Minnesota Administrative Rules
Agency 151 - Labor and Industry Department
Chapter 5223 - DISABILITY SCHEDULES
DATES OF INJURY ON OR AFTER JULY 1, 1993
Part 5223.0550 - MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF LOWER EXTREMITIES
Universal Citation: MN Rules 5223.0550
Current through Register Vol. 49, No. 13, September 23, 2024
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
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