Minnesota Administrative Rules

5223.0610 HEMATOPOIETIC.

Subpart 1.

General.

This part provides the percentage of disability of the whole body for permanent partial impairment of the hematopoietic system. For evaluation purposes, the following are considered separately:

A.

red blood cells;

B.

platelets; and

C.

white blood cells.

The ratings determined under subparts 2 to 4 may be combined as described in part 5223.0300, subpart 3, item E.

Subp. 2.

Red blood cells.

A.

History of persistent anemia substantiated by objective tests, and uncorrected by appropriate and persistent therapy:

(1)

hemoglobin greater than nine grams per 100 milliliters, zero percent;

(2)

hemoglobin greater than eight grams per 100 milliliters and less than or equal to nine grams per 100 milliliters, 20 percent;

(3)

hemoglobin greater than seven grams per 100 milliliters and less than or equal to eight grams per 100 milliliters, 40 percent;

(4)

hemoglobin greater than six grams per 100 milliliters and less than or equal to seven grams per 100 milliliters, 60 percent;

(5)

hemoglobin greater than five grams per 100 milliliters and less than or equal to six grams per 100 milliliters, 80 percent;

(6)

hemoglobin less than five grams per 100 milliliters, 95 percent.

B.

History of persistent erythrocytosis substantiated by objective tests, uncorrected by continuous therapy for 12 months, and not related to a condition which can be rated as provided in parts 5223.0560 to 5223.0580:

(1)

hemoglobin less than 18 grams per 100 milliliters with no or infrequent therapy, zero percent;

(2)

hemoglobin less than 18 grams per 100 milliliters and requiring frequent or continuous therapy, five percent;

(3)

hemoglobin greater than 18 grams per 100 milliliters despite continuous therapy, ten percent.

Subp. 3.

Platelets.

A.

History of persistent thrombocytopenia substantiated by objective tests, and uncorrected by persistent and appropriate therapy:

(1)

platelet count greater than 70,000, zero percent;

(2)

platelet count less than 70,000 but greater than 40,000 and individual is restricted from high risk activity, 20 percent;

(3)

platelet count less than 40,000 but greater than 20,000 and individual is restricted from strenuous activity, 40 percent;

(4)

platelet count less than 20,000 and there is a consistent risk of life-threatening hemorrhage, 75 percent.

B.

Any permanent impairment to other body parts or organs directly resulting from hemorrhage secondary to the thrombocytopenia must be rated as provided in the appropriate parts of this schedule. These ratings must be combined with each other and with any ratings under this part in the manner described in Minnesota Statutes, section 176.105, subdivision 4, paragraph (c).

Subp. 4.

White blood cells.

A.

History of persistent leukopenia substantiated by objective tests, and uncorrected by persistent and appropriate therapy:

(1)

white count greater than or equal to 2,000, zero percent;

(2)

white count less than 2,000 but no limitation on time spent outside domicile, ten percent;

(3)

white count less than 2,000 and there is limitation on the amount of time spent outside of domicile, 40 percent;

(4)

white count less than 2,000 and receiving active medical care for opportunistic infection more than half the time, 70 percent;

(5)

white count less than 2,000 and ongoing active opportunistic infection despite continuous medical care, 95 percent.

Subp. 5.

Spleen.

Surgical removal or alteration of all or part of the spleen, not otherwise ratable under this part, zero percent.

Statutory Authority:

MS s 176.105

History:

17 SR 3364

Published Electronically:

August 16, 2010