Minnesota Administrative Rules

5223.0550 MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF LOWER EXTREMITIES.

Subpart 1.

Amputations.

For permanent partial impairment due to amputation of lower extremities, the disability of the whole body is:

A.

amputation of the lower limb through the sacroiliac joint, 50 percent;

B.

disarticulation, as defined in part 5223.0310, subpart 21, at hip joint, 40 percent;

C.

amputation above knee joint, three inches or less below tuberosity of ischium, 40 percent;

D.

amputation above knee joint more than three inches below tuberosity of ischium, 36 percent;

E.

disarticulation at knee joint, 34 percent;

F.

amputation below knee joint, four inches or less below intercondylar notch, 34 percent;

G.

amputation below knee joint more than four inches below intercondylar notch, 28 percent;

H.

amputation at ankle, Syme type to midmetatarsal, 26 percent;

I.

midmetatarsal amputation, 14 percent;

J.

amputation of all toes at metatarsophalangeal joints, eight percent;

K.

amputation of great toe:

(1)

with resection of metatarsal bone, eight percent;

(2)

at metatarsophalangeal joint, five percent;

(3)

at interphalangeal joint, four percent; for dates of injury on or after August 9, 2010, at interphalangeal joint to insertion of flexor hallucis longus, four percent;

(4)

for dates of injury on or after August 9, 2010, distal to insertion of flexor hallucis longus, zero percent;

L.

amputation of any of second to fifth toes:

(1)

with resection of metatarsal bone, two percent;

(2)

at metatarsophalangeal joint, one percent;

(3)

at proximal interphalangeal joint, zero percent;

(4)

at distal interphalangeal joint, zero percent.

Statutory Authority:

MS s 176.105

History:

17 SR 3364; 35 SR 138

Published Electronically:

August 16, 2010