Impairment Ratings For Shoulder Surgery In Texas Workers' Compensation Cases
Some shoulder surgeries get an impairment rating boost of 6% to 18%. Make sure you get your impairment ratings reviewed so you don't miss out.
How Is An Impairment Rating For My Shoulder Injury Determined?Impairment Ratings in the Texas workers' compensation system are used to determine the permanent impairment resulting from a compensable injury. A doctor assigns the impairment rating using a book titled, The AMA Guides To The Evaluation Of Permanent Impairment. Texas uses the 4th edition of this book. In most cases, an impairment rating for a shoulder injury is based on range of motion loss. The doctor will measure how much you can move your shoulder in different directions and those measurements correspond with certain impairment values in the book. Each impairment in motion is added together to determine the final impairment rating.
How Does Shoulder Surgery Affect My Impairment Rating?There are two main shoulder surgeries that can boost your impairment rating beyond just the lost range of motion impairment. The first is a total shoulder replacement or resection. This is not very common, but it does add 14% to 18% impairment to your total impairment rating. The second shoulder surgery is more common. It is called a distal clavicle resection. We see this surgery done a lot in conjunction with surgeries for rotator cuff tears and labral tears. In a distal clavicle resection, the clavicle bone is cut and re-aligned. This surgery will get an impairment rating boost of 6%. That's a big add on!
How Do I Get The Surgery Impairments Added To My Impairment Rating?This is the hard part. It will most likely require going to a hearing to have the designated doctor consider the appropriate section in the AMA Guides that awards this impairment. If the designated doctor doesn't do it right, you will need to have your doctor do an impairment rating report for you that includes these values. After that, a hearing will most likely be necessary to establish your impairment rating. Because this type of impairment rating usually requires a hearing, it is always best to consult with an attorney first to ensure that the process is handled correctly and the right arguments are made to the judge.