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Thursday, February 26, 2015

Calculating A Schedule Award

You've had your impairment rating, submitted your rating and your CA-7 and OWCP has approved your percentage of loss...so how much will your schedule award pay you?

First, use the chart below to determine the maximum number of weeks allowed for the impaired body part. 

Schedule awards are paid at your compensation rate of either 66 2/3% (no dependents) or 75% (with dependents). 

To calculate the schedule award payment, multiply your actual percentage of impairment of the affected body part by the maximum number of weeks from the chart below. This will determine the number of weeks you're entitled to.

Then multiply the number of weeks you're entitled to by your weekly pay rate and multiply that result by your compensation rate of either 66 2/3% (no dependents) or 75% (dependents). This will give you the approximate amount of your schedule award.

Examples:

In this example there is a 10% impairment rating of the hand with a 75% compensation rate and a weekly pay rate of $500.00:

10% (your actual percentage of impairment) X 244 weeks (100% loss of use of the hand) = 24.4 weeks

24.4 weeks X $500.00 (weekly pay rate) X 75% (compensation rate) = $7,320.00


In this example there is a 15% impairment rating of the arm with a 66 2/3% compensation rate and a weekly pay rate of $500.00:

15% (your actual percentage of impairment) X 312 weeks (100% loss of use of the arm) = 46.8 weeks

46.8 weeks X $500.00 (weekly pay rate) X 66 2/3% (compensation rate) = $15,600.00

*When the compensation rate is 66 2/3% multiply the compensation rate by 66.666666667%

COVERED MEMBERS AND

MAXIMUM NUMBER OF WEEKS PAYABLE FOR TOTAL (100%) LOSS:
  • Arm 312 weeks
  • Leg 288 weeks
  • Eye 160 weeks
  • Hearing (one ear) 52 weeks
  • Hearing (both ears) 200 weeks
  • Hand 244 weeks
  • Thumb 75 weeks
  • 1st Finger 46 weeks
  • 2nd Finger 30 weeks
  • 3rd Finger (ring finger) 25 weeks
  • 4th Finger (pinky finger) 15 weeks
  • Foot 205 weeks
  • Great Toe 38 weeks
  • Toe (other than great toe) 16 weeks
  • Vulva-Vagina-Uterus-Cervix 205 weeks
  • Breast 52 weeks
  • Ovary (includes Fallopian tubes) 52 weeks
  • Penis 205 weeks
  • Testicle 52 weeks
  • Larynx-Tongue 160 weeks
  • Kidney 156 weeks
  • Lung 156 weeks
  • Skin 205 weeks

Even if your accepted injuries are not on this list, you may still be entitled to a schedule award if the accepted injury caused impairment to a covered body part. For instance if you have a spinal injury which is not a covered member, you may have nerve damage caused by the spinal injury that affects your arm(s) and/or leg(s). The nerve damage could entitle you to a schedule award under the hand, fingers, arm, leg, foot and/or toes. The same would be true for a brain injury or other body parts that are not covered for a schedule award. 

You may not collect both a schedule award and OWCP compensation at the same time if the compensation and the schedule award are for the same body part and/or extremity. For example if you are collecting OWCP compensation due to a right shoulder injury you cannot collect a schedule award for an impairment to the right hand since it is the same extremity-the right arm. 

In this case, OWCP will suspend (stop) compensation until the schedule award is paid and then compensation will resume.

Your actual schedule award payment may vary slightly but this method gives you an idea of what payment to expect from your schedule award.

22 comments:

  1. So if you have an ankle injury does the impairment related to it get compensated based on weeks for foot (205)or leg (288)?

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  2. It depends on how the rating doctor rates it based on your medical evidence and the impairments.

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  3. I reached mmi with a ppi of 38% loss of use of my arm back on October 10, 2014. I applied for a schedule award, however my doctor only went by the 5th Edition AMA guide, therefore my claim was denied. It has taken me over two years to find a doctor in my area who can do the impairment rating using the 6th Edition AMA guide. I recently was seen by this doctor. I know he has determined that I have a 40% loss of use of my arm. I also have diminished function of my wrist, a 20% finger-lag of my second finger, and both my third and fourth fingers drift outward. I have constant burning pain in my whole arm, which gets worse when I move my arm, hand or fingers (actively or passively). It is discolored. Sometimes it is cold to the touch, but it is always extremely sensitive to cold (even if the weather is in the 80's). Here are my questions: should there be an impairment rating for my hand and each of my impacted fingers as well as my arm? And since I actually reached MMI as of October 10, 2014 but am just now getting a new CA-7 turned in for the schedule award, should OWCP still have to go by actual date I reached MMI when figuring the payments?

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  4. If the rating was done according to the 5th Edition, it was improper and you have to start over.

    When you're rated, the doctor will most likely put you at MMI on the date of the exam/rating. It is doubtful the MMI date would be backed up to 2014.

    This would make little difference because the MMI date is used as the start date of the award and the length of time the award pays is based on the percentage of loss.

    When you have multiple issues, most rating physicians will separate those issues and give an impairment rating for each covered body part. It would be part of one total rating, but would include the fingers, the arm and the hand for a total impairment to the upper extremity.

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  5. I just had rotator cuff surgery on my left shoulder 06/28/2017. I also had 2 surgery on my right shoulder 6/7 months apart. The right side is causing me to have headaches and neck pains when i hold my head down. The orthopedic doctor sent me to a pain clinic for my neck and shoulder. They gave me a "CERVICAL FACET INJECTION". At first OWCP approved it. Now the Pain Clinic say that OWCP had denied the claim for my neck. Which my orthopedic doctor sent me. What do I do? Now I'm having nerve problem in my right hand which cause it to shake majority of the time. Please tell me what I should do about this. Ms Renee

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  6. If the conditions of the neck are not accepted, then OWCP isn't going to pay for treatment.

    If you filed a claim for the cervical spine and it was denied, you would need to appeal the decision denying the claim.

    If the cervical conditions developed as a result of the accepted conditions, you would need a medical narrative explaining how the cervical issues are related to the accepted conditions and request that OWCP expand the claim to include the cervical conditions.

    You should have a nerve conduction study, (NCS) to find out what nerves are affected. If the affected nerves are in the cervical spine, then that should be included as part of the evidence in the expansion of your claim.

    If the damaged nerves are due to the accepted shoulder conditions, the claim should be expanded to include the nerve damage. This would also require a medical narrative from your doctor.

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  7. The tendons in my ankle had tonbe replace with artificial ones and have since developed CRPS in my anke and foot.since CRPS is for life, will this be considered in determining my percentage rating?

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  8. CRPS is a 'pain syndrome' and the 6th Edition of the Guides factors pain into the rating.

    However, CRPS can cause swelling and nerve damage so that would become part of the rating. The CRPS will be considered insofar as the damage it has done...nerve damage, range of motion issues, swelling, etc...

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  9. I have a claim for scheduled award with a 2% impairment rating. Everything has been agreed on, but I am curious to know if nerve damage is considered something different that other injuries. At $1,033 per week, I found only a maximum of 312 weeks. If I multiply correctly, by the calculator given at 75% for being married, I get a payment of $6,445.92. Would this be accurate for what was entered as a right upper extremity injury (ulnar nerve damage requiring surgery for an ulnar nerve release)?

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  10. Nerve damage is a separate medical condition but should be included in the impairment rating.

    Your award would be calculated like this:

    312 weeks x 2% = 6.24 weeks payable. 6.24 x 1,033.00 =$6,445.92 x 75% comp rate = $4,834.44 total award.

    If the $1,033.00 is after you already factored in the 75%, then it's the $6,445.92

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  11. I fractured my middle finger but continued to work been doing physical therapy for 3 months and it still hasn't healed, am I entitled to a scheduled award?

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  12. If the claim is accepted and there's permanent impairment, then yes, you can file for a schedule award.

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    Replies
    1. My claim was accepted so how do I calculate what my payment will be?

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  13. The method of calculating a schedule award is in the article above.

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  14. Can a federal employee whose case for ptsd has been approved file for any schedule award?

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  15. No. Emotional conditions are not covered for a schedule award.

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  16. WAS DECLINED FOR FEDERAL WORK COMP AND APPEALED AS CA 20 WAS NOT COMPMLETED RIGHT. HAVE SUBMITTED A NEW CA 20 FROM INDEPENDENT NUEROSURGEON. HAVE 4 HERNIATED DISC THAT ARE JOB RELATED FROM CHRONIC LIFTING, PULLING AS A NURSE. HAVE HAD 3 STEROID INJECTIONS, A MYOLGRAM AND LAST PROCEDURE WAS A DISCOGRAM ON MAY 4TH . WHEN THEY WENT TO AWAKEN ME I WAS BLUE, NO PULSE, NO RESPIRATIONS. CPR WAS STARTED AND SENT VIA AMBULANCE TO ER , CARDIAC UNIT, ETC..NOW WHAT DO I DO

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  17. A CA-20 will not get your claim accepted, you must have a medical narrative completed by your physician.

    Once you have the medical narrative, you can submit it to OWCP with your appeal forms.

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  18. I have a herniated disc in my neck two are to the left are sitting on a nerve gives my left arm pain and numbness in my hand two are to the right occasional pain numbness in my arm I have also been experiencing tension headache, nerve pain in my legs and numbness in my toes how can I prove that all of this is connected to my herniated disc

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  19. There is something called a nerve conduction study which is a test that shows what nerves are affected and where they come from.

    In addition, a rating physician can make the connection between the symptoms of nerve damage and the accepted conditions if there is a connection.

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  20. I have been notified that the QME has rated me at 50% loss of usage for my arm and can return to work with permanent modified restrictions. I have a dependent so how will I figure my reward?

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  21. The information on how to calculate an award is included in the article above.

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