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Still confused about Add-On (California)

PostPosted: Wed Nov 10, 2010 2:19 pm
by rosellavera
If the IW gets an impairment of 8% based on Lumbar DRE CAT II, which according to the AMA Guides "each category includes a range to account for the resolution or continuation of symptoms and their impact on the ability to perform ADL", can a doctor add an additional 1% to the 8%? The doctor states: "based on the reported symptoms as they affect his activities of daily living, I would add an additional 1% disability." It appears to me that this has already been factored into the 8%, Am I wrong?

Re: Still confused about Add-On (California)

PostPosted: Thu Nov 11, 2010 1:54 pm
by denyse
DEU will rate it. I am fairly certain there is no case law - probably due to the low monetary value. I like to use page 570 (top second column) where it discusses how pain is used to increase DRE. I think you are right, but acknowledge the real world. The problem is not your case, it is when a doctor gives 3 DRE's and a 3% increase (that's +12). Query, if DRE is increased for pain and impact on ADL, isn't that limited to 3% per injury in Cali (page 1-12, PDRS)?