# Fifth Edition, 2000 Aggregated by Superinsight from public-domain sources, as of 2026-10-21. Domain: ama. --- ## AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000 {#fifth} *AMA Guides, Fifth Edition (2000)* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association, 2000-11-01._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method:** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. **Chapters:** - Chapter 1 — Philosophy - Chapter 2 — Practical Application of the Guides - Chapter 3 — The Cardiovascular System: Heart and Aorta - Chapter 4 — The Cardiovascular System: Systemic and Pulmonary Arteries - Chapter 5 — The Respiratory System - Chapter 6 — The Digestive System - Chapter 7 — The Urinary and Reproductive Systems - Chapter 8 — The Skin - Chapter 9 — The Hematopoietic System - Chapter 10 — The Endocrine System - Chapter 11 — Ear - Chapter 12 — The Visual System - Chapter 13 — The Central and Peripheral Nervous System - Chapter 14 — Mental and Behavioral Disorders - Chapter 15 — The Spine - Chapter 16 — The Upper Extremities - Chapter 17 — The Lower Extremities - Chapter 18 — Pain The edition's text, tables and values are published by the American Medical Association and are not reproduced here. Read the edition on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/9781579470852.xml _Applied in 435 published decisions and opinions (ECAB and state courts). Recent: [Kevin Koeller v. Cardinal Logistics Management Corporation and Ace American Insurance Company, 25-0172](https://www.courtlistener.com/opinion/10859357/kevin-koeller-v-cardinal-logistics-management-corporation-and-ace-american/) (2026-05-15) · [Brian Dale Klein v. Whirlpool Corporation, 25-0458](https://www.courtlistener.com/opinion/10770522/brian-dale-klein-v-whirlpool-corporation/) (2026-01-07) · [Kevin Koeller v. Cardinal Logistics Management Corporation and Ace American Insurance Company, 25-0172](https://www.courtlistener.com/opinion/10746733/kevin-koeller-v-cardinal-logistics-management-corporation-and-ace-american/) (2025-12-03) · [Mecene Laguerre v. JBS USA Holdings, Inc. and American Zurich Insurance Company, 24-2049](https://www.courtlistener.com/opinion/10713943/mecene-laguerre-v-jbs-usa-holdings-inc-and-american-zurich-insurance/) (2025-10-29) · [ECAB 25-0687](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2025/AUG/25-0687.pdf) (2025-08-28)._ --- ## AMA Guides Fifth Edition (2000), Chapter 1 — Philosophy {#1} *AMA Guides, Fifth Edition (2000), Chapter 1* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 1 — Philosophy._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c01.xml _Applied in 4 published decisions and opinions (ECAB and state courts). Recent: [ECAB 09-1834](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2010/Apr/09-1834.pdf) (2010-04-02) · [ECAB 08-2429P](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2009/Aug/08-2429P.pdf) (2009-08-03) · [George Humfleet Mobile Homes v. Christman, 125 S.W.3d 288](https://www.courtlistener.com/opinion/1384890/george-humfleet-mobile-homes-v-christman/) (2004-01-22) · [ECAB 09-1782](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2010/May/09-1782.pdf)._ --- ## AMA Guides Fifth Edition (2000), Chapter 2 — Practical Application of the Guides {#2} *AMA Guides, Fifth Edition (2000), Chapter 2* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 2 — Practical Application of the Guides._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c02.xml _Applied in 3 published decisions and opinions (ECAB and state courts). Recent: [ECAB 22-0196](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2022/JUN/22-0196.pdf) (2022-06-08) · [ECAB 10-0902](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Jan/10-0902.pdf) (2011-01-07) · [ECAB 08-2487](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2009/Sep/08-2487.pdf) (2009-09-14)._ --- ## AMA Guides Fifth Edition (2000), Chapter 3 — The Cardiovascular System: Heart and Aorta {#3} *AMA Guides, Fifth Edition (2000), Chapter 3* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 3 — The Cardiovascular System: Heart and Aorta._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c03.xml _Applied in 4 published decisions and opinions (ECAB and state courts). Recent: [State ex rel. Bowman v. Indus. Comm., 2020 Ohio 5343](https://www.courtlistener.com/opinion/4832925/state-ex-rel-bowman-v-indus-comm/) (2020-11-19) · [ECAB 11-0072](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Aug/11-0072.pdf) (2011-08-17) · [ECAB 10-1841](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Apr/10-1841.pdf) (2011-04-19) · [Harvey v. H.C. Price Co., 2008 ME 161](https://www.courtlistener.com/opinion/2066743/harvey-v-hc-price-co/) (2008-10-21)._ --- ## AMA Guides Fifth Edition (2000), Chapter 4 — The Cardiovascular System: Systemic and Pulmonary Arteries {#4} *AMA Guides, Fifth Edition (2000), Chapter 4* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 4 — The Cardiovascular System: Systemic and Pulmonary Arteries._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c04.xml _Applied in 4 published decisions and opinions (ECAB and state courts). Recent: [ECAB 15-0967](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2015/Aug/15-0967.pdf) (2015-08-13) · [ECAB 14-0888](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2015/Feb/14-0888.pdf) (2015-02-09) · [ECAB 12-1625](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2013/Sep/12-1625.pdf) (2013-09-12) · [ECAB 09-1463P](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2010/Aug/09-1463P.pdf) (2010-08-12)._ --- ## AMA Guides Fifth Edition (2000), Chapter 5 — The Respiratory System {#5} *AMA Guides, Fifth Edition (2000), Chapter 5* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 5 — The Respiratory System._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c05.xml _Applied in 12 published decisions and opinions (ECAB and state courts). Recent: [ECAB 12-1960](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2013/Mar/12-1960.pdf) (2013-03-22) · [ECAB 12-0134](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2012/Dec/12-0134.pdf) (2012-12-19) · [ECAB 12-0204](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2012/Jul/12-0204.pdf) (2012-07-06) · [ECAB 12-0377](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2012/Jul/12-0377.pdf) (2012-07-05) · [ECAB 10-1619](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Apr/10-1619.pdf) (2011-04-13)._ --- ## AMA Guides Fifth Edition (2000), Chapter 6 — The Digestive System {#6} *AMA Guides, Fifth Edition (2000), Chapter 6* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 6 — The Digestive System._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c06.xml _Applied in 6 published decisions and opinions (ECAB and state courts). Recent: [ECAB 23-0673](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2023/DEC/23-0673.pdf) (2023-12-05) · [Quaile v. TBC Corporation, N20A-05-003 JRJ](https://www.courtlistener.com/opinion/4805010/quaile-v-tbc-corporation/) (2020-11-10) · [ECAB 11-1359](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2012/Feb/11-1359.pdf) (2012-02-24) · [ECAB 11-0588](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Sep/11-0588.pdf) (2011-09-30) · [ECAB 10-1964](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Jun/10-1964.pdf) (2011-06-22)._ --- ## AMA Guides Fifth Edition (2000), Chapter 7 — The Urinary and Reproductive Systems {#7} *AMA Guides, Fifth Edition (2000), Chapter 7* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 7 — The Urinary and Reproductive Systems._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c07.xml _Applied in 6 published decisions and opinions (ECAB and state courts). Recent: [ECAB 13-0208](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2013/Sep/13-0208.pdf) (2013-09-17) · [ECAB 11-1359](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2012/Feb/11-1359.pdf) (2012-02-24) · [ECAB 11-0369](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Oct/11-0369.pdf) (2011-10-24) · [ECAB 10-0755](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Mar/10-0755.pdf) (2011-03-28) · [ECAB 09-1184](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2010/Apr/09-1184.pdf) (2010-04-06)._ --- ## AMA Guides Fifth Edition (2000), Chapter 8 — The Skin {#8} *AMA Guides, Fifth Edition (2000), Chapter 8* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 8 — The Skin._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c08.xml _Applied in 1 published decision or opinion (ECAB and state courts). Recent: [ECAB 11-0588](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Sep/11-0588.pdf) (2011-09-30)._ --- ## AMA Guides Fifth Edition (2000), Chapter 9 — The Hematopoietic System {#9} *AMA Guides, Fifth Edition (2000), Chapter 9* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 9 — The Hematopoietic System._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c09.xml _Applied in 1 published decision or opinion (ECAB and state courts). Recent: [ECAB 12-1625](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2013/Sep/12-1625.pdf) (2013-09-12)._ --- ## AMA Guides Fifth Edition (2000), Chapter 10 — The Endocrine System {#10} *AMA Guides, Fifth Edition (2000), Chapter 10* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 10 — The Endocrine System._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c10.xml _Applied in 1 published decision or opinion (ECAB and state courts). Recent: [ECAB 10-0755](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Mar/10-0755.pdf) (2011-03-28)._ --- ## AMA Guides Fifth Edition (2000), Chapter 11 — Ear {#11} *AMA Guides, Fifth Edition (2000), Chapter 11* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 11 — Ear._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c11.xml _Applied in 2 published decisions and opinions (ECAB and state courts). Recent: [ECAB 09-1856](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2010/Aug/09-1856.pdf) (2010-08-24) · [ECAB 09-1504](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2010/Apr/09-1504.pdf) (2010-04-12)._ --- ## AMA Guides Fifth Edition (2000), Chapter 12 — The Visual System {#12} *AMA Guides, Fifth Edition (2000), Chapter 12* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 12 — The Visual System._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c12.xml _Applied in 4 published decisions and opinions (ECAB and state courts). Recent: [State ex rel. Beyer v. Autoneum N. Am., Inc., 2018 Ohio 1700](https://www.courtlistener.com/opinion/4494372/state-ex-rel-beyer-v-autoneum-n-am-inc/) (2018-05-01) · [ECAB 09-1856](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2010/Aug/09-1856.pdf) (2010-08-24) · [ECAB 09-1804](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2010/Jun/09-1804.pdf) (2010-06-23) · [ECAB 09-1104](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2009/Nov/09-1104.pdf) (2009-11-24)._ --- ## AMA Guides Fifth Edition (2000), Chapter 13 — The Central and Peripheral Nervous System {#13} *AMA Guides, Fifth Edition (2000), Chapter 13* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 13 — The Central and Peripheral Nervous System._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c13.xml _Applied in 19 published decisions and opinions (ECAB and state courts). Recent: [ECAB 22-1342](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2023/NOV/22-1342.pdf) (2023-11-09) · [ECAB 18-0855](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2018/Nov/18-0855.pdf) (2018-11-28) · [ECAB 16-0997](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2016/Nov/16-0997.pdf) (2016-11-15) · [State ex rel. Terry v. The Andersons, Inc., 2014 Ohio 4169](https://www.courtlistener.com/opinion/2736111/state-ex-rel-terry-v-the-andersons-inc/) (2014-09-23) · [ECAB 11-0629](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Nov/11-0629.pdf) (2011-11-16)._ --- ## AMA Guides Fifth Edition (2000), Chapter 14 — Mental and Behavioral Disorders {#14} *AMA Guides, Fifth Edition (2000), Chapter 14* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 14 — Mental and Behavioral Disorders._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c14.xml _Applied in 2 published decisions and opinions (ECAB and state courts). Recent: [ECAB 12-0417](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2012/Aug/12-0417.pdf) (2012-08-03) · [ECAB 10-1216](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Mar/10-1216.pdf) (2011-03-02)._ --- ## AMA Guides Fifth Edition (2000), Chapter 15 — The Spine {#15} *AMA Guides, Fifth Edition (2000), Chapter 15* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 15 — The Spine._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c15.xml _Applied in 376 published decisions and opinions (ECAB and state courts). Recent: [ECAB 26-0209](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2026/MAY/26-0209.pdf) (2026-05-01) · [ECAB 25-0312](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2025/AUG/25-0312.pdf) (2025-08-04) · [ECAB 25-0196](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2025/MAY/25-0196.pdf) (2025-05-01) · [ECAB 25-0325](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2025/APR/25-0325.pdf) (2025-04-03) · [ECAB 25-0217](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2025/FEB/25-0217.pdf) (2025-02-13)._ --- ## AMA Guides Fifth Edition (2000), Chapter 16 — The Upper Extremities {#16} *AMA Guides, Fifth Edition (2000), Chapter 16* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 16 — The Upper Extremities._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c16.xml _Applied in 435 published decisions and opinions (ECAB and state courts). Recent: [Kevin Koeller v. Cardinal Logistics Management Corporation and Ace American Insurance Company, 25-0172](https://www.courtlistener.com/opinion/10859357/kevin-koeller-v-cardinal-logistics-management-corporation-and-ace-american/) (2026-05-15) · [ECAB 26-0161](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2026/MAR/26-0161.pdf) (2026-03-30) · [Brian Dale Klein v. Whirlpool Corporation, 25-0458](https://www.courtlistener.com/opinion/10770522/brian-dale-klein-v-whirlpool-corporation/) (2026-01-07) · [Kevin Koeller v. Cardinal Logistics Management Corporation and Ace American Insurance Company, 25-0172](https://www.courtlistener.com/opinion/10746733/kevin-koeller-v-cardinal-logistics-management-corporation-and-ace-american/) (2025-12-03) · [ECAB 25-0827](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2025/NOV/25-0827.pdf) (2025-11-20)._ --- ## AMA Guides Fifth Edition (2000), Chapter 17 — The Lower Extremities {#17} *AMA Guides, Fifth Edition (2000), Chapter 17* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 17 — The Lower Extremities._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c17.xml _Applied in 260 published decisions and opinions (ECAB and state courts). Recent: [Kevin Koeller v. Cardinal Logistics Management Corporation and Ace American Insurance Company, 25-0172](https://www.courtlistener.com/opinion/10859357/kevin-koeller-v-cardinal-logistics-management-corporation-and-ace-american/) (2026-05-15) · [Brian Dale Klein v. Whirlpool Corporation, 25-0458](https://www.courtlistener.com/opinion/10770522/brian-dale-klein-v-whirlpool-corporation/) (2026-01-07) · [ECAB 21-0836](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2022/SEP/21-0836.pdf) (2022-09-29) · [ECAB 20-1434](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2021/APR/20-1434.pdf) (2021-04-26) · [ECAB 20-0047](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2020/NOV/20-0047.pdf) (2020-11-12)._ --- ## AMA Guides Fifth Edition (2000), Chapter 18 — Pain {#18} *AMA Guides, Fifth Edition (2000), Chapter 18* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, 2000, published by the American Medical Association; Chapter 18 — Pain._ **Jurisdictions that rate under this edition:** Utah (fallback after the statutory schedule and the Utah supplemental guides); California, EEOICPA (energy employees), Georgia, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont (fixed edition); FECA (federal employees) (rater's choice of Fifth or Sixth since 2025). **Rating method (chapter):** impairment of the organ system or region by the chapter's criteria, expressed as whole person impairment and combined across regions with the combined values chart. The chapter's text, tables and values are published by the American Medical Association and are not reproduced here. Read the chapter on the publisher's platform: https://ama-guides.ama-assn.org/display/book/9781579470852/c18.xml _Applied in 98 published decisions and opinions (ECAB and state courts). Recent: [ECAB 20-0047](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2020/NOV/20-0047.pdf) (2020-11-12) · [ECAB 11-1692](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2012/Apr/11-1692.pdf) (2012-04-06) · [ECAB 11-1408](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2012/Jan/11-1408.pdf) (2012-01-26) · [ECAB 11-0885](https://www.dol.gov/sites/dolgov/files/ecab/decisions/2011/Nov/11-0885.pdf) (2011-11-07) · [Sloan v. North Dakota Workforce Safety & Insurance, 2011 ND 194](https://www.courtlistener.com/opinion/899057/sloan-v-north-dakota-workforce-safety-insurance/) (2011-09-19)._