Minnesota Administrative Rules
Agency 151 - Labor and Industry Department
Chapter 5223 - DISABILITY SCHEDULES
Part 5223.0150 - MUSCULOSKELETAL SCHEDULE; AMPUTATIONS OF LOWER EXTREMITIES

Universal Citation: MN Rules 5223.0150

Current through Register Vol. 48, No. 39, March 25, 2024

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

A. hemipelvectomy, 50 percent;

B. disarticulation at hip joint, 40 percent;

C. amputation above knee joint with short thigh stump, 3 inch or less below tuberosity of ischium, 40 percent;

D. amputation above knee joint with functional stump, 36 percent;

E. disarticulation at knee joint, 36 percent;

F. amputation below knee joint with short stump, 3 inch or less below intercondylar notch, 36 percent;

G. amputation below knee joint with functional stump, 28 percent;

H. amputation at ankle, Syme type, 28 percent;

I. partial amputation of foot, Chopart's type, 21 percent;

J. midmetatarsal amputation, 14 percent;

K. amputation of all toes at metatarsophalangeal joints, 8 percent;

L. amputation of great toe:

(1) with resection of metatarsal bone, 8 percent;

(2) at metatarsophalangeal joint, 5 percent;

(3) at interphalangeal joint, 4 percent;

M. amputation of lesser toe, 2nd-5th:

(1) with resection of metatarsal bone, 2 percent;

(2) at metatarsophalangeal joint, 1 percent;

(3) at proximal interphalangeal joint, 0 percent;

(4) at distal interphalangeal joint, 0 percent.

Statutory Authority: MS s 176.105

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