If more than one medical condition resulting in impairment is present for a patient, the individual impairments can be combined to calculate a total impairment.
If 2 conditions are present, with one having an impairment A and the second an impairment B:
combined value for A and B =
= A + (B * (1 - A))
where:
• A is the decimal representing the impairment due to the first condition
• B is the decimal representing the impairment due to the second condition
• A is the larger of the 2 decimals
• The combined value is a decimal corresponding to the total percent impairment.
• Both A and B must be of the same impairment level (hand or foot, extremity, total person, etc.).
If more than 2 conditions are present, the above steps are repeated, starting with the largest decimal and progressing to smallest:
• The combined value for the first 2 decimals is used with the third decimal to generate a second combined value.
• The second combined value is used with the fourth decimal to generate a third combined value.
• and so on, until all the values are combined.
Purpose: To determine the total impairment when more than one condition is present.
Specialty: Sports Medicine & Rehabilitation
Objective: severity, prognosis, stage, complications, comorbid conditions
ICD-10: A00-B99, C00-D49, D50-D89, E00-E89, F01-F99, G00-G99, H00-H59, H60-H95, I00-I99, J00-J99, K00-K95, L00-L99, M00-M99, N00-N99, O00-O99, P00-P96, Q00-Q99, R00-R99, S00-T88, V00-Y99, Z00-Z99,