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Minnesota Rule chapter 5223

Minnesota PPD schedule by body part

Each page is a working reading of one permanency rule: the categories, the percents, the facts the records have to show, and worked examples that run through the same engine as the calculator. Use the pages to check a lumbar, shoulder, wrist, or knee rating, then convert it to dollars in the PPD calculator.

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.

Common injury searches

These land on the same rule pages. The schedule uses body-part categories, not the popular injury name.

Rule 5223.0390

Minnesota lumbar spine PPD rating

Rule 5223.0390 rates permanent lumbar impairment under one category of subpart 2 (fractures), 3 (lumbar 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 that attach only to a pain or radicular category.

Rule 5223.0370

Minnesota cervical spine PPD rating

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.

Rule 5223.0380

Minnesota thoracic spine PPD rating

Rule 5223.0380 rates permanent thoracic impairment under one category of subpart 2 (fractures), 3 (thoracic pain syndrome), or 4 (radicular syndromes). Item 4.D adds up to four once-only subitems. The thoracic part has no fusion subpart and no stenosis category.

Rule 5223.0450

Minnesota shoulder and rotator cuff PPD rating

Rule 5223.0450 rates the shoulder and upper arm under exclusive categories (AC separation grades, the dislocation ladder, distal clavicle resection, chronic bicipital tendon rupture, resection arthroplasty at 36 percent, painful organic syndrome), combinable categories (implant arthroplasty at 18 percent, the rotator cuff categories, acromioplasty for dates of injury on or after August 9, 2010, the unratable fracture catch-all), and loss of measured motion under subpart 4. The rotator cuff grammar changed on August 9, 2010: before, the demonstrated tear pays regardless of healing; after, only a tear persisting despite treatment pays. The whole part is capped at the amputation value for the arm at the shoulder.

Category percents are on this page. Measured motion loss (62 clauses under subpart 4) is rated in the guided calculator, not in the examples here.

Rule 5223.0460

Minnesota elbow PPD rating

Rule 5223.0460 rates the elbow and forearm under exclusive categories (flail elbow at 39 percent, radial head resection, painful organic syndrome including chronic epicondylitis, the radial/median/ulnar entrapment ladders), combinable categories (total elbow arthroplasty at 17 percent, radial head replacement, the instability ladder, lateral deviation, the unratable fracture catch-all), and loss of measured motion under subpart 4. Distinct impairing conditions combine under 5223.0300, subpart 3, item E, and the whole part is capped at the amputation value for the arm at the elbow.

Category percents are on this page. Measured motion loss (28 clauses under subpart 4) is rated in the guided calculator, not in the examples here.

Rule 5223.0470

Minnesota wrist and carpal tunnel PPD rating

Rule 5223.0470 rates the wrist under exclusive categories (painful organic syndrome including tendonitis and de Quervain syndrome, and the ulnar/radial/median entrapment ladders, where carpal tunnel syndrome persisting despite treatment with EMG confirmation pays three percent), combinable categories (the arthroplasty group from total wrist at 18 percent down to pisiform excision at 2, the carpal instability ladder at 4/7/11, the unratable fracture catch-all), and loss of measured motion under subpart 4. Distinct impairing conditions combine under 5223.0300, subpart 3, item E, and the whole part is capped at the amputation value for the arm at the wrist.

Category percents are on this page. Measured motion loss (31 clauses under subpart 4) is rated in the guided calculator, not in the examples here.

Rule 5223.0490

Minnesota pelvis PPD rating

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.

Rule 5223.0500

Minnesota hip PPD rating

Rule 5223.0500 rates the hip and upper leg under exclusive categories (painful organic syndrome, the femoral/obturator/sciatic entrapment ladder, femoral shaft nonunion at 20 percent), combinable categories (leg length discrepancy bands up to 9 percent, arthroplasty at 8, the fracture group at 12/6/3/0), and loss of measured motion under subpart 4. Combinable categories also take a subpart 4 rating; distinct impairing conditions combine under 5223.0300, subpart 3, item E; and the whole part is capped at 40 percent, the amputation value for the leg at the hip.

Category percents are on this page. Measured motion loss (56 clauses under subpart 4) is rated in the guided calculator, not in the examples here.

Rule 5223.0510

Minnesota knee PPD rating

Rule 5223.0510 rates the knee and lower leg under exclusive categories (subpart 2: plateau and distal femur fracture ladders, patellar surgeries, collateral ligament laxity, painful organic syndrome, nerve entrapment, tibial nonunion), combinable categories (subpart 3: patellectomy, meniscectomy, arthroplasty, cruciate laxity, angular deformity, osteotomy), and loss of measured motion (subpart 4). Combinable categories also take a subpart 4 rating; distinct impairing conditions combine under 5223.0300, subpart 3, item E; and the whole part is capped at 34 percent, the amputation value for the leg at the knee.

Category percents are on this page. Measured motion loss (24 clauses under subpart 4) is rated in the guided calculator, not in the examples here.

Rule 5223.0520

Minnesota ankle PPD rating

Rule 5223.0520 rates the ankle under exclusive categories (the Achilles rupture ladder, medial/lateral ligament laxity, painful organic syndrome, three per-nerve entrapment ladders, the extraarticular calcaneal fracture), combinable categories (intra-articular calcaneal fracture, avascular necrosis of the talus, arthroplasty, the malleolar fracture group), and loss of measured motion under subpart 4. Combinable categories also take a subpart 4 rating; distinct impairing conditions combine under 5223.0300, subpart 3, item E; and the whole part is capped at the amputation value for the leg at the ankle.

Category percents are on this page. Measured motion loss (38 clauses under subpart 4) is rated in the guided calculator, not in the examples here.