
Minimum rating............................................ ......................................... 30....... 20

5052 Elbow replacement (prosthesis).

Prosthetic replacement of the elbow joint:
For 1 year following implantation of prosthesis ........................... 100.... 100
With chronic residuals consisting of severe painful motion
or weakness in the affected extremity......................................... . 50....... 40
With intermediate degrees of residual weakness, pain or
limitation of motion rate by analogy to diagnostic codes 5205
through 5208.
Minimum evaluation........................................ ..................................... 30....... 20

5053 Wrist replacement (prosthesis).

Prosthetic replacement of wrist joint:
For 1 year following implantation of prosthesis ........................... 100.... 100
With chronic residuals consisting of severe, painful motion
or weakness in the affected extremity......................................... . 40....... 30
With intermediate degrees of residual weakness, pain or limitation
of motion, rate by analogy to diagnostic code 5214.
Minimum rating............................................ ......................................... 20....... 20

Note: The 100 pct rating for 1 year following implantation of prosthesis will commence after initial grant of the 1-month total rating assigned under §4.30 following hospital discharge.

5054 Hip replacement (prosthesis).

Prosthetic replacement of the head of the femur or of the acetabulum:
For 1 year following implantation of prosthesis ....................................... 100
Following implantation of prosthesis with painful motion or
weakness such as to require the use of crutches ............................... 901
Markedly severe residual weakness, pain or limitation of motion
following implantation of prosthesis........................................ ................. 70
Moderately severe residuals of weakness, pain or limitation of motion.. 50
Minimum rating............................................ .................................................. ... 30

5055 Knee replacement (prosthesis).

Prosthetic replacement of knee joint:
For 1 year following implantation of prosthesis ....................................... 100
With chronic residuals consisting of severe painful motion or
weakness in the affected extremity......................................... .................. 60
With intermediate degrees of residual weakness, pain or limitation
of motion rate by analogy to diagnostic codes 5256, 5261, or 5262.
Minimum rating............................................ .................................................. ... 30

5056 Ankle replacement (prosthesis).

Prosthetic replacement of ankle joint:
For 1 year following implantation of prosthesis ....................................... 100
With chronic residuals consisting of severe painful motion
or weakness.......................................... .................................................. ...... 40
With intermediate degrees of residual weakness, pain or
limitation of motion rate by analogy to 5270 or 5271.
Minimum rating............................................ .................................................. ... 20

Note (1): The 100 pct rating for 1 year following implantation of prosthesis will commence after initial grant of the 1-month total rating assigned under § 4.30 following hospital discharge.

Note (2): Special monthly compensation is assignable during the 100 pct rating period the earliest date permanent use of crutches is established.

Combinations of disabilities

5104 Anatomical loss of one hand and loss of use of one foot................................ 1001

5105 Anatomical loss of one foot and loss of use of one hand ............................... 1001

5106 Anatomical loss of both hands............................................. ................................. 1001

5107 Anatomical loss of both feet.............................................. .................................... 1001

5108 Anatomical loss of one hand and one foot .................................................. ..... 1001

5109 Loss of use of both hands............................................. ....................................... 1001

5110 Loss of use of both feet .................................................. ....................................... 1001

5111 Loss of use of one hand and one foot.............................................. ................... 1001

1Also entitled to special monthly compensation.

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Prosthetic Implants Rating Major Minor 5051 Shoulder replacement (prosthesis). Prosthetic replacement of the shoulder joint: For 1 year following implantation of prosthesis ........................... 100.... 100 With chronic residuals consisting of ...

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