Minnesota 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.
Rule text from the Minnesota Revisor of Statutes, retrieved 2026-08-02.
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.
The percents on this page are the condition categories. This part also rates measured motion loss under subpart 4 (56 clauses). Those numbers live in the guided calculator. A total here is not the whole rating when the records also show lost motion.
How the rule decides
Each group below is a set of alternatives: the facts select at most one category from each group. Add-ons attach to their base category as the rule directs and are added, not statutorily combined.
Choose one: hip pain syndrome
Requires: Painful organic syndrome (as defined at 5223.0310, subp. 40), substantiated by consistent, reproducible clinical or imaging findings, with persistent limitation of active motion or deviation of gait; and not: passive range of motion of the hip is limited.
R. 5223.0500, subp. 2.A
Choose one: hip entrapment
Requires: Nerve entrapment syndrome of the femoral, obturator, or sciatic nerve at the pelvis, hip, or upper leg: resolved with treatment.
R. 5223.0500, subp. 2.B(1)
Requires: Nerve entrapment syndrome of the femoral, obturator, or sciatic nerve at the pelvis, hip, or upper leg: pain and paresthesia persist or recur despite treatment, not substantiated by electrodiagnostic testing.
R. 5223.0500, subp. 2.B(2)
Requires: Nerve entrapment syndrome of the femoral, obturator, or sciatic nerve at the pelvis, hip, or upper leg: pain and paresthesia persist despite treatment, substantiated by persistent findings on electrodiagnostic testing.
R. 5223.0500, subp. 2.B(3)
Choose one: hip femoral shaft nonunion
Requires: Nonunion of a femoral shaft fracture requiring a nonweight-bearing orthosis for ambulation.
R. 5223.0500, subp. 2.C
Choose one: hip leg length
Requires: Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) of 0.1 or more; and Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) below 1.
R. 5223.0500, subp. 3.A(1)
Requires: Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) of 1 or more; and Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) of 1.9 or less.
R. 5223.0500, subp. 3.A(2)
Requires: Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) of 2 or more; and Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) of 3.2 or less.
R. 5223.0500, subp. 3.A(3)
Requires: Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) of 3.3 or more; and Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) of 4.4 or less.
R. 5223.0500, subp. 3.A(4)
Requires: Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter) of 4.5 or more.
R. 5223.0500, subp. 3.A(5)
Choose one: hip prosthesis
Requires: Hip arthroplasty performed: total hip arthroplasty.
R. 5223.0500, subp. 3.B
Requires: Hip arthroplasty performed: partial (hemi) arthroplasty.
R. 5223.0500, subp. 3.B
Requires: A fracture required a femoral endoprosthesis.
R. 5223.0500, subp. 3.C(2)
Choose one: hip fracture nonunion
Requires: Nonunion of a hip fracture.
R. 5223.0500, subp. 3.C(1)
Choose one: hip fracture fixation
Requires: Hip pinning performed for a fracture.
R. 5223.0500, subp. 3.C(3)
Choose one: hip fracture other
Requires: Fracture or dislocation involving the femur not otherwise ratable under this part or 5223.0510.
R. 5223.0500, subp. 3.C(4)
Choose one: hip acetabulum
Requires: A fracture into the acetabulum (rated under 5223.0490, subp. 2.E as the higher of the hip motion loss or the pelvis categories).
R. 5223.0500, subp. 1 (acetabular fracture: hip motion branch of R. 5223.0490, subp. 2E)
Choose one: hip soft tissue
Requires: either A hip or upper leg soft tissue condition no category of subparts 2 or 3 represents (bursitis, labral tear, avascular necrosis), rated only on measured loss of motion under subpart 4, or Painful organic syndrome (as defined at 5223.0310, subp. 40), substantiated by consistent, reproducible clinical or imaging findings, with persistent limitation of active motion or deviation of gait; and Passive range of motion of the hip is limited.
R. 5223.0500, subp. 1 (rated only under subp. 4)
What the records must show
These are the facts the rule turns on. If one is unknown, the affected categories stay open questions with the document that would settle them; an unknown never counts as a no.
Proof: exam notes; imaging reports
Proof: exam notes with passive range of motion measurements
Proof: EMG/nerve conduction study; exam notes
Proof: follow-up imaging describing nonunion; orthotic prescription
Proof: scanogram or standing x-ray leg length measurement
Proof: operative report
Proof: follow-up imaging describing nonunion
Proof: operative report
Proof: operative report
Proof: x-ray or CT report
Proof: x-ray or CT report
Proof: diagnosis records; range of motion measurements
Worked examples with receipts
Each example runs through the same engine the calculator uses. The category total, the components, and the citations are computed, not typed in. These receipts are category percents only. They do not include subpart 4 motion.
Total hip arthroplasty, category alone (audit S1 before the motion rating)
category total
Date of injury 2024-01-01
- Hip arthroplasty performed: total hip arthroplasty
- Total Hip Arthroplasty: 8%
- Category total: 8%Does not include subpart 4 motion
Femoral shaft nonunion requiring a nonweight-bearing orthosis
category total
Date of injury 2024-01-01
- Nonunion of a femoral shaft fracture requiring a nonweight-bearing orthosis for ambulation: yes
- Nonunion of Femoral Shaft Fracture: 20%
- Category total: 20%Does not include subpart 4 motion
Total arthroplasty (8) combined with a 2.5 centimeter leg length discrepancy (4.5), distinct conditions
category total
Date of injury 2024-01-01
- Hip arthroplasty performed: total hip arthroplasty
- Traumatic or surgical leg length discrepancy, in centimeters (0 means none; measurements are conventionally recorded to 0.1 centimeter): 2.5
- Total Hip Arthroplasty: 8%
- Leg Length Discrepancy: 2.0 to 3.2 cm: 4.5%
- Category total: 12.14%Does not include subpart 4 motion
Sciatic entrapment persisting despite treatment, substantiated by electrodiagnostic testing
category total
Date of injury 2024-01-01
- Nerve entrapment syndrome of the femoral, obturator, or sciatic nerve at the pelvis, hip, or upper leg: pain and paresthesia persist despite treatment, substantiated by persistent findings on electrodiagnostic testing
- Symptoms persist and the nerve study confirms them: 2%
- Category total: 2%Does not include subpart 4 motion
Nonunion of a hip fracture (12) combined with arthroplasty (8), the Bellecourt v. Norcraft pattern
category total
Date of injury 2024-01-01
- Nonunion of a hip fracture: yes
- Hip arthroplasty performed: total hip arthroplasty
- Hip Fracture Nonunion: 12%
- Total Hip Arthroplasty: 8%
- Category total: 19.04%Does not include subpart 4 motion
Related rules
These cross-links come from the compiled graph. Read the official rule text for the full statutory language.
See also rule 5223.0490
Pelvis permanency rule 5223.0490A fracture into the acetabulum rates under 5223.0490, subp. 2.E as the higher of the hip motion loss under subpart 4 of this part or the pelvis categories; the two may not be added or combined.
See also rule 5223.0510
Knee and lower leg permanency rule 5223.0510Subp. 3.C(4) excludes femur fractures ratable under the knee part (distal femur fractures rate there).
See also rule 5223.0420
Official text for 5223.0420Subp. 2.B(4): entrapment with objectively demonstrable motor loss rates under the motor nerve table of 5223.0420 (femoral, obturator, sciatic rows).
See also rule 5223.0430
Official text for 5223.0430Subp. 2.B(4): entrapment with objectively demonstrable sensory loss rates under the sensory nerve table of 5223.0430, including the lateral femoral cutaneous nerve (meralgia paresthetica) at subp. 2.C.
See also rule 5223.0550
Official text for 5223.0550
Common questions
What does a total hip replacement rate?
Eight percent under subpart 3.B, plus the measured loss of motion under subpart 4, combined. The arthroplasty category is combinable, so a rating without the motion measurement is a floor, not a total.
Does a partial (hemi) arthroplasty rate less than a total?
No. Subpart 3.B pays eight percent for arthroplasty without distinguishing total from partial. A partial arthroplasty later converted to a total is one impairing condition and rates once.
A fracture failed to heal and then required a hip replacement. One rating or two?
Two, combined. In Bellecourt v. Norcraft Cos., Inc., No. WC10-5112 (W.C.C.A. Sept. 29, 2010), the court held that nonunion of a hip fracture (subpart 3.C(1), twelve percent) and arthroplasty (subpart 3.B, eight percent) may both be awarded for the same hip. Combined under the statutory formula, that is 19.04 percent before any motion rating.
How is a fracture into the hip socket rated?
A fracture into the acetabulum is rated under the pelvis rule (5223.0490, subp. 2.E): once on the measured hip motion loss under subpart 4 of this part, and once under the pelvis categories. The final rating is the higher of the two, which may not be added or combined.
What about a labral tear or avascular necrosis?
Neither has a listed category. Both are rated only on the measured loss of hip motion under subpart 4, per the final paragraph of subpart 1. This tool reports the zero percent gateway plus the motion rating rather than inventing a category percent.
How high can a hip rating go?
Subpart 1 caps the whole part at the amputation value for the leg at the hip: 40 percent (R. 5223.0550, subp. 1.B). Categories and motion ratings that combine past that number are reduced to it.
Interpretive notes
- Subpart 4 (loss of function) is delegated to the ROM module, including the flexion, extension, abduction, adduction, and rotation arcs.
- Subpart 3 categories representing distinct impairing conditions combine: Bellecourt v. Norcraft Cos., Inc., No. WC10-5112 (W.C.C.A. Sept. 29, 2010), allowed both fracture nonunion (3.C(1)) and arthroplasty (3.B) for the same hip. The prosthesis categories (3.B and the 3.C(2) endoprosthesis) describe one replacement and rate once.
- The leg length bands leave measurement gaps (for example 1.95 centimeters falls between 1.9 and 2.0); clinical measurements are conventionally recorded to 0.1 centimeter, and the graph reports no match rather than rounding.
- The entrapment ladder is one condition regardless of which of the three named nerves is involved; objectively demonstrable motor or sensory loss moves the rating to the nerve tables (2.B(4)), where meralgia paresthetica belongs to the lateral femoral cutaneous nerve row of 5223.0430.
What to do next
Turn a category percent into dollars, combine multiple ratings, or see permanency inside a full settlement value.
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