Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1.
General.
This part provides the percentage of disability of the whole
body for permanent partial impairment of the reproductive and urinary systems.
The percentages indicated in this schedule are the disability of the whole body
for the corresponding class. For evaluative purposes, the reproductive and
urinary systems are divided into the:
A. upper urinary tract;
B. bladder;
C. urethra;
D. male reproductive organs; and
E. female reproductive organs.
The ratings determined under subparts
2 to
11 may be combined as
described in part
5223.0300, subpart
3, item E.
Subp. 2.
Upper urinary
tract.
A. Loss of a single kidney, ten
percent. This category shall apply only when loss of a single kidney is the
only upper urinary tract permanent partial impairment. When loss of a single
kidney occurs in combination with any one of the classes in items B to E, the
disability rating for that class shall be increased by adding ten percent to
the otherwise applicable rating.
B.
Class 1, five percent. Signs or symptoms of organic and irreversible upper
urinary tract disorder are present; there is anatomic loss or alteration; and
the creatinine clearance is decreased below normal but is greater than 52
milliliters per minute.
C. Class 2,
22 percent. Signs or symptoms of organic and irreversible upper urinary tract
disorder are present; there is anatomic loss or alteration; and the creatinine
clearance is less than 52 milliliters per minute but is greater than 42
milliliters per minute.
D. Class 3,
47 percent. Signs or symptoms of organic and irreversible upper urinary tract
disorder are present; there is anatomic loss or alteration; and the creatinine
clearance is less than 42 milliliters per minute but is greater than 28
milliliters per minute.
E. Class 4,
77 percent:
(1) signs or symptoms of organic
and irreversible upper urinary tract disorder are present; there is anatomic
loss or alteration; and the creatinine clearance is less than 28 milliliters
per minute;
(2) there is loss of
both kidneys or only kidney and chronic hemodialysis or kidney transplantation
is required.
F. Surgical
removal or alteration of all or part of the upper urinary tract not otherwise
ratable under this subpart or subpart
4, zero percent.
Subp. 3.
Bladder.
A. Class 1, five percent. Signs or symptoms
of organic bladder disorder are present and there is anatomic loss or
alteration, or there is an objectively demonstrated neurological lesion known
to interfere with bladder function, and intermittent treatment is required, but
there is no evidence of intervening malfunction between episodes of treatments
or symptomatology.
B. Class 2, 15
percent. Signs or symptoms of organic bladder disorder are present, and there
is anatomic loss or alteration, or there is an objectively demonstrated
neurological lesion known to interfere with bladder function, and continuous
treatment is required, but there is no incontinence.
C. Class 3, 20 percent. Signs or symptoms of
organic bladder disorder are present and there is anatomic loss or alteration,
or there is an objectively demonstrated neurological lesion known to interfere
with bladder function, and there is intermittent incontinence.
D. Class 4, 30 percent. Signs or symptoms of
organic bladder disorder are present and there is anatomic loss or alteration,
or there is an objectively demonstrated neurological lesion known to interfere
with bladder function, and there is total incontinence.
E. Surgical removal or alteration of all or
part of the bladder not otherwise ratable under this subpart or subpart
4, zero percent.
Subp. 4.
Urinary
diversion.
A. Uretero - intestinal,
ten percent.
B. Cutaneous
ureterostomy without intubation, ten percent.
C. Nephrotomy or intubated ureterostomy, 15
percent.
Subp. 5.
Urethra.
A. Class 1, two
percent. Signs or symptoms of organic urethral disorder are present; there is
anatomic loss or alteration; and intermittent therapy is required to control
symptoms.
B. Class 2, 15 percent.
Signs or symptoms of organic urethral disorder are present that are not
controlled by treatment and there is anatomic loss or alteration.
Subp. 6.
Penis.
A. Psychogenic impotence, zero
percent.
B. Class 1, ten percent.
There is an objectively demonstrated organic dysfunction and there is anatomic
loss or alteration, or there is an objectively demonstrated neurological lesion
known to interfere with penile function, and sexual function is possible but
there is difficulty with erection, ejaculation, or sensation.
C. Class 2, 15 percent. There is an
objectively demonstrated organic dysfunction and there is anatomic loss or
alteration, or there is an objectively demonstrated neurological lesion known
to interfere with penile function, and erection is possible but ejaculation and
sensation are absent.
D. Class 3,
20 percent. There is an objectively demonstrated organic dysfunction and there
is anatomic loss or alteration, or there is an objectively demonstrated
neurological lesion known to interfere with penile function, and there is
complete absence of erection, ejaculation, and sensation.
Subp. 7.
Testes, epididymides, and
spermatic cords.
A. Class 1, five
percent:
(1) signs or symptoms of organic
testicular, epididymal, or spermatic cord disorder are present; there is
anatomic alteration or loss; continuous treatment is not required; and there
are no abnormalities of seminal or hormonal functions;
(2) there has been loss of one
testicle.
B. Class 2,
ten percent. Signs or symptoms of organic testicular, epididymal, or spermatic
cord disorder are present; there is anatomic alteration or loss; continuous
treatment is required; and there are objectively detectable seminal or hormonal
abnormalities.
C. Class 3, 20
percent:
(1) signs or symptoms of organic
testicular, epididymal, or spermatic cord disorder are present; there is
anatomic alteration or loss; and there is complete loss of seminal or hormonal
function;
(2) there has been loss
of both testes or only testicle.
Subp. 8.
Prostate and seminal
vesicles.
A. Class 1, five percent.
Signs or symptoms of organic prostatic or seminal vesicular dysfunction or
disorder are present; there is anatomic alteration or loss; and continuous
treatment is not required.
B. Class
2, ten percent. Signs or symptoms of organic prostatic or seminal vesicular
dysfunction or disorder are present; there is anatomic alteration or loss; and
continuous treatment is required.
C. Class 3, 20 percent. There has been
ablation of the prostate or seminal vesicles.
Subp. 9.
Vulva and vagina.
A. Class 1, ten percent:
(1) signs or symptoms of organic vulvar or
vaginal dysfunction or disorder are present and there is anatomic loss or
alteration, or there is an objectively demonstrated neurological lesion known
to interfere with sexual function, and there is impaired sensation but penile
containment is possible;
(2) signs
or symptoms of organic vulvar or vaginal dysfunction or disorder are present
and there is anatomic loss or alteration, or there is an objectively
demonstrated neurological lesion known to interfere with sexual function, and
penile containment is possible, and there is a complete loss of sensation or
significant dyspareunia is present.
B. Class 2, 20 percent. Signs or symptoms of
organic vulvar or vaginal dysfunction or disorder are present and there is
anatomic loss or alteration, or there is an objectively demonstrated
neurological lesion known to interfere with sexual function, and there is
impaired sexual function, and penile containment is not possible.
Subp. 10.
Cervix and
uterus.
A. Class 1, five percent:
(1) signs or symptoms of organic disorder or
deformity of the cervix or uterus are present; there is anatomic loss or
alteration; and continuous treatment is not required;
(2) there is cervical stenosis which requires
no treatment;
(3) there is anatomic
or complete functional loss of the cervix or uterus in the postmenopausal
years.
B. Class 2, ten
percent:
(1) signs or symptoms of organic
disorder or deformity of the cervix or uterus are present; there is anatomic
loss or alteration; and continuous treatment is required;
(2) there is cervical stenosis and recurrent
treatment is required.
C. Class 3, 20 percent:
(1) signs or symptoms of organic disorder or
deformity of the cervix or uterus are present which are not controlled by
continuous treatment, and there is anatomic loss or alteration;
(2) there is complete cervical stenosis
completely unamenable to treatment;
(3) there is anatomic or complete functional
loss of the cervix or uterus in the premenopausal years.
Subp. 11.
Fallopian tubes
and ovaries.
A. Class 1, five percent:
(1) signs or symptoms of organic disorder or
deformity of the fallopian tubes or ovaries are present, and continuous
treatment is not required;
(2)
there is anatomic or complete functional loss of one fallopian tube or ovary in
the premenopausal years.
B. Class 2, ten percent. Signs or symptoms of
organic disorder or deformity of the fallopian tubes or ovaries are present,
and continuous treatment is required, but tubal patency persists and ovulation
is possible.
C. Class 3, 20
percent:
(1) signs or symptoms of organic
disorder or deformity of the fallopian tubes or ovaries are present, and there
is total loss of tubal patency or total failure to produce ova in the
premenopausal years completely unamenable to treatment;
(2) there is anatomic or complete functional
loss of both fallopian tubes or both ovaries in the premenopausal
years.
Statutory Authority: MS s
176.105