Minnesota 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 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.
A fracture into the acetabulum (hip socket) is the higher of the pelvis categories or hip motion loss under rule 5223.0500, subpart 4. The two may not be added or combined. This page does not pick the higher number for you yet.
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: pelvis fracture
Requires: A pelvic fracture is documented (pelvic ring, sacrum, ilium, ischium, or pubic rami; not the coccyx alone, not into the acetabulum); and not: displacement demonstrated on a medical imaging study.
R. 5223.0490, subp. 2A
Requires: A pelvic fracture is documented (pelvic ring, sacrum, ilium, ischium, or pubic rami; not the coccyx alone, not into the acetabulum); and Displacement demonstrated on a medical imaging study; and Persistent gait abnormality documented at maximum medical improvement; and The fracture has healed (united); false means nonunion on follow-up imaging.
R. 5223.0490, subp. 2B
Requires: A pelvic fracture is documented (pelvic ring, sacrum, ilium, ischium, or pubic rami; not the coccyx alone, not into the acetabulum); and Displacement demonstrated on a medical imaging study; and Persistent gait abnormality documented at maximum medical improvement; and not: the fracture has healed (united); false means nonunion on follow-up imaging.
R. 5223.0490, subp. 2C
Choose one: pelvis coccyx
Requires: Persistent coccygodynia (tailbone pain) at maximum medical improvement.
R. 5223.0490, subp. 2D
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: x-ray report; CT report
Proof: x-ray report; CT report; MRI report
Proof: follow-up imaging report (6+ months) describing union or nonunion
Proof: exam notes documenting an antalgic or abnormal gait at MMI
Proof: exam or imaging notes for coccygodynia, coccyx fracture, or coccygectomy
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.
Ununited displaced fracture with persistent gait abnormality (audit B1)
whole-body total
Date of injury 2024-06-01
- A pelvic fracture is documented (pelvic ring, sacrum, ilium, ischium, or pubic rami; not the coccyx alone, not into the acetabulum): yes
- Displacement demonstrated on a medical imaging study: yes
- The fracture has healed (united); false means nonunion on follow-up imaging: no
- Persistent gait abnormality documented at maximum medical improvement: yes
- Persistent coccygodynia (tailbone pain) at maximum medical improvement: no
- Pelvic Fracture: Ununited, Displaced, With Gait Abnormality: 10%
- Whole-body total: 10%
Healed displaced fracture with gait abnormality plus persistent coccygodynia (audit F-14)
whole-body total
Date of injury 2024-06-01
- A pelvic fracture is documented (pelvic ring, sacrum, ilium, ischium, or pubic rami; not the coccyx alone, not into the acetabulum): yes
- Displacement demonstrated on a medical imaging study: yes
- The fracture has healed (united); false means nonunion on follow-up imaging: yes
- Persistent gait abnormality documented at maximum medical improvement: yes
- Persistent coccygodynia (tailbone pain) at maximum medical improvement: yes
- Pelvic Fracture: Healed, Displaced, With Gait Abnormality: 5%
- Persistent Coccygodynia (Tailbone Pain): 0%
- Whole-body total: 5%
Ununited fracture without displacement: union status does not change category 2.A (audit B3)
whole-body total
Date of injury 2024-06-01
- A pelvic fracture is documented (pelvic ring, sacrum, ilium, ischium, or pubic rami; not the coccyx alone, not into the acetabulum): yes
- Displacement demonstrated on a medical imaging study: no
- The fracture has healed (united); false means nonunion on follow-up imaging: no
- Persistent gait abnormality documented at maximum medical improvement: yes
- Persistent coccygodynia (tailbone pain) at maximum medical improvement: no
- Pelvic Fracture: No Displacement (Healed or Ununited): 0%
- Whole-body total: 0%
Related rules
These cross-links come from the compiled graph. Read the official rule text for the full statutory language.
See also rule 5223.0390
Lumbar spine permanency rule 5223.0390Subp. 1: sacroiliac sprains and strains must be treated as lumbar regional pain syndrome and rated under 5223.0390, subp. 3.
See also rule 5223.0500
Hip and upper leg permanency rule 5223.0500Subp. 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.
May combine with rule 5223.0420
Official text for 5223.0420Subp. 1, item A: peripheral nerve injury rates under 5223.0420 and 5223.0430 and may be combined with ratings under this part.
May combine with rule 5223.0590
Official text for 5223.0590Subp. 1, item D: anal dysfunction rates under 5223.0590, subp. 4 and combines with the pelvis rating.
May combine with rule 5223.0600
Official text for 5223.0600Subp. 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.
Common questions
Does surgery change the pelvis fracture rating?
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.
How is a fracture into the acetabulum (hip socket) rated?
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.
What about a displaced fracture that healed without a gait abnormality?
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.
Interpretive 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.
What to do next
Turn a category percent into dollars, combine multiple ratings, or see permanency inside a full settlement value.
- Minnesota PPD calculator
Turn a rating percentage into dollars using the statutory tier for your date of injury.
- PPD combination calculator
Two or more ratings combine with a formula that yields less than the sum.
- Settlement exposure calculator
See permanency next to wage loss and medical when you weigh a settlement.
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Browse the other Minnesota Rule 5223 categories that may apply to your claim.
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