Medical Impairments Guidelines And New C-4.3 Form

December 27, 2011

Beginning in January 2012, the New York State Workers’ Compensation Board will implement a new method of assessing the level of non-schedule permanent impairment.  The most common types of non-schedule type of impairments involve neck and back injuries among many other types of injuries that may qualify.

The new form C-4.3 requires the attending physician to specifically document impairment classes as outlined in the Guidelines.  Section F requires the medical provider to document the nature of specific limitation or restrictions such as lifting, carrying, pushing, pulling, walking, kneeling, etc.  The form also requests that the doctor categorize the patient’s exertional ability in one of six classes from an inability to perform less then sedentary work through an inability to perform very heavy work which involves lifting in excess of 100lbs.

The new form may allow all parties to more accurately access a patient’s residual earning capacity which will ultimately determine the injured worker’s permanent rate of compensation.

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