Effects of Treatment or Lack of Treatment

13 September 2012 / Impairment Rating Specialists / Comments Off on Effects of Treatment or Lack of Treatment

If treatment of an illness produces total remission of the signs and symptoms (for example, a diabetic treated with insulin) but the illness is not cured, then the physician may increase the impairment by 1% to 3% WPI.

If the treatment or medication leads to the impairment (example: immune-suppressing drugs for organ transplant), the evaluator should rate such impairment.

If the patient declines treatment for a medical condition, that does not increase or decrease the estimated percentage of impairment for the condition.

A physician should comment on:

  • Whether the treatment is appropriate, and
  • Basis for the patient's declining treatment, and
  • Whether the impairment is at maximum medical improvement without the treatment, and
  • May estimate what the impairment would likely be with the treatment


(Sec. 2.5g AMA Guides to the Evaluation of Permanent impairment [Fifth Edition])

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