Category / Topic Archives: Permanent partial disability awards


Cost of PPD increased
By admin on February 23, 2016

In most cases, it is the Insurer who is responsible for paying the cost of a Permanent Partial Disability exam. However, in some cases, the burden falls on the injured worker. Unfortunately, this burden just got a bit heavier for injured workers to carry in these rare situations. Effective February 1, 2016, the cost of … Continue reading Cost of PPD increased

7 Useful Definitions for Understanding Your PPD Evaluation
By admin on December 21, 2015

In order to fully understand your Permanent Partial Disability evaluation, you need to know the meaning of a few of the important terms used by the rating doctors: AMA Guide to Evaluation of Permanent Impairment, 5th Edition-   This is the book that the rating doctors in Nevada must use when determining the injured worker’s percentage … Continue reading 7 Useful Definitions for Understanding Your PPD Evaluation

Shame on DIR-Lame response to petition
By admin on September 14, 2015

I wish I could say I’m surprised by the lame response by DIR (Division of Industrial Relations) to the Petition I file d in July for DIR to do its job and have an actuary review the discount rate used to convert permanent partial disability awards to present value lump sums.  After you read DIR’s … Continue reading Shame on DIR-Lame response to petition


Rating hearing impairments
By admin on September 2, 2015

I get so many questions about hearing impairments that I am attaching a link to a recent explanation written by rating doctor Michael Glick, D.O., that appeared in the DIR Medical Unit’s Seminar 2015 newsletter. Please note that a 5% for tinnitus converts to a 2% whole person award. Some doctors will award for tinnitus … Continue reading Rating hearing impairments

DIR Undertakes Long-Overdue Review of Discount Rate
By admin on August 20, 2015

The following is an article from WorkCompCentral, an online workers’ compensation news reporting service and resource center for the work comp industry and injured workers.   I haven’t received a response from DIR to the Petition to Amend Regulation that I filed on July 29.  DIR has 30 days to respond to that Petition.  I am … Continue reading DIR Undertakes Long-Overdue Review of Discount Rate

Lump Sum PPD Awards Not Right in Nevada
By admin on August 3, 2015

Question:  Why is the PPD lump sum so much less than the total  installment amount?   Answer:  An injured worker may take up to a 25% whole person permanent partial disability award in a lump sum reduced to  present value under Nevada law (NRS 616C.495).  Present value means the current worth of all the installment payments … Continue reading Lump Sum PPD Awards Not Right in Nevada


Permanent Partial Disability Evaluations-2014
By admin on July 13, 2015

Thank you to Katherine Godwin, Supervisor of the Medical Unit, at the Devision of Industrial Relations-Workers Compensation Section, for providing me with the number of rating evaluations in Nevada for fiscal year 2014 (July 1, 2013 through June 30, 2014). A total of 5405 ratings were assigned by DIR, with 1249 in the North, 3749 … Continue reading Permanent Partial Disability Evaluations-2014

Injured Workers in Nevada Survive 2015 Legislative Changes
By admin on June 2, 2015

The 78th session of the Nevada legislature closed last night with a close call for Nevada’s most severely injured workers.   The self-insured employers’ lobbyist tried a last minute attack on how  permanent partial disability awards are calculated by pushing for adoption of the 6th edition of the AMA Guides to Evaluation of Permanent Impairment.  Changing … Continue reading Injured Workers in Nevada Survive 2015 Legislative Changes

Should I Attend a PPD When I Need More Treatment?
By admin on May 15, 2015

As you know, I offer a free review of your Nevada  rating evaluation on your workers’ compensation claim if you fax it to me with what you think might be wrong with the rating. My fax number is (702) 731-9097.  Additionally, I will be posting one of my readers’ questions regarding permanent partial disability awards … Continue reading Should I Attend a PPD When I Need More Treatment?


Injured Workers’ Opinions Needed NOW!!
By admin on April 7, 2015

  As you know, I have been working with a group of dedicated workers’ comp attorneys to try to defeat some nasty bills that would significantly cut your benefits. Specifically, Assembly Bill 229 would require that rating doctors use the 6th edition of the AMA Guides to the Evaluation of Permanent Impairments instead of the … Continue reading Injured Workers’ Opinions Needed NOW!!

Legislative Update on Bills Affecting Injured Workers
By admin on March 31, 2015

Steve Miller ran two articles today in the Nevada Journal on the proposed legislation that would allow injured workers greater rights to choose their treating physicians. Let’s hope that Nevada’s lawmakers read them and pay particular attention to how ineffective DIR is with regard to looking out for the interests of injured workers as we … Continue reading Legislative Update on Bills Affecting Injured Workers

2015 Cost of Nevada PPD Exam
By admin on March 18, 2015

Effective 2/1/15 through 1/31/16, the cost of a permanent partial disability evaluation on a Nevada workers’ compensation claim is $754.62. That is for two body parts. The cervical spine is considered one body part, the thoracic spine another body part, and the lumbar spine would be a separate body part. For each additional body part … Continue reading 2015 Cost of Nevada PPD Exam


Chiropractors in Nevada Rule the Rating List for PPD Exams
By admin on December 30, 2014

The Division of Industrial Relations (DIR) is the Nevada sub-agency responsible for maintaining a list of doctors authorized to perform impairment evaluations, also known as ratings, on injured workers with Nevada workers’ compensation claims. On December 14, 2014, the DIR updated its list of rating doctors to show which doctors have been added, or which … Continue reading Chiropractors in Nevada Rule the Rating List for PPD Exams

Rating for Sacroiliac Joint- Nevada PPD
By admin on December 26, 2014

I have had rating issues come up in the past on how to rate injuries to the sacroiliac joint, and fortunately I had two experienced rating doctors reason that they should be rated under the DRE categories for a low back injury. I say fortunately because some rating doctors would have taken the position that … Continue reading Rating for Sacroiliac Joint- Nevada PPD

Dr. Pirruccello Explains How to Rate Spinal Injuries
By admin on September 28, 2014

Virginia :  The primary purpose of my blog posts is to inform Nevada’s injured workers about the law and the claims process.  However, I occasionally like to offer my readers from the workers’ compensation industry a more detailed analysis of a current issue that requires a working familiarity with Nevada workers compensation claims.   The … Continue reading Dr. Pirruccello Explains How to Rate Spinal Injuries


What’s An Apportionment of Your PPD Award?
By admin on August 30, 2014

Forgive me for not explaining the word apportionment sooner in my past blog posts about permanent partial disability awards on Nevada workers’ compensation claims.   It’s a bad word, and it means subtraction from the percentage of impairment.  It the rating doctor writes in his report that he found you have a 10% whole body impairment, … Continue reading What’s An Apportionment of Your PPD Award?

Can I Hire a Lawyer after I Get My PPD Offer on My Nevada Claim?
By admin on February 23, 2014

  Can I Hire a Lawyer After I Get My PPD Rating?   Yes, you may.  Just make sure that you are getting experienced guidance and good value for paying an attorney fee at this late stage of the claim, and be aware that attorneys’ fees will differ from one attorney to the next on … Continue reading Can I Hire a Lawyer after I Get My PPD Offer on My Nevada Claim?

Quiz on Nevada Work Comp PPD Awards
By admin on February 18, 2014

  Test your knowledge of permanent partial disability awards on Nevada workers’ compensation claims with the following quiz.  I will post the answers next week with explanations. Have fun!  Quiz Time-  How Much Do You Know About PPD’s in Nevada? True  or  False?          Even if an injured worker has a surgery … Continue reading Quiz on Nevada Work Comp PPD Awards


Rating Physician Richard Kudrewicz Dies
By admin on December 7, 2013

The workers’ compensation community lost one of the most authoritative and fairest rating  physicians on November 30, 2013.  Richard Kudrewicz, M.D. , or Dr. K, as most of us called him, performed about ten times as many permanent partial disability evaluations on Nevada injured workers as most of the rating physicians on the DIR’s rotating … Continue reading Rating Physician Richard Kudrewicz Dies

What’s My Nevada Claim Worth?
By admin on November 22, 2013

     I looked at a very interesting award calculator devised by a Maryland attorney based on his review of thousands of work comp awards in Maryland. It asks the injured worker to put a number from 1 though 10 on the level of pain and interference with activities for their injury,r the average weekly … Continue reading What’s My Nevada Claim Worth?

Time Line for Permanent Partial Disability Awards
By admin on June 15, 2013

 30 days after your doctor says you are stable and ratable, your adjuster must send you a letter scheduling your PPD exam.  (The exam however, doesn’t have to take place within 30 days.)   NRS 616C.490(2). 14 days after your rating exam, the rating doctor should send the rating report to the adjuster. NRS 616C.490(6). 14 … Continue reading Time Line for Permanent Partial Disability Awards


Cost of Rating Exams Up Again: Get It Right the First Time
By admin on March 12, 2013

     Effective February 1, 2013, the Nevada fee schedule that governs health care providers under the Nevada workers’ compensation system, raised the PPD (permanent partial disability) reimbursement to $718.96.    If the rating physician is rating more than two body parts, he or she can charge an additional $240.11 for each additional body part.  For … Continue reading Cost of Rating Exams Up Again: Get It Right the First Time

Are Hernias Ratable?
By admin on January 19, 2013

 Inguinal hernias are common work-related injuries for men, often caused by increased abdominal pressure during heavy  lifting. According to the November/December 2012 AMA Guides Newsletter, men have a 27% lifetime risk of an inguinal hernia.  Genetics, overall body conditioning, and development of a person’s abdominal musculature have a lot to do with risk of a … Continue reading Are Hernias Ratable?

Will Accepting a PPD Award Affect My Job?
By admin on June 2, 2012

Question by an injured worker:  Will accepting a permanent partial disability (PPD)  award affect my job?    Answer:  It shouldn’t.  Having permanent work restrictions may affect your job, but your accepting a PPD award shouldn’t.   Here’s why.  PPD awards for injured workers with Nevada workers’ compensation claims are based on a combination of three … Continue reading Will Accepting a PPD Award Affect My Job?


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