{"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":"5223.0490","title":"Pelvis permanency rule 5223.0490","status":"published","publishedOn":"2026-08-18","auditDocument":"docs/audits/ppd-rule-5223-0490-attack.md"},"graph":{"part":"5223.0490","slug":"pelvis","title":"Pelvis","summary":"Rule 5223.0490 rates pelvic impairment under subpart 2 alone: a three-fact fracture ladder (displacement on imaging, union state, persistent gait abnormality) at 0, 5, or 10 percent, a zero percent coccygodynia category, and an acetabular fracture clause that rates as the higher of the hip motion loss or the pelvis categories. Nerve, bladder, sexual, and anal dysfunction from the same injury rate under their own parts and combine under 5223.0300, subpart 3, item E.","generalAuthority":{"part":"5223.0490","path":"1","quote":"Subpart 1. General. For permanent impairment to the pelvis, disability of the whole body is as provided in subpart 2. Permanent impairments due to sprains or strains of the sacroiliac joints must be treated as lumbar regional pain syndrome and rated as provided in part 5223.0390, subpart 3.","textHash":"031b6347","url":"https://www.revisor.mn.gov/rules/5223.0490/"},"facts":[{"id":"medical.pelvicFracture","label":"A pelvic fracture is documented (pelvic ring, sacrum, ilium, ischium, or pubic rami; not the coccyx alone, not into the acetabulum)","type":"boolean","evidence":["x-ray report","CT report"]},{"id":"medical.displacementOnImaging","label":"Displacement demonstrated on a medical imaging study","type":"boolean","evidence":["x-ray report","CT report","MRI report"]},{"id":"medical.fractureUnited","label":"The fracture has healed (united); false means nonunion on follow-up imaging","type":"boolean","evidence":["follow-up imaging report (6+ months) describing union or nonunion"]},{"id":"medical.persistentGaitAbnormality","label":"Persistent gait abnormality documented at maximum medical improvement","type":"boolean","evidence":["exam notes documenting an antalgic or abnormal gait at MMI"]},{"id":"medical.persistentCoccygodynia","label":"Persistent coccygodynia (tailbone pain) at maximum medical improvement","type":"boolean","evidence":["exam or imaging notes for coccygodynia, coccyx fracture, or coccygectomy"]}],"nodes":[{"kind":"discrete","endpointId":"pelvis-fracture-stable","role":"base","exclusiveFamily":"pelvis-fracture","when":{"all":[{"fact":"medical.pelvicFracture","op":"eq","value":true},{"fact":"medical.displacementOnImaging","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"pelvis-fracture-unstable","role":"base","exclusiveFamily":"pelvis-fracture","when":{"all":[{"fact":"medical.pelvicFracture","op":"eq","value":true},{"fact":"medical.displacementOnImaging","op":"eq","value":true},{"fact":"medical.persistentGaitAbnormality","op":"eq","value":true},{"fact":"medical.fractureUnited","op":"eq","value":true}]}},{"kind":"discrete","endpointId":"pelvis-fracture-nonunion-displaced","role":"base","exclusiveFamily":"pelvis-fracture","when":{"all":[{"fact":"medical.pelvicFracture","op":"eq","value":true},{"fact":"medical.displacementOnImaging","op":"eq","value":true},{"fact":"medical.persistentGaitAbnormality","op":"eq","value":true},{"fact":"medical.fractureUnited","op":"eq","value":false}]}},{"kind":"discrete","endpointId":"pelvis-coccygodynia","role":"base","exclusiveFamily":"pelvis-coccyx","when":{"fact":"medical.persistentCoccygodynia","op":"eq","value":true}}],"extraEdges":[{"kind":"crossReference","from":"5223.0490","to":"5223.0500","note":"Subp. 2.E: a fracture into the acetabulum rates as the higher of the hip motion loss under 5223.0500, subp. 4 or the pelvis categories; the two may not be added or combined. Served by the hip-acetabulum-rom gateway endpoint, not by this graph."},{"kind":"crossReference","from":"5223.0490","to":"5223.0390","note":"Subp. 1: sacroiliac sprains and strains must be treated as lumbar regional pain syndrome and rated under 5223.0390, subp. 3."},{"kind":"combineWith","from":"5223.0490","to":"5223.0420","note":"Subp. 1, item A: peripheral nerve injury rates under 5223.0420 and 5223.0430 and may be combined with ratings under this part."},{"kind":"combineWith","from":"5223.0490","to":"5223.0600","note":"Subp. 1, items B and C: bladder, urinary tract, and sexual dysfunction rate under 5223.0600 (subps. 4, 7, and 10) and combine with the pelvis rating."},{"kind":"combineWith","from":"5223.0490","to":"5223.0590","note":"Subp. 1, item D: anal dysfunction rates under 5223.0590, subp. 4 and combines with the pelvis rating."}],"examples":[{"id":"pelvis-nonunion","label":"Ununited displaced fracture with persistent gait abnormality (audit B1)","dateOfInjury":"2024-06-01","facts":{"medical.pelvicFracture":true,"medical.displacementOnImaging":true,"medical.fractureUnited":false,"medical.persistentGaitAbnormality":true,"medical.persistentCoccygodynia":false},"expectedTotalPercent":10},{"id":"pelvis-fracture-plus-coccyx","label":"Healed displaced fracture with gait abnormality plus persistent coccygodynia (audit F-14)","dateOfInjury":"2024-06-01","facts":{"medical.pelvicFracture":true,"medical.displacementOnImaging":true,"medical.fractureUnited":true,"medical.persistentGaitAbnormality":true,"medical.persistentCoccygodynia":true},"expectedTotalPercent":5},{"id":"pelvis-ununited-nondisplaced","label":"Ununited fracture without displacement: union status does not change category 2.A (audit B3)","dateOfInjury":"2024-06-01","facts":{"medical.pelvicFracture":true,"medical.displacementOnImaging":false,"medical.fractureUnited":false,"medical.persistentGaitAbnormality":true,"medical.persistentCoccygodynia":false},"expectedTotalPercent":0}],"faq":[{"question":"Does surgery change the pelvis fracture rating?","answer":"No. The categories turn on displacement on imaging, union state, and persistent gait abnormality. Surgical fixation neither qualifies nor disqualifies a fracture from any of them."},{"question":"How is a fracture into the acetabulum (hip socket) rated?","answer":"Under subpart 2.E it is rated twice: once on the measured hip motion loss under 5223.0500, subpart 4, and once under the pelvis categories. The final rating is the higher of the two, which may not be added or combined."},{"question":"What about a displaced fracture that healed without a gait abnormality?","answer":"No category of subpart 2 fits those facts. The rule is silent, and rating proceeds by analogy to the most similar condition under 5223.0300, subpart 3, item A. This tool reports that no category matched rather than guessing a percent."}],"notes":["The pelvis is axial: it sits outside the lower-limb member ceiling, and the part states no cap of its own.","Subp. 2.D rates zero percent whether or not the coccyx was fractured and whether or not a coccygectomy was performed; its value is the citation."],"schemaVersion":"1.0.0","snapshotRetrievedOn":"2026-08-02","authorityByEndpoint":{"pelvis-fracture-stable":[{"part":"5223.0490","path":"2.A","quote":"A. Fracture, healed or ununited, without displacement demonstrated on medical imaging study, zero percent.","textHash":"1e0ebed7","url":"https://www.revisor.mn.gov/rules/5223.0490/"}],"pelvis-fracture-unstable":[{"part":"5223.0490","path":"2.B","quote":"B. Healed fracture with displacement demonstrated on medical imaging study, and with persistent gait abnormality, five percent.","textHash":"1df927cc","url":"https://www.revisor.mn.gov/rules/5223.0490/"}],"pelvis-fracture-nonunion-displaced":[{"part":"5223.0490","path":"2.C","quote":"C. Ununited fracture with displacement demonstrated on medical imaging study, and with persistent gait abnormality, ten percent.","textHash":"138f360b","url":"https://www.revisor.mn.gov/rules/5223.0490/"}],"pelvis-coccygodynia":[{"part":"5223.0490","path":"2.D","quote":"D. Persistent coccygodynia with or without coccyx fracture and with or without surgical treatment, zero percent.","textHash":"bd37d6ff","url":"https://www.revisor.mn.gov/rules/5223.0490/"}]},"edges":[{"kind":"crossReference","from":"5223.0490","to":"5223.0500","note":"Subp. 2.E: a fracture into the acetabulum rates as the higher of the hip motion loss under 5223.0500, subp. 4 or the pelvis categories; the two may not be added or combined. Served by the hip-acetabulum-rom gateway endpoint, not by this graph."},{"kind":"crossReference","from":"5223.0490","to":"5223.0390","note":"Subp. 1: sacroiliac sprains and strains must be treated as lumbar regional pain syndrome and rated under 5223.0390, subp. 3."},{"kind":"combineWith","from":"5223.0490","to":"5223.0420","note":"Subp. 1, item A: peripheral nerve injury rates under 5223.0420 and 5223.0430 and may be combined with ratings under this part."},{"kind":"combineWith","from":"5223.0490","to":"5223.0600","note":"Subp. 1, items B and C: bladder, urinary tract, and sexual dysfunction rate under 5223.0600 (subps. 4, 7, and 10) and combine with the pelvis rating."},{"kind":"combineWith","from":"5223.0490","to":"5223.0590","note":"Subp. 1, item D: anal dysfunction rates under 5223.0590, subp. 4 and combines with the pelvis rating."}]}}