# Sixth Edition, 2024 Aggregated by Superinsight from public-domain sources, as of 2026-10-21. Domain: ama. --- ## AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024 {#sixth-2024} *AMA Guides, Sixth Edition (2024)* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association, 2024-09-12._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Updates covered by this group:** Sixth Edition 2021 (book 9781640162082); Sixth Edition 2022; Sixth Edition 2023 (book 9781640162822). **Rating method:** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. **Chapters:** - Chapter 1 — Conceptual Foundations and Philosophy - Chapter 2 — Practical Application of the AMA Guides - Chapter 3 — Pain-Related Impairment - Chapter 4 — The Cardiovascular System - Chapter 5 — The Pulmonary 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 Nervous System - Chapter 14 — Mental and Behavioral Disorders - Chapter 15 — Upper Limb - Chapter 16 — Lower Limb - Chapter 17 — Spine and Pelvis 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/9781640163201/9781640163201.xml --- ## AMA Guides Sixth Edition (2024), Chapter 1 — Conceptual Foundations and Philosophy {#1} *AMA Guides, Sixth Edition (2024), Chapter 1* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 1 — Conceptual Foundations and Philosophy._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c01.xml --- ## AMA Guides Sixth Edition (2024), Chapter 2 — Practical Application of the AMA Guides {#2} *AMA Guides, Sixth Edition (2024), Chapter 2* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 2 — Practical Application of the AMA Guides._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c02.xml --- ## AMA Guides Sixth Edition (2024), Chapter 3 — Pain-Related Impairment {#3} *AMA Guides, Sixth Edition (2024), Chapter 3* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 3 — Pain-Related Impairment._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c03.xml --- ## AMA Guides Sixth Edition (2024), Chapter 4 — The Cardiovascular System {#4} *AMA Guides, Sixth Edition (2024), Chapter 4* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 4 — The Cardiovascular System._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c04.xml --- ## AMA Guides Sixth Edition (2024), Chapter 5 — The Pulmonary System {#5} *AMA Guides, Sixth Edition (2024), Chapter 5* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 5 — The Pulmonary System._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c05.xml --- ## AMA Guides Sixth Edition (2024), Chapter 6 — The Digestive System {#6} *AMA Guides, Sixth Edition (2024), Chapter 6* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 6 — The Digestive System._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c06.xml --- ## AMA Guides Sixth Edition (2024), Chapter 7 — The Urinary and Reproductive Systems {#7} *AMA Guides, Sixth Edition (2024), Chapter 7* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 7 — The Urinary and Reproductive Systems._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c07.xml --- ## AMA Guides Sixth Edition (2024), Chapter 8 — The Skin {#8} *AMA Guides, Sixth Edition (2024), Chapter 8* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 8 — The Skin._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c08.xml --- ## AMA Guides Sixth Edition (2024), Chapter 9 — The Hematopoietic System {#9} *AMA Guides, Sixth Edition (2024), Chapter 9* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 9 — The Hematopoietic System._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c09.xml --- ## AMA Guides Sixth Edition (2024), Chapter 10 — The Endocrine System {#10} *AMA Guides, Sixth Edition (2024), Chapter 10* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 10 — The Endocrine System._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c10.xml --- ## AMA Guides Sixth Edition (2024), Chapter 11 — Ear {#11} *AMA Guides, Sixth Edition (2024), Chapter 11* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 11 — Ear._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c11.xml --- ## AMA Guides Sixth Edition (2024), Chapter 12 — The Visual System {#12} *AMA Guides, Sixth Edition (2024), Chapter 12* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 12 — The Visual System._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c12.xml --- ## AMA Guides Sixth Edition (2024), Chapter 13 — The Nervous System {#13} *AMA Guides, Sixth Edition (2024), Chapter 13* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 13 — The Nervous System._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c13.xml --- ## AMA Guides Sixth Edition (2024), Chapter 14 — Mental and Behavioral Disorders {#14} *AMA Guides, Sixth Edition (2024), Chapter 14* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 14 — Mental and Behavioral Disorders._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c14.xml --- ## AMA Guides Sixth Edition (2024), Chapter 15 — Upper Limb {#15} *AMA Guides, Sixth Edition (2024), Chapter 15* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 15 — Upper Limb._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c15.xml --- ## AMA Guides Sixth Edition (2024), Chapter 16 — Lower Limb {#16} *AMA Guides, Sixth Edition (2024), Chapter 16* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 16 — Lower Limb._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c16.xml --- ## AMA Guides Sixth Edition (2024), Chapter 17 — Spine and Pelvis {#17} *AMA Guides, Sixth Edition (2024), Chapter 17* Official source: _AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, 2024, published by the American Medical Association; Chapter 17 — Spine and Pelvis._ **Jurisdictions that rate under this edition:** Arizona, District of Columbia, Illinois, Louisiana, Massachusetts, Mississippi, New Mexico, Wyoming (most recent edition); FECA (federal employees) (rater's choice of Fifth or Sixth). **Rating method (chapter):** confirm the diagnosis, confirm maximum medical improvement, identify the diagnosis-based impairment table, determine the diagnostic row, class, grade and impairment value, document the rating. 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/9781640163201/c17.xml