The American Medical Association's Guides to the Evaluation of Permanent Impairment provide methodology for rating permanent impairment across body systems. Multiple editions exist, with the Fifth and Sixth in widest current use.

The Sixth Edition changed methodology substantially, generally producing lower ratings for many musculoskeletal conditions.

Alternative Names:

AMA Guides to the Evaluation of Permanent Impairment, Guides

Why it Matters?

Which edition applies is a live legal question in many states, and it materially affects claim value. Several states mandate a specific edition by statute, some have rejected the Sixth Edition as producing inadequate compensation, and constitutional challenges to mandated editions have succeeded in a few jurisdictions. Confirming the required edition before obtaining a rating avoids an unusable report.

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Frequently asked questions

Which edition of the Guides applies?

Which edition of the Guides applies?

It depends on state law. Some states mandate a specific edition by statute, and using the wrong one can render a rating report unusable.

Why is the Sixth Edition controversial?

Why is the Sixth Edition controversial?

Because its revised methodology generally yields lower impairment percentages for many conditions, which several states have found produces inadequate compensation.