PPD v2 rule page
Lumbar spine permanency rule 5223.0390
Minnesota lumbar permanency schedule structured around fractures, pain syndrome, and radiculopathy, with apportionment evaluated after the raw schedule rating.
Why this v2 model matters
- Questions are separate from ratings, so the worker flow no longer “chooses the answer” before the engine evaluates it.
- Evidence, disputes, and apportionment are modeled alongside ratings instead of buried in one explanation blob.
- Authority and case links are reusable across calculators, explainers, issue pages, and receipts.
Example output bundle
Base + add-ons before apportionment.
Current rating minus preexisting ratable disability.
Structured questions and proof
Use fracture, pain syndrome, or radiculopathy. Only one primary path should apply per injury.
Examples may include abnormal EMG, reduced reflexes, or measurable muscle weakness.
Common proof: EMG/NCS, Neurologic exam, MRI/CT, Operative report
Fusion add-ons should be handled separately from non-fusion surgery add-ons.
PPD is often disputed as premature if meaningful improvement could still change the rating category.
Apportionment is a separate step after the current schedule rating is determined.