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You are here: Home . wc . news . advisories . ad2001-08

Advisory 2001-08

Change to Fourth Edition of the Guides to the Evaluation of Permanent Impairment, Published by the American Medical Association, and TWCC Form-69

As stated in Rule 130.1, a doctor who certifies that an employee has reached maximum medical improvement (MMI) shall assign an impairment rating for the current compensable injury using the rating criteria contained in the appropriate edition of the Guides to the Evaluation of Permanent Impairment, published by the American Medical Association (AMA Guides).

The appropriate edition of the AMA Guides to use for all certifying examinations conducted before October 15, 2001 is the third edition, second printing, dated February 1989.

The appropriate edition of the AMA Guides to use for certifying examinations conducted on or after October 15, 2001 is the fourth edition of the AMA Guides (1st, 2nd, 3rd, or 4th printing including corrections and changes issued by the AMA prior to May 16, 2000). However, if at the time of the certifying examination, there is a certification of MMI made by a doctor prior to October 15, 2001 which has not been withdrawn through agreement of the parties or overturned by a final decision, the appropriate edition of the AMA Guides is the third edition, second printing, dated February, 1989. Only impairment ratings assigned using the appropriate edition of the AMA Guides shall be considered valid. If the impairment rating is disputed, the letter from the Commission assigning the designated doctor will indicate which edition of the Guides will be used in the designated doctor impairment rating examination.

Rule 130.1 is currently proposed for amendment. Due to the proposed amendments to Rule130.1 and the change to the fourth edition of the AMA Guides, the TWCC Form-69, Report of Medical Evaluation (Rev. 5/94), will soon be revised. Until the revised TWCC Form-69 is available, doctors who certify MMI and use the fourth edition of the AMA Guides to assign an impairment rating shall strike through the words "third edition, second printing, February 1989" in block 18 of the current TWCC Form-69 and write by hand the "fourth edition" in block 18.

If the Commission and insurance carrier receive a TWCC Form-69 that does not have the required change to block 18, but the narrative report clearly indicates that the fourth edition of the AMA Guides was used in assigning the impairment rating, it shall be assumed that the fourth edition was used when assigning the impairment rating.

The complete text of the Texas Labor Code and Commission rules, including both the current rules and rules proposed for change, can be found on the Commission's website, www.tdi.texas.gov.

Signed this 1st day of October, 2001

Richard F. Reynolds, Executive Director

Distribution: TWCC Staff
Public Information List
Commission Representatives



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