CounselAxis attorney tools

PD rating and future medical estimator

Manual prototype No report is uploaded or stored.

Injured worker and claim details

Injured worker's full nameDate of birthADJ number(s)OccupationWeekly salary / earnings ($)Currently working?Age at first injuryPD weekly benefit rate ($)Enter the applicable PD rate. This is kept separate from weekly earnings.Attorney fee (%)

Date of injury or injuriesAdd each specific or cumulative-trauma injury date used for this calculation.

DOI 1

Permanent disability rating lines

AMA Guides, Fifth Edition: enter the impairment code and WPI stated by the QME for each body part or condition. The calculator uses the QME information to prepare the rating string.

Rating 1

Body part / conditionQME AMA Guides, 5th Ed. impairment codeEnter the impairment code stated by the QME under the AMA Guides, Fifth Edition.WPI %ModifierOccupation variantOccupation adjustmentAge adjustmentIndustrial %

QME-reported AMA code00.00.00.00 – 0 – [1.4]0 – — – 0 – 0 PD

0% before apportionment → 0% industrial PD

Future medical line items

OMFS reference dateAnnual discount rate (%)

Enter the applicable OMFS or supported market amount for each service. Frequency and duration are planning assumptions and should be verified against the report and treatment history.

Service 1

CategoryService / treatmentUnit fee ($)Units per yearYears

Nominal subtotal$0

Official referencesCalifornia 2005 PDRS DWC / DEU rating guidance Official Medical Fee Schedule Labor Code §4658