{"disclaimer":"This is my working reading of Minnesota Rule chapter 5223. I keep checking it against the official rule text and published decisions. If a category, percent, or combination looks wrong, email hello@mncompbuddy.com and say what you found. A mismatch is a reason to look again, not a reason to treat this tool or a doctor rating as automatically correct.","manifest":{"part":"5223.0370","title":"Cervical spine permanency rule 5223.0370","status":"published","publishedOn":"2026-08-18","auditDocument":"docs/audits/ppd-rule-5223-0370-attack.md"},"graph":{"part":"5223.0370","slug":"cervical-spine","title":"Cervical spine","summary":"Rule 5223.0370 rates permanent cervical impairment under one category of subpart 2 (fractures), 3 (cervical pain syndrome), or 4 (radicular syndromes), with once-only add-ons under items 4.D and 4.E and fusion add-ons under subpart 5. Items 4.E(2) and 4.E(3) were rewritten for dates of injury on or after August 9, 2010, so a fusion after that date stacks with the surgery add-on instead of replacing it.","generalAuthority":{"part":"5223.0370","path":"1","quote":"Subpart 1. General. For permanent partial impairment to the cervical spine, disability of the whole body is as provided in subparts 2 to 5. The impairing condition in the cervical spine resulting from an injury may be rated only under one category of subpart 2, 3, or 4. Categories from more than one category in subpart 2, 3, or 4 cannot be used in rating the impairing condition resulting from a single injury. Categories in subparts 2 to 4 may not be combined or added together in rating the extent of impairment due to a single injury except as specifically provided. Categories in other subparts may be combined with the rating under subpart 3 or 4 as specifically provided in this part. If any injury has resulted in mutually exclusive impairing conditions in other areas of the spine, such as thoracic spine or lumbar spine, the mutually exclusive impairing conditions must be rated separately and all impairments shall be combined as described in part 5223.0300, subpart 3, item E.","textHash":"e463bec0","url":"https://www.revisor.mn.gov/rules/5223.0370/"},"facts":[{"id":"medical.path","label":"Which cervical spine category family fits the condition","type":"enum","options":[{"value":"fracture","label":"Fracture (subpart 2)"},{"value":"pain-syndrome","label":"cervical spine pain syndrome (subpart 3)"},{"value":"radiculopathy","label":"Radicular syndrome (subpart 4)"}],"evidence":["MRI report","CT scan report","x-ray report","myelogram report","clinic note documenting persistent findings","MMI report","IME report"]},{"id":"medical.fractureType","label":"Type of vertebral fracture","type":"enum","options":[{"value":"compression","label":"Compression fracture (item A)"},{"value":"posterior-element","label":"Posterior element fracture with dislocation (item B)"},{"value":"other-acute","label":"Other documented acute fracture (item C)"}],"evidence":["MRI report","CT scan report","x-ray report","myelogram report"]},{"id":"medical.vertebralHeightLossPercent","label":"Greatest loss of vertebral height, as a percent","type":"number","unit":"percent","evidence":["MRI report","CT scan report","x-ray report","myelogram report"]},{"id":"medical.fractureSurgery","label":"Whether surgery was performed for the fracture","type":"boolean","evidence":["operative report"]},{"id":"medical.reductionNormal","label":"Whether normal reduction was achieved","type":"boolean","evidence":["MRI report","CT scan report","x-ray report","myelogram report","operative report"]},{"id":"medical.multipleVertebralLevelsFractured","label":"Whether more than one vertebral level was fractured","type":"boolean","evidence":["MRI report","CT scan report","x-ray report","myelogram report"]},{"id":"medical.objectiveFindings","label":"Persistent objective clinical findings in the cervical spine (involuntary muscle tightness, or for radicular categories, objective radicular findings)","type":"boolean","evidence":["clinic note documenting persistent findings","MMI report","IME report","EMG report"]},{"id":"medical.imagingFinding","label":"What imaging shows, at its most severe","type":"enum","options":[{"value":"none","label":"No radiographic abnormality"},{"value":"abnormality-no-impingement","label":"Radiographic abnormality not specifically addressed elsewhere (no nerve impingement)"},{"value":"disc-herniation-correlated","label":"Disc bulge, protrusion, or herniation impinging a cervical nerve root, correlated with the exam"},{"value":"stenosis-correlated","label":"Spinal stenosis impinging a cervical nerve root or the spinal cord, correlated with the exam"}],"evidence":["MRI report","CT scan report","x-ray report","myelogram report"]},{"id":"medical.imagingLevels","label":"Number of vertebral levels with the imaging abnormality","type":"integer","unit":"vertebralLevels","evidence":["MRI report","CT scan report","x-ray report","myelogram report"]},{"id":"medical.nonFusionSurgery","label":"A surgery other than a fusion was performed as part of the treatment","type":"boolean","evidence":["operative report"]},{"id":"medical.nonFusionSurgeryLevels","label":"Number of levels operated on (non-fusion surgery)","type":"integer","unit":"vertebralLevels","evidence":["operative report"]},{"id":"medical.additionalNonFusionSurgery","label":"One or more additional surgeries, other than a fusion, after the first","type":"boolean","evidence":["operative report"]},{"id":"medical.additionalSurgery","label":"One or more additional surgeries of any type after the first (post-2010 item 4.E(3))","type":"boolean","evidence":["operative report"]},{"id":"medical.chronicRadicularSymptoms","label":"Chronic radicular pain or paresthesia persisting despite treatment","type":"boolean","evidence":["clinic note documenting persistent findings","MMI report","IME report"]},{"id":"medical.concurrentQualifyingLesion","label":"An additional concurrent lesion meeting the same criteria (contralateral side at the same level, or either side at another level)","type":"boolean","evidence":["MRI report","CT scan report","x-ray report","myelogram report"]},{"id":"medical.fusionPerformed","label":"A fusion was performed as part or all of the surgical treatment","type":"boolean","evidence":["operative report"]},{"id":"medical.fusionLevels","label":"Number of levels fused","type":"integer","unit":"vertebralLevels","evidence":["operative report"]}],"nodes":[{"kind":"discrete","endpointId":"cervical-fracture-compression-le10","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"compression"},{"fact":"medical.vertebralHeightLossPercent","op":"lte","value":10}]}},{"kind":"discrete","endpointId":"cervical-fracture-compression-gt10-le25","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"compression"},{"fact":"medical.vertebralHeightLossPercent","op":"gt","value":10},{"fact":"medical.vertebralHeightLossPercent","op":"lte","value":25}]}},{"kind":"discrete","endpointId":"cervical-fracture-compression-gt25-le50","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"compression"},{"fact":"medical.vertebralHeightLossPercent","op":"gt","value":25},{"fact":"medical.vertebralHeightLossPercent","op":"lte","value":50}]}},{"kind":"discrete","endpointId":"cervical-fracture-compression-gt50","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"compression"},{"fact":"medical.vertebralHeightLossPercent","op":"gt","value":50}]}},{"kind":"discrete","endpointId":"cervical-fracture-posterior-normal-reduction-no-surgery","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"posterior-element"},{"fact":"medical.fractureSurgery","op":"eq","value":false},{"fact":"medical.reductionNormal","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"cervical-fracture-posterior-surgery-normal-reduction","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"posterior-element"},{"fact":"medical.fractureSurgery","op":"eq","value":true},{"fact":"medical.reductionNormal","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"cervical-fracture-posterior-no-surgery-reduction-not-normal","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"posterior-element"},{"fact":"medical.fractureSurgery","op":"eq","value":false},{"fact":"medical.reductionNormal","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"cervical-fracture-posterior-surgery-poor-reduction","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"posterior-element"},{"fact":"medical.fractureSurgery","op":"eq","value":true},{"fact":"medical.reductionNormal","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"cervical-fracture-other-acute","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"eq","value":"other-acute"}]}},{"kind":"discrete","endpointId":"cervical-fracture-multiple-levels-addon","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"fracture"},{"fact":"medical.fractureType","op":"in","value":["compression","posterior-element","other-acute"]},{"fact":"medical.multipleVertebralLevelsFractured","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"cervical-pain-a","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"pain-syndrome"},{"fact":"medical.objectiveFindings","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"cervical-pain-b","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"pain-syndrome"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"none"}]}},{"kind":"discrete","endpointId":"cervical-pain-c1","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"pain-syndrome"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"abnormality-no-impingement"},{"fact":"medical.imagingLevels","op":"eq","value":1}]}},{"kind":"discrete","endpointId":"cervical-pain-c2","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"pain-syndrome"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"abnormality-no-impingement"},{"fact":"medical.imagingLevels","op":"gte","value":2}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-a","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-b","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"none"}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-c1","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"abnormality-no-impingement"},{"fact":"medical.imagingLevels","op":"eq","value":1},{"fact":"medical.nonFusionSurgery","op":"neq","value":true}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-c2","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"abnormality-no-impingement"},{"fact":"medical.imagingLevels","op":"gte","value":2},{"fact":"medical.nonFusionSurgery","op":"neq","value":true}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-c3","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"abnormality-no-impingement"},{"fact":"medical.nonFusionSurgery","op":"eq","value":true},{"fact":"medical.nonFusionSurgeryLevels","op":"eq","value":1}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-c4","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"abnormality-no-impingement"},{"fact":"medical.nonFusionSurgery","op":"eq","value":true},{"fact":"medical.nonFusionSurgeryLevels","op":"gte","value":2}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-d","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"disc-herniation-correlated"}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-e","role":"base","exclusiveFamily":"cervical-primary","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"stenosis-correlated"}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-d-addon-chronic","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"disc-herniation-correlated"},{"fact":"medical.chronicRadicularSymptoms","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-d-addon-surgery-nonfusion","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"disc-herniation-correlated"},{"fact":"medical.nonFusionSurgery","op":"eq","value":true},{"fact":"medical.fusionPerformed","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-d-addon-additional-surgery-nonfusion","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"disc-herniation-correlated"},{"fact":"medical.nonFusionSurgery","op":"eq","value":true},{"fact":"medical.additionalNonFusionSurgery","op":"eq","value":true},{"fact":"medical.fusionPerformed","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-d-addon-concurrent-lesion","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"disc-herniation-correlated"},{"fact":"medical.concurrentQualifyingLesion","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-e-addon-chronic","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"stenosis-correlated"},{"fact":"medical.chronicRadicularSymptoms","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-e-addon-concurrent-lesion","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"stenosis-correlated"},{"fact":"medical.concurrentQualifyingLesion","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-e-addon-surgery-pre2010","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"stenosis-correlated"},{"fact":"medical.nonFusionSurgery","op":"eq","value":true},{"fact":"medical.fusionPerformed","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-e-addon-additional-surgery-pre2010","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"stenosis-correlated"},{"fact":"medical.nonFusionSurgery","op":"eq","value":true},{"fact":"medical.additionalNonFusionSurgery","op":"eq","value":true},{"fact":"medical.fusionPerformed","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-e-addon-surgery","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"stenosis-correlated"},{"any":[{"fact":"medical.nonFusionSurgery","op":"eq","value":true},{"fact":"medical.fusionPerformed","op":"eq","value":true}]}]}},{"kind":"discrete","endpointId":"cervical-radiculopathy-e-addon-additional-surgery","role":"addOn","when":{"all":[{"fact":"medical.path","op":"eq","value":"radiculopathy"},{"fact":"medical.objectiveFindings","op":"eq","value":true},{"fact":"medical.imagingFinding","op":"eq","value":"stenosis-correlated"},{"any":[{"fact":"medical.nonFusionSurgery","op":"eq","value":true},{"fact":"medical.fusionPerformed","op":"eq","value":true}]},{"fact":"medical.additionalSurgery","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"cervical-fusion-single","role":"addOn","when":{"all":[{"fact":"medical.path","op":"in","value":["pain-syndrome","radiculopathy"]},{"fact":"medical.fusionPerformed","op":"eq","value":true},{"fact":"medical.fusionLevels","op":"eq","value":1}]},"exclusiveFamily":"cervical-fusion-level"},{"kind":"discrete","endpointId":"cervical-fusion-multi","role":"addOn","when":{"all":[{"fact":"medical.path","op":"in","value":["pain-syndrome","radiculopathy"]},{"fact":"medical.fusionPerformed","op":"eq","value":true},{"fact":"medical.fusionLevels","op":"gte","value":2}]},"exclusiveFamily":"cervical-fusion-level"}],"examples":[{"id":"cervical-acdf-post-2010","label":"Single-level ACDF for correlated stenosis, injury after August 9, 2010","dateOfInjury":"2015-06-01","facts":{"medical.path":"radiculopathy","medical.objectiveFindings":true,"medical.imagingFinding":"stenosis-correlated","medical.fusionPerformed":true,"medical.fusionLevels":1,"medical.nonFusionSurgery":false,"medical.additionalSurgery":false,"medical.chronicRadicularSymptoms":false,"medical.concurrentQualifyingLesion":false},"expectedTotalPercent":17.5},{"id":"cervical-acdf-pre-2010","label":"The same single-level ACDF with an injury before the 2010 amendment","dateOfInjury":"2009-06-01","facts":{"medical.path":"radiculopathy","medical.objectiveFindings":true,"medical.imagingFinding":"stenosis-correlated","medical.fusionPerformed":true,"medical.fusionLevels":1,"medical.nonFusionSurgery":false,"medical.additionalNonFusionSurgery":false,"medical.chronicRadicularSymptoms":false,"medical.concurrentQualifyingLesion":false},"expectedTotalPercent":12.5},{"id":"cervical-fracture-multilevel","label":"Two-level compression fracture with 30 percent height loss","dateOfInjury":"2024-01-01","facts":{"medical.path":"fracture","medical.fractureType":"compression","medical.vertebralHeightLossPercent":30,"medical.multipleVertebralLevelsFractured":true},"expectedTotalPercent":17},{"id":"cervical-d-ladder","label":"Full 4.D ladder: base plus every subitem, no fusion","dateOfInjury":"2024-01-01","facts":{"medical.path":"radiculopathy","medical.objectiveFindings":true,"medical.imagingFinding":"disc-herniation-correlated","medical.chronicRadicularSymptoms":true,"medical.nonFusionSurgery":true,"medical.additionalNonFusionSurgery":true,"medical.concurrentQualifyingLesion":true,"medical.fusionPerformed":false},"expectedTotalPercent":25}],"faq":[{"question":"Why does the date of injury change the cervical surgery add-on?","answer":"Items 4.E(2) and 4.E(3) were rewritten effective August 9, 2010. Before that date the add-on covered only non-fusion surgery and a fusion was rated under subpart 5 instead. On or after that date the first surgery counts regardless of type and a fusion also adds the subpart 5 rating."},{"question":"Is there a cervical spondylolisthesis category?","answer":"No. Unlike the lumbar rule (5223.0390, subp. 3.D), the cervical rule has no spondylolisthesis category. A cervical condition with imaging abnormality rates under 3.C or the radicular categories that fit the findings."}],"notes":["Known simplification held over from the audited ppd-v2 model: the single fact medical.objectiveFindings stands in for both \"persistent objective clinical findings confined to the region\" (items B and C) and \"objective radicular findings\" (items D and E). Splitting these is an attorney-review decision; the graph flags it rather than changing audited rating behavior."],"schemaVersion":"1.0.0","snapshotRetrievedOn":"2026-08-02","authorityByEndpoint":{"cervical-fracture-compression-le10":[{"part":"5223.0370","path":"2.A.1","quote":"(1) decrease of no more than ten percent in vertebral height in any vertebral segment, zero percent;","textHash":"7640e573","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-compression-gt10-le25":[{"part":"5223.0370","path":"2.A.2","quote":"(2) decrease of greater than ten percent but less than or equal to 25 percent in vertebral height in at least one vertebral segment, six percent;","textHash":"26b561af","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-compression-gt25-le50":[{"part":"5223.0370","path":"2.A.3","quote":"(3) decrease in vertebral height is greater than 25 percent but less than or equal to 50 percent in at least one vertebral segment, 14 percent;","textHash":"700b8958","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-compression-gt50":[{"part":"5223.0370","path":"2.A.4","quote":"(4) decrease of greater than 50 percent in vertebral height in at least one vertebral segment, 19 percent.","textHash":"dc6532d1","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-posterior-normal-reduction-no-surgery":[{"part":"5223.0370","path":"2.B.1","quote":"(1) normal reduction and no surgery required, 10.5 percent;","textHash":"42be1459","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-posterior-surgery-normal-reduction":[{"part":"5223.0370","path":"2.B.2","quote":"(2) surgery performed and normal reduction achieved, 14 percent;","textHash":"e60c6f00","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-posterior-no-surgery-reduction-not-normal":[{"part":"5223.0370","path":"2.B.3","quote":"(3) no surgery performed and reduction not normal, 15 percent;","textHash":"3e7ef479","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-posterior-surgery-poor-reduction":[{"part":"5223.0370","path":"2.B.4","quote":"(4) surgery performed with poor reduction, 19 percent.","textHash":"5b649a6d","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-other-acute":[{"part":"5223.0370","path":"2.C","quote":"C. Any other documented acute fracture other than as specified in item A or B, four percent.","textHash":"5828ef12","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fracture-multiple-levels-addon":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-pain-a":[{"part":"5223.0370","path":"3.A","quote":"A. Symptoms of pain or stiffness in the region of the cervical spine not substantiated by persistent objective clinical findings, regardless of radiographic findings, zero percent.","textHash":"4a8e4752","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-pain-b":[{"part":"5223.0370","path":"3.B","quote":"B. Symptoms of pain or stiffness in the region of the cervical spine, substantiated by persistent objective clinical findings, that is, involuntary muscle tightness in the paracervical muscle or decreased passive range of motion in the cervical spine, but no radiographic abnormality, 3.5 percent.","textHash":"e948250f","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-pain-c1":[{"part":"5223.0370","path":"3.C.1","quote":"(1) single vertebral level, seven percent;","textHash":"1087d82f","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-pain-c2":[{"part":"5223.0370","path":"3.C.2","quote":"(2) multiple vertebral levels, ten percent.","textHash":"53a4dae4","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-a":[{"part":"5223.0370","path":"4.A","quote":"A. Radicular pain or paresthesia, as defined in part 5223.0310, subpart 44, with or without cervical pain syndrome, not substantiated by persistent objective clinical findings, regardless of radiographic findings, zero percent.","textHash":"ceb0cfc5","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-b":[{"part":"5223.0370","path":"4.B","quote":"B. Radicular pain or paresthesia, with or without cervical pain syndrome, with persistent objective clinical findings confined to the region of the cervical spine, that is, involuntary muscle tightness in the paracervical muscle or decreased passive range of motion in the cervical spine, but no radiographic findings, 3.5 percent.","textHash":"298a31d0","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-c1":[{"part":"5223.0370","path":"4.C.1","quote":"(1) single vertebral level, seven percent;","textHash":"1087d82f","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-c2":[{"part":"5223.0370","path":"4.C.2","quote":"(2) multiple vertebral levels, ten percent;","textHash":"60a4ef5b","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-c3":[{"part":"5223.0370","path":"4.C.3","quote":"(3) if a surgery at one level, other than fusion, is performed as part of the treatment, ten percent;","textHash":"32ae3fa6","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-c4":[{"part":"5223.0370","path":"4.C.4","quote":"(4) if a surgery at more than one level, other than a fusion, is performed as part of the treatment, 13 percent.","textHash":"609d8e7e","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-d":[{"part":"5223.0370","path":"4.D","quote":"D. Radicular pain or paresthesia, with or without cervical pain syndrome, and with objective radicular findings, that is, hyporeflexia or EMG abnormality or nerve root specific muscle weakness in the upper extremity, on examination and myelographic, CT scan, or MRI scan evidence of intervertebral disc bulging, protrusion, or herniation that impinges on a cervical nerve root, and the medical imaging findings correlate anatomically with the findings on neurologic examination, nine percent with the addition of as many of subitems (1) to (4) as apply, but each may be used only once:","textHash":"04a9792c","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-e":[{"part":"5223.0370","path":"4.E","quote":"E. Radicular pain or paresthesia, with or without cervical pain syndrome, and with objective radicular findings, that is, reflex changes or EMG abnormality or nerve root specific muscle weakness in the upper extremity, or myelopathic findings on examination and myelographic, CT scan, or MRI scan evidence of spinal stenosis, as defined in part 5223.0310, subpart 47, that impinges on a cervical nerve root or spinal cord and the medical imaging findings correlate with the findings on neurological examination, ten percent with the addition of as many of subitems (1) to (4) as apply, but each may be used only once:","textHash":"2415dbed","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-d-addon-chronic":[{"part":"5223.0370","path":"4.D.1","quote":"(1) if chronic radicular pain or paresthesia persist despite treatment, add three percent;","textHash":"e83abd08","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-d-addon-surgery-nonfusion":[{"part":"5223.0370","path":"4.D.2","quote":"(2) if a surgery other than a fusion performed as part of the treatment, add two percent, if surgery included a fusion, the rating is as provided in subpart 5;","textHash":"c7fddb48","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-d-addon-additional-surgery-nonfusion":[{"part":"5223.0370","path":"4.D.3","quote":"(3) for additional surgery, other than a fusion, regardless of the number of additional surgeries, add two percent, if the additional surgery included a fusion, the rating is as provided in subpart 5;","textHash":"0d1c7e8a","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-d-addon-concurrent-lesion":[{"part":"5223.0370","path":"4.D.4","quote":"(4) additional concurrent lesion on contralateral side at the same level or on either side at any other level which meets all of the criteria of this item or item E, add nine percent.","textHash":"8a4c0bcf","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-e-addon-chronic":[{"part":"5223.0370","path":"4.E.1","quote":"(1) if chronic radicular pain or paresthesia, or myelopathic symptoms persist despite treatment, add three percent;","textHash":"4ef44184","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-e-addon-concurrent-lesion":[{"part":"5223.0370","path":"4.E.4","quote":"(4) additional concurrent lesion on contralateral side at same level or at either side at other level which meets all of the criteria of this item or item D, add nine percent.","textHash":"913928ab","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-e-addon-surgery-pre2010":[{"part":"5223.0370","path":"4.E.2","quote":"(2) if a surgery other than a fusion performed as part of the treatment, add five percent, if surgery included a fusion, the rating is as provided in subpart 5. For dates of injury on or after August 9, 2010, for the first surgery performed as part of the treatment, regardless of the type of surgery, add five percent; if surgery included a fusion, also add the rating as provided in subpart 5;","textHash":"ab409acb","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-e-addon-additional-surgery-pre2010":[{"part":"5223.0370","path":"4.E.3","quote":"(3) for additional surgery, other than a fusion, regardless of the number of additional surgeries, add three percent, if the additional surgery included a fusion, the rating is as provided in subpart 5. For dates of injury on or after August 9, 2010, for additional surgery, regardless of the number of additional surgeries, add three percent. If any of the additional surgeries included a fusion, also add the rating as provided in subpart 5;","textHash":"215084ba","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-e-addon-surgery":[{"part":"5223.0370","path":"4.E.2","quote":"(2) if a surgery other than a fusion performed as part of the treatment, add five percent, if surgery included a fusion, the rating is as provided in subpart 5. For dates of injury on or after August 9, 2010, for the first surgery performed as part of the treatment, regardless of the type of surgery, add five percent; if surgery included a fusion, also add the rating as provided in subpart 5;","textHash":"ab409acb","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-radiculopathy-e-addon-additional-surgery":[{"part":"5223.0370","path":"4.E.3","quote":"(3) for additional surgery, other than a fusion, regardless of the number of additional surgeries, add three percent, if the additional surgery included a fusion, the rating is as provided in subpart 5. For dates of injury on or after August 9, 2010, for additional surgery, regardless of the number of additional surgeries, add three percent. If any of the additional surgeries included a fusion, also add the rating as provided in subpart 5;","textHash":"215084ba","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fusion-single":[{"part":"5223.0370","path":"5.A","quote":"A. Fusion, as defined in part 5223.0310, subpart 29, at one level performed as part or all of the surgical treatment of a cervical pain or radicular syndrome, add 2.5 percent to the otherwise appropriate category in subpart 3 or 4.","textHash":"947067eb","url":"https://www.revisor.mn.gov/rules/5223.0370/"}],"cervical-fusion-multi":[{"part":"5223.0370","path":"5.B","quote":"B. Fusion at multiple levels performed as part or all of the surgical treatment of a cervical pain or radicular syndrome, add five percent to the otherwise appropriate category in subpart 3 or 4.","textHash":"8c23f055","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},"edges":[{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-compression-le10","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-compression-gt10-le25","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-compression-gt25-le50","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-compression-gt50","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-posterior-normal-reduction-no-surgery","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-posterior-surgery-normal-reduction","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-posterior-no-surgery-reduction-not-normal","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-posterior-surgery-poor-reduction","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fracture-multiple-levels-addon","to":"cervical-fracture-other-acute","authority":[{"part":"5223.0370","path":"2.D","quote":"D. For fractures of multiple vertebral levels, add three percent, regardless of the number of levels involved, to whichever of item A, B, or C is otherwise applicable.","textHash":"859ffc56","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"crossReference","from":"cervical-radiculopathy-a","to":"5223.0310:44","note":"Term defined at Minn. R. 5223.0310, subp. 44."},{"kind":"crossReference","from":"cervical-radiculopathy-e","to":"5223.0310:47","note":"Term defined at Minn. R. 5223.0310, subp. 47."},{"kind":"addTo","from":"cervical-radiculopathy-d-addon-chronic","to":"cervical-radiculopathy-d","authority":[{"part":"5223.0370","path":"4.D.1","quote":"(1) if chronic radicular pain or paresthesia persist despite treatment, add three percent;","textHash":"e83abd08","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-radiculopathy-d-addon-surgery-nonfusion","to":"cervical-radiculopathy-d","authority":[{"part":"5223.0370","path":"4.D.2","quote":"(2) if a surgery other than a fusion performed as part of the treatment, add two percent, if surgery included a fusion, the rating is as provided in subpart 5;","textHash":"c7fddb48","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-radiculopathy-d-addon-additional-surgery-nonfusion","to":"cervical-radiculopathy-d","authority":[{"part":"5223.0370","path":"4.D.3","quote":"(3) for additional surgery, other than a fusion, regardless of the number of additional surgeries, add two percent, if the additional surgery included a fusion, the rating is as provided in subpart 5;","textHash":"0d1c7e8a","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"requires","from":"cervical-radiculopathy-d-addon-additional-surgery-nonfusion","to":"cervical-radiculopathy-d-addon-surgery-nonfusion","authority":[{"part":"5223.0370","path":"4.D.3","quote":"(3) for additional surgery, other than a fusion, regardless of the number of additional surgeries, add two percent, if the additional surgery included a fusion, the rating is as provided in subpart 5;","textHash":"0d1c7e8a","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-radiculopathy-d-addon-concurrent-lesion","to":"cervical-radiculopathy-d","authority":[{"part":"5223.0370","path":"4.D.4","quote":"(4) additional concurrent lesion on contralateral side at the same level or on either side at any other level which meets all of the criteria of this item or item E, add nine percent.","textHash":"8a4c0bcf","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-radiculopathy-e-addon-chronic","to":"cervical-radiculopathy-e","authority":[{"part":"5223.0370","path":"4.E.1","quote":"(1) if chronic radicular pain or paresthesia, or myelopathic symptoms persist despite treatment, add three percent;","textHash":"4ef44184","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"crossReference","from":"cervical-radiculopathy-e-addon-chronic","to":"5223.0310:47","note":"Term defined at Minn. R. 5223.0310, subp. 47."},{"kind":"addTo","from":"cervical-radiculopathy-e-addon-concurrent-lesion","to":"cervical-radiculopathy-e","authority":[{"part":"5223.0370","path":"4.E.4","quote":"(4) additional concurrent lesion on contralateral side at same level or at either side at other level which meets all of the criteria of this item or item D, add nine percent.","textHash":"913928ab","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"crossReference","from":"cervical-radiculopathy-e-addon-concurrent-lesion","to":"5223.0310:47","note":"Term defined at Minn. R. 5223.0310, subp. 47."},{"kind":"addTo","from":"cervical-radiculopathy-e-addon-surgery-pre2010","to":"cervical-radiculopathy-e","authority":[{"part":"5223.0370","path":"4.E.2","quote":"(2) if a surgery other than a fusion performed as part of the treatment, add five percent, if surgery included a fusion, the rating is as provided in subpart 5. 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Fusion, as defined in part 5223.0310, subpart 29, at one level performed as part or all of the surgical treatment of a cervical pain or radicular syndrome, add 2.5 percent to the otherwise appropriate category in subpart 3 or 4.","textHash":"947067eb","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fusion-single","to":"cervical-radiculopathy-d","authority":[{"part":"5223.0370","path":"5.A","quote":"A. Fusion, as defined in part 5223.0310, subpart 29, at one level performed as part or all of the surgical treatment of a cervical pain or radicular syndrome, add 2.5 percent to the otherwise appropriate category in subpart 3 or 4.","textHash":"947067eb","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fusion-single","to":"cervical-radiculopathy-e","authority":[{"part":"5223.0370","path":"5.A","quote":"A. Fusion, as defined in part 5223.0310, subpart 29, at one level performed as part or all of the surgical treatment of a cervical pain or radicular syndrome, add 2.5 percent to the otherwise appropriate category in subpart 3 or 4.","textHash":"947067eb","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"crossReference","from":"cervical-fusion-single","to":"5223.0310:29","note":"Term defined at Minn. R. 5223.0310, subp. 29."},{"kind":"addTo","from":"cervical-fusion-multi","to":"cervical-pain-a","authority":[{"part":"5223.0370","path":"5.B","quote":"B. Fusion at multiple levels performed as part or all of the surgical treatment of a cervical pain or radicular syndrome, add five percent to the otherwise appropriate category in subpart 3 or 4.","textHash":"8c23f055","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fusion-multi","to":"cervical-pain-b","authority":[{"part":"5223.0370","path":"5.B","quote":"B. Fusion at multiple levels performed as part or all of the surgical treatment of a cervical pain or radicular syndrome, add five percent to the otherwise appropriate category in subpart 3 or 4.","textHash":"8c23f055","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fusion-multi","to":"cervical-pain-c1","authority":[{"part":"5223.0370","path":"5.B","quote":"B. Fusion at multiple levels performed as part or all of the surgical treatment of a cervical pain or radicular syndrome, add five percent to the otherwise appropriate category in subpart 3 or 4.","textHash":"8c23f055","url":"https://www.revisor.mn.gov/rules/5223.0370/"}]},{"kind":"addTo","from":"cervical-fusion-multi","to":"cervical-pain-c2","authority":[{"part":"5223.0370","path":"5.B","quote":"B. 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