In Queensland, compensation for pain, suffering and loss of amenities of life is known as “General Damages”. In a personal injury claim, general damages is calculated from an Injury Scale Value – a number between 0 and 100 assigned by reference to Schedule 3 of the Civil Liability Regulation 2025 (Qld).
The lookup below shows every injury category, the ISV range the Regulation assigns to it, and the approximate dollar range for general damages in the current financial year. Each injury entry also links to Queensland court decisions relevant to that type of injury and ISV range. Read more about how ISVs are assessed ↓
Queensland Injury Scale Value (ISV) Lookup
Search the complete list of injuries and their assigned ISV ranges set out in Schedule 3 of the Civil Liability Regulation 2025 (Qld).
Part 1Central nervous system and head injuries
Item 1QuadriplegiaCentral nervous system and head injuries
75 to 100 ISVApprox. $328,800 – $494,150
Factors affecting ISV assessment
- presence and extent of pain
- extent of any residual movement
- degree of insight
- adverse psychological reaction
- level of function and pre-existing function
- degree of independence
- ability to participate in daily activities, including employment
- presence and extent of secondary medical complications
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate only if the injured person has assisted ventilation, full insight, extreme physical limitation and gross impairment of ability to communicate.
Item 2ParaplegiaCentral nervous system and head injuries
60 to 80 ISVApprox. $239,950 – $359,750
Factors affecting ISV assessment
- presence and extent of pain
- extent of any residual movement
- adverse psychological reaction
- level of function and pre-existing function
- degree of independence
- ability to participate in daily activities, including employment
- loss of reproductive or sexual function
- bowel or bladder incontinence
- presence and extent of secondary medical complications
Item 3Hemiplegia or severe paralysis of more than 1 limbCentral nervous system and head injuries
45 to 80 ISVApprox. $159,900 – $359,750
Comments
- Incomplete paralysis causing whole person impairment of less than 40% must be assessed under part 6 if it is the only injury or the dominant injury of multiple injuries.
Factors affecting ISV assessment
- The same factors apply as for item 2 (paraplegia).
Graduated sub-items
Item 4MonoplegiaCentral nervous system and head injuries
Assessed under items 5–7 or Part 6
Comments
- See items 5, 6 and 7 and part 6. (Monoplegia is assessed under those items rather than carrying its own ISV range.)
Item 5Extreme brain injuryCentral nervous system and head injuries
10 to 100 ISVApprox. $21,850 – $494,150
Comments
- The injury will involve major trauma to the brain with severe permanent impairment.
Graduated sub-items
Item 6Serious brain injuryCentral nervous system and head injuries
56 to 70 ISVApprox. $218,150 – $297,850
Comments
- The injured person will be very seriously disabled.
Examples of the injury
- Serious brain damage causing physical impairment (e.g. limb paralysis); or
- Serious brain damage causing cognitive impairment with marked impairment of intellect and personality.
Factors affecting ISV assessment
- degree of insight
- life expectancy
- extent of physical limitations
- extent of cognitive limitations
- extent of sensory limitation (e.g. hearing, taste, smell)
- level of function and pre-existing function
- degree of independence
- ability to communicate
- behavioural or psychological changes
- epilepsy or a high risk of epilepsy
- presence and extent of secondary medical complications
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate only if the injured person substantially depends on others and needs substantial professional and other care.
Item 7Moderate brain injuryCentral nervous system and head injuries
21 to 55 ISVApprox. $54,980 – $212,700
Comments
- The injured person will be seriously disabled, but the degree of dependence on others, although still present, is lower than for an item 6 injury.
Factors affecting ISV assessment
- degree of insight
- life expectancy
- extent of physical limitations
- extent of cognitive limitations
- extent of sensory limitation (e.g. hearing, taste, smell)
- level of function and pre-existing function
- degree of independence
- ability to communicate
- behavioural or psychological changes
- epilepsy or a high risk of epilepsy
- presence and extent of secondary medical complications
Appropriate level of ISV
- ISV 21–25: reduced concentration and memory, or reduced mood control, with reduced capacity for employment and/or noticeable interference with lifestyle and leisure.
- ISV 26–40: increased risk of epilepsy with moderate cognitive impairment and/or loss of (or greatly reduced) capacity for employment.
- ISV 41–55: no capacity for employment, plus one or more of moderate to severe cognitive impairment; marked personality change; dramatic effect on speech, sight or other senses; epilepsy or a high risk of epilepsy.
Item 8Minor brain injuryCentral nervous system and head injuries
6 to 20 ISVApprox. $12,410 – $51,450
Comments
- The injured person will make a good recovery and be able to take part in normal social life and to return to work. There may be minor problems persisting that prevent a restoration of normal function.
Factors affecting ISV assessment
- severity of any physical injury causing the brain damage, having regard to immediate medical assessment (e.g. CT/MRI, ambulance or ED assessment) and any post-traumatic amnesia
- extent of any ongoing, and possibly permanent, disability
- extent of any personality change
- depression
- degree of insight
- life expectancy
- extent of physical limitations
- extent of cognitive limitations
- extent of sensory limitation
- level of function and pre-existing function
- degree of independence
- ability to communicate
- behavioural or psychological changes
- epilepsy or a high risk of epilepsy
- presence and extent of secondary medical complications
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate if the injured person has: an increased risk of epilepsy; and ongoing reduced concentration and memory, or reduced mood control, that does not significantly interfere with normal social life or return to work.
Item 9Minor head injury, other than an injury mentioned in part 3Central nervous system and head injuries
0 to 5 ISVApprox. $0 – $10,050
Comments
- Brain damage, if any, is minimal.
Examples of the injury
- Uncomplicated skull fracture
- Concussion with transitory loss of consciousness and no residual effects
Factors affecting ISV assessment
- severity of any physical injury causing brain damage
- length of time to recover from any symptoms
- extent of ongoing symptoms
- presence or absence of headaches
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for an injury from which the injured person fully recovers within a few weeks.
- An ISV at or near the top of the range will be appropriate if there is an uncomplicated skull fracture and associated concussive symptoms of dizziness, headache and memory loss persisting for less than 6 months.
Part 2Mental disorders
Item 10Extreme mental disorderMental disorders
41 to 65 ISVApprox. $139,460 – $268,900
Comments
- This part uses PIRS (Psychiatric Impairment Rating Scale) ratings assessed under Schedules 5 and 6 (now Schs 4 and 5 under CLR 2025).
- A PIRS rating is only accepted by a court if assessed by an appropriately qualified medical expert and provided in a PIRS report.
Examples of the injury
- A mental disorder with a PIRS rating between 31% and 100%.
Factors affecting ISV assessment
- PIRS rating
- degree of insight
- age and life expectancy
- pain and suffering
- loss of amenities of life
- likelihood difficulties would have emerged in any event
- if there is extreme psychological trauma (e.g. intense helplessness or horror), the immediate adverse psychological reaction
Appropriate level of ISV
- Despite a very high PIRS rating, an ISV at or near the bottom of the range may be appropriate if the injured person has reduced insight.
Item 11Serious mental disorderMental disorders
11 to 40 ISVApprox. $24,620 – $134,350
Comments
- This part uses PIRS (Psychiatric Impairment Rating Scale) ratings assessed under Schedules 5 and 6 (now Schs 4 and 5 under CLR 2025).
- A PIRS rating is only accepted by a court if assessed by an appropriately qualified medical expert and provided in a PIRS report.
Examples of the injury
- A mental disorder with a PIRS rating between 11% and 30%.
Factors affecting ISV assessment
- PIRS rating
- degree of insight
- age and life expectancy
- pain and suffering
- loss of amenities of life
- likelihood difficulties would have emerged in any event
- if there is extreme psychological trauma (e.g. intense helplessness or horror), the immediate adverse psychological reaction
Item 12Moderate mental disorderMental disorders
2 to 10 ISVApprox. $4,020 – $21,850
Comments
- There is generally only moderate impairment.
- This part uses PIRS (Psychiatric Impairment Rating Scale) ratings assessed under Schedules 5 and 6 (now Schs 4 and 5 under CLR 2025).
- A PIRS rating is only accepted by a court if assessed by an appropriately qualified medical expert and provided in a PIRS report.
Examples of the injury
- A mental disorder with a PIRS rating between 4% and 10%.
Factors affecting ISV assessment
- PIRS rating
- degree of insight
- age and life expectancy
- pain and suffering
- loss of amenities of life
- likelihood difficulties would have emerged in any event
- if there is extreme psychological trauma (e.g. intense helplessness or horror), the immediate adverse psychological reaction
Item 13Minor mental disorderMental disorders
0 to 1 ISVApprox. $0 – $2,010
Comments
- For many persons who have suffered the injury there will be little or no impact on their lives.
- This part uses PIRS (Psychiatric Impairment Rating Scale) ratings assessed under Schedules 5 and 6 (now Schs 4 and 5 under CLR 2025).
- A PIRS rating is only accepted by a court if assessed by an appropriately qualified medical expert and provided in a PIRS report.
Examples of the injury
- A mental disorder with a PIRS rating between 0% and 3%.
Factors affecting ISV assessment
- PIRS rating
- degree of insight
- age and life expectancy
- pain and suffering
- loss of amenities of life
- likelihood difficulties would have emerged in any event
- if there is extreme psychological trauma (e.g. intense helplessness or horror), the immediate adverse psychological reaction
Part 3Facial injuries
Division 1 — Skeletal injuries of the facial area
Item 14Extreme facial injuryDivision 1 — Skeletal injuries of the facial area
26 to 45 ISVApprox. $73,060 – $159,900
Comments
- The injury will involve severe traumatic injury to the face requiring substantial reconstructive surgery.
Examples of the injury
- A Le Fort I or Le Fort II fracture where incapacity and disfigurement after reconstruction will be very severe
- A Le Fort III fracture causing incapacity in daily activities
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
- extent of any neurological impairment or effect on the airway
Item 15Serious facial injuryDivision 1 — Skeletal injuries of the facial area
14 to 25 ISVApprox. $32,930 – $69,100
Comments
- The injury will involve serious traumatic injury to the face requiring reconstructive surgery that is not substantial.
Examples of the injury
- A Le Fort I or Le Fort II fracture where incapacity and disfigurement after reconstruction will not be very severe
- A Le Fort III fracture where no serious deformity will remain after reconstruction
- A serious/multiple fracture of the nasal complex requiring more than one operation and/or causing permanent airway or nerve/tear duct damage or facial deformity
- A serious cheekbone fracture requiring surgery with serious permanent disfigurement (e.g. hyperaesthesia or paraesthesia)
- A very serious multiple jaw fracture requiring prolonged treatment with permanent effects (e.g. severe pain, restriction in eating, paraesthesia, arthritis risk)
- Severed trunk of the facial nerve (7th cranial nerve) causing total unilateral facial paralysis
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
- any neurological impairment or effect on the airway
- permanent cosmetic deformity
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate if the injury causes permanent cosmetic deformity, asymmetry of one side of the face and limited adverse psychological reaction.
- An ISV at or near the top of the range will be appropriate if the injury causes serious bilateral deformity and significant adverse psychological reaction.
Item 16Moderate facial injuryDivision 1 — Skeletal injuries of the facial area
6 to 13 ISVApprox. $12,410 – $30,160
Examples of the injury
- A simple cheekbone fracture requiring minor reconstructive surgery with full or near-full recovery
- A fracture of the jaw causing permanent effects (e.g. difficulty opening the mouth or eating) or hyperaesthesia/paraesthesia at the fracture site
- A displaced fracture of the nasal complex with almost full recovery after surgery
- Severed branches of the facial nerve (7th cranial nerve) with paralysis of some facial muscles
- A severed sensory nerve of the face with minor permanent paraesthesia
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
Item 17Minor facial injuryDivision 1 — Skeletal injuries of the facial area
0 to 5 ISVApprox. $0 – $10,050
Examples of the injury
- A simple cheekbone fracture, not requiring surgery, from which the injured person will fully recover
- A simple jaw fracture requiring immobilisation, from which the injured person will fully recover
- A stable fracture of the joint process of the jaw
- A displaced fracture of the nasal complex requiring only manipulation
- A simple undisplaced fracture of the nasal complex with full recovery
- A severed sensory nerve of the face with good repair and minimal or no paraesthesia
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
Item 18Injury to teeth or gumsDivision 1 — Skeletal injuries of the facial area
0 to 10 ISVApprox. $0 – $21,850
Comments
- There will generally have been a course of treatment as a result of the injury.
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
- extent and degree of discomfort during treatment
- difficulty with eating
Appropriate level of ISV
- If protracted dentistry causes the injury, the ISV may be higher than for the same injury caused by something else.
Graduated sub-items
Division 2 — Scarring to the face
Item 19Extreme facial scarringDivision 2 — Scarring to the face
21 to 45 ISVApprox. $54,980 – $159,900
Comments
- This division will usually apply to an injury involving skeletal damage only if the skeletal damage is minor.
Examples of the injury
- Widespread scarring over the side of the face or another whole area
- Severe contour deformity
- Significant deformity of the mouth or eyelids with muscle paralysis or tic
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
Appropriate level of ISV
- An ISV in the upper half of the range may be appropriate if the injured person is relatively young, the cosmetic damage is very disfiguring and the adverse psychological reaction is severe.
- An ISV at or near the top of the range will be appropriate if the injury is caused by burns resulting in loss of the entire nose, eyelids or ears.
Item 20Serious facial scarringDivision 2 — Scarring to the face
11 to 20 ISVApprox. $24,620 – $51,450
Examples of the injury
- Substantial disfigurement and significant adverse psychological reaction
- Severe linear scarring
- Discoloured hypertrophic (keloid) scarring
- Atrophic scarring
- Serious contour defects
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
Item 21Moderate facial scarringDivision 2 — Scarring to the face
6 to 10 ISVApprox. $12,410 – $21,850
Comments
- Any adverse psychological reaction is small, or having been considerable at the outset, has greatly diminished.
Examples of the injury
- Scarring whose worst effects will be reduced by plastic surgery, leaving minor cosmetic damage
- Scars crossing lines of election with discoloured, indurated, hypertrophic or atrophic scarring of moderate severity
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
Item 22Minor facial scarringDivision 2 — Scarring to the face
0 to 5 ISVApprox. $0 – $10,050
Examples of the injury
- A single scar able to be camouflaged
- More than one very small scar if the overall effect marks but does not markedly affect appearance and adverse psychological reaction is minor
- Almost invisible linear scarring, in lines of election, with normal texture and elevation
Factors affecting ISV assessment
- extent of skeletal or functional damage
- degree of cosmetic damage or disfigurement
- adverse psychological reaction
- availability of cosmetic repair
Part 4Injuries affecting the senses
Division 2 — Injuries affecting the eyes
Item 23Total sight and hearing impairmentDivision 2 — Injuries affecting the eyes
90 to 100 ISVApprox. $425,150 – $494,150
Comments
- The injury ranks with the most devastating injuries.
- Injuries in this part are commonly symptoms of brain or nervous system injury.
Factors affecting ISV assessment
- degree of insight
- age and life expectancy
Item 24Total sight impairmentDivision 2 — Injuries affecting the eyes
50 to 80 ISVApprox. $185,450 – $359,750
Comments
- Injuries in this part are commonly symptoms of brain or nervous system injury.
Factors affecting ISV assessment
- degree of insight
- age and life expectancy
Item 25Complete sight impairment in 1 eye with reduced vision in the other eyeDivision 2 — Injuries affecting the eyes
25 to 50 ISVApprox. $69,100 – $185,450
Comments
- Injuries in this part are commonly symptoms of brain or nervous system injury.
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate if there is serious risk of further significant deterioration in the remaining eye.
Item 26Complete sight impairment in 1 eye or total loss of 1 eyeDivision 2 — Injuries affecting the eyes
26 to 30 ISVApprox. $73,060 – $88,900
Comments
- Injuries in this part are commonly symptoms of brain or nervous system injury.
Factors affecting ISV assessment
- the extent to which the injured person's activities are adversely affected by the impairment or loss
- associated scarring or cosmetic damage
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate if there is a minor risk of sympathetic ophthalmia.
Item 27Serious eye injuryDivision 2 — Injuries affecting the eyes
11 to 25 ISVApprox. $24,620 – $69,100
Comments
- Injuries in this part are commonly symptoms of brain or nervous system injury.
Examples of the injury
- A serious but incomplete loss of vision in one eye without significant risk of loss or reduction of vision in the other eye
- An injury causing double vision that is not minor and intermittent
Item 28Moderate eye injuryDivision 2 — Injuries affecting the eyes
6 to 10 ISVApprox. $12,410 – $21,850
Comments
- Injuries in this part are commonly symptoms of brain or nervous system injury.
Examples of the injury
- Minor but permanent impairment of vision in one eye, including minor and intermittent double vision.
Item 29Minor eye injuryDivision 2 — Injuries affecting the eyes
0 to 5 ISVApprox. $0 – $10,050
Comments
- Injuries in this part are commonly symptoms of brain or nervous system injury.
Examples of the injury
- A minor injury (e.g. from being struck in the eye, exposed to smoke or fumes, or splashed by liquids) causing initial pain and temporary interference with vision, from which the injured person will fully recover within a relatively short time
Division 3 — Injuries affecting the ears
Item 30Extreme ear injuryDivision 3 — Injuries affecting the ears
36 to 55 ISVApprox. $115,390 – $212,700
Comments
- The injury involves a binaural hearing loss of at least 80%.
- The injuries commonly, but not always, involve hearing loss. If the injury is to a single ear, the binaural loss must be assessed.
Factors affecting ISV assessment
- whether the injury has an immediate effect (no opportunity to adapt) vs. gradual (e.g. from exposure to noise)
- whether the injury was suffered at an early age so that it has affected or will affect speech
- whether the injury will affect balance
- the extent to which former activities will be affected
- presence of tinnitus
- associated problems (e.g. severe tinnitus, moderate vertigo, moderate vestibular disturbance, headaches)
- availability of hearing aids or other devices that may reduce hearing loss
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate if the injury happened at an early age so as to prevent or seriously affect the development of normal speech.
Item 31Serious ear injuryDivision 3 — Injuries affecting the ears
26 to 35 ISVApprox. $73,060 – $110,650
Comments
- The injury involves either: a binaural hearing loss of at least 50% but less than 80%; or severe permanent vestibular disturbance.
- The injuries commonly, but not always, involve hearing loss. If the injury is to a single ear, the binaural loss must be assessed.
Factors affecting ISV assessment
- whether the injury has an immediate effect (no opportunity to adapt) vs. gradual (e.g. from exposure to noise)
- whether the injury was suffered at an early age so that it has affected or will affect speech
- whether the injury will affect balance
- the extent to which former activities will be affected
- presence of tinnitus
Appropriate level of ISV
- An ISV in the lower half of the range will be appropriate if there is no speech impairment or tinnitus.
- An ISV in the upper half of the range will be appropriate if there is speech impairment and tinnitus.
Item 32Moderate ear injuryDivision 3 — Injuries affecting the ears
11 to 25 ISVApprox. $24,620 – $69,100
Comments
- The injury involves either: a binaural hearing loss of at least 20% but less than 50%; or significant permanent vestibular disturbance.
- The injuries commonly, but not always, involve hearing loss. If the injury is to a single ear, the binaural loss must be assessed.
Factors affecting ISV assessment
- whether the injury has an immediate effect (no opportunity to adapt) vs. gradual (e.g. from exposure to noise)
- whether the injury was suffered at an early age so that it has affected or will affect speech
- whether the injury will affect balance
- the extent to which former activities will be affected
- presence of tinnitus
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate if there are associated problems (e.g. severe tinnitus, moderate vertigo, moderate vestibular disturbance, headaches).
Item 33Minor ear injuryDivision 3 — Injuries affecting the ears
0 to 10 ISVApprox. $0 – $21,850
Comments
- The injury involves a binaural hearing loss of less than 20%.
- This item covers the bulk of hearing impairment cases.
- The injury is not to be judged simply by the degree of hearing loss.
- There will often be a degree of tinnitus present.
- There may also be minor vertigo or a minor vestibular disturbance causing loss of balance.
- A vestibular disturbance may increase the level of ISV.
Factors affecting ISV assessment
- whether the injury has an immediate effect (no opportunity to adapt) vs. gradual (e.g. from exposure to noise)
- whether the injury was suffered at an early age so that it has affected or will affect speech
- whether the injury will affect balance
- the extent to which former activities will be affected
- presence of tinnitus
Graduated sub-items
Division 4 — Impairment of taste or smell
Item 34Total loss of taste or smell, or bothDivision 4 — Impairment of taste or smell
6 to 9 ISVApprox. $12,410 – $19,490
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for total loss of either taste or smell.
- An ISV at or near the top of the range will be appropriate for total loss of both taste and smell.
Item 35Partial loss of smell or taste, or bothDivision 4 — Impairment of taste or smell
0 to 5 ISVApprox. $0 – $10,050
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for partial loss of either taste or smell.
- An ISV at or near the top of the range will be appropriate for partial loss of both taste and smell.
Part 5Injuries to internal organs
Division 1 — Chest injuries
Item 36Extreme chest injuryDivision 1 — Chest injuries
46 to 65 ISVApprox. $165,010 – $268,900
Comments
- The injury will involve severe traumatic injury to the chest, or a large majority of the organs in the chest cavity, causing a high level of disability and ongoing medical problems.
Factors affecting ISV assessment
- the level of any reduction in the capacity for employment and enjoyment of life
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate if there will be total removal of one lung or serious heart damage, or both, with serious and prolonged pain and suffering and significant permanent scarring.
Item 37Serious chest injuryDivision 1 — Chest injuries
21 to 45 ISVApprox. $54,980 – $159,900
Comments
- The injury will involve serious traumatic injury to the chest or organs in the chest cavity, causing serious disability and ongoing medical problems.
Examples of the injury
- Trauma to the chest, heart, one or both lungs, or diaphragm causing permanent damage, physical disability and impairment of function
- An injury causing the need for oxygen therapy for about 16 to 18 hours a day
Factors affecting ISV assessment
- the level of any reduction in the capacity for employment and enjoyment of life
- the need for a permanent tracheostomy
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate if, after recovery, there is both serious impairment to cardio-pulmonary function and whole person impairment of (or nearly) 40%.
Item 38Moderate chest injuryDivision 1 — Chest injuries
11 to 20 ISVApprox. $24,620 – $51,450
Examples of the injury
- Serious traumatic injury to the chest or chest-cavity organs causing moderate disability and ongoing medical problems.
Factors affecting ISV assessment
- duration and intensity of pain and suffering
- degree of permanent impairment of lung or cardiac function, as evidenced by objective test results
- need for a temporary tracheostomy for short-term airway management
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for loss of a breast without significant adverse psychological reaction.
- An ISV in the lower half of the range will be appropriate if there was a pneumothorax or haemothorax requiring intercostal catheter insertion.
- An ISV at or near the top of the range will be appropriate for multiple rib fractures causing a flail segment (flail chest) requiring mechanical ventilation in the acute stage, and moderate permanent impairment of cardio-pulmonary function.
Item 39Minor chest injuryDivision 1 — Chest injuries
0 to 10 ISVApprox. $0 – $21,850
Factors affecting ISV assessment
- complexity of any fractures
- extent of injury to underlying organs
- extent of any disability
- duration and intensity of pain and suffering
Graduated sub-items
Division 2 — Lung injury other than asthma
Item 40Extreme lung injuryDivision 2 — Lung injury other than asthma
46 to 65 ISVApprox. $165,010 – $268,900
Comments
- The level of ISV for lung disease often reflects that the disease is worsening and there is a risk of secondary medical consequences.
Examples of the injury
- Diagnosed lung cancer
- Lung disease involving serious disability causing severe pain and dramatic impairment of function and quality of life
- A recurrent pulmonary embolism resulting in right-heart failure requiring a lung transplant, heart transplant or both
Factors affecting ISV assessment
- a history of smoking tobacco will reduce the level of ISV
- adverse psychological reaction may increase the level of ISV
- age
- likelihood of progressive worsening
- duration and intensity of pain and suffering
Item 41Serious lung injuryDivision 2 — Lung injury other than asthma
11 to 45 ISVApprox. $24,620 – $159,900
Comments
- The level of ISV for lung disease often reflects that the disease is worsening and there is a risk of secondary medical consequences.
Factors affecting ISV assessment
- a history of smoking tobacco will reduce the level of ISV
- adverse psychological reaction may increase the level of ISV
Graduated sub-items
Item 42Moderate lung injuryDivision 2 — Lung injury other than asthma
6 to 10 ISVApprox. $12,410 – $21,850
Examples of the injury
- Bronchitis that does not cause serious symptoms, with little or no serious or permanent effect on employment or social life
- A pulmonary embolism requiring anticoagulant therapy for at least one year or pulmonary endarterectomy
Factors affecting ISV assessment
- a history of smoking tobacco will reduce the level of ISV
- adverse psychological reaction may increase the level of ISV
Item 43Minor lung injuryDivision 2 — Lung injury other than asthma
0 to 5 ISVApprox. $0 – $10,050
Examples of the injury
- Lung disease causing slight breathlessness with no effect on employment, and likely substantial and permanent recovery within a few years
- A pulmonary embolism requiring anticoagulant therapy for less than one year
Factors affecting ISV assessment
- a history of smoking tobacco will reduce the level of ISV
- adverse psychological reaction may increase the level of ISV
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for lung disease causing temporary aggravation of bronchitis or other chest problems resolving within a few months.
Division 3 — Asthma
Item 44Extreme asthmaDivision 3 — Asthma
31 to 55 ISVApprox. $93,250 – $212,700
Comments
- The most serious cases may confine a person to the home and destroy capacity for employment.
Examples of the injury
- Severe and permanent disabling asthma causing prolonged and frequent coughing, disturbed sleep, severe restriction of physical activity/enjoyment, gross reduction of employment capacity.
Item 45Severe asthmaDivision 3 — Asthma
11 to 30 ISVApprox. $24,620 – $88,900
Examples of the injury
- Chronic asthma, with a poor prognosis, causing breathing difficulties, frequent need for inhaler use, and significantly reduced capacity for employment.
Item 46Moderate asthmaDivision 3 — Asthma
6 to 10 ISVApprox. $12,410 – $21,850
Examples of the injury
- Asthma with symptoms including bronchitis and wheezing affecting employment or social life.
Item 47Minor asthmaDivision 3 — Asthma
0 to 5 ISVApprox. $0 – $10,050
Examples of the injury
- Asthma with minor symptoms having no effect on employment or social life.
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for asthma treated by a GP resolving within one year after the injury.
Division 4 — Injuries to male reproductive system
Item 48Impotence and sterilityDivision 4 — Injuries to male reproductive system
5 to 37 ISVApprox. $10,050 – $120,130
Comments
- This division applies to injuries caused by physical trauma, not secondary to mental disorder. For mental disorders causing loss of reproductive function, see Part 2 (Mental disorders).
- Sterility is usually caused by surgery, chemicals, disease, or traumatic injury (often aggravated by scarring).
Factors affecting ISV assessment
- adverse psychological reaction
- effect on social and domestic life
- age
- whether the injured person has children
- whether the injured person intended to have children (or more children)
Appropriate level of ISV
- ISV near bottom: sterility with little impact.
- ISV in lower half: injured person with children who may have intended to have more children; uncomplicated sterility without impotence or aggravating features.
- ISV in upper half: young injured person without children; uncomplicated sterility without impotence or aggravating features.
- ISV near middle: middle-aged injured person with children; sterility and permanent impotence.
- ISV near top: young injured person with total impotence, loss of sexual function and sterility.
Item 49Loss of part or all of penisDivision 4 — Injuries to male reproductive system
5 to 25 ISVApprox. $10,050 – $69,100
Comments
- This division applies to injuries caused by physical trauma, not secondary to mental disorder. For mental disorders causing loss of reproductive function, see Part 2 (Mental disorders).
- Sterility is usually caused by surgery, chemicals, disease, or traumatic injury (often aggravated by scarring).
Factors affecting ISV assessment
- extent of the penis remaining
- availability of a prosthesis
- extent to which sexual activity will be possible
- adverse psychological reaction
- effect on social and domestic life
Item 50Loss of both testiclesDivision 4 — Injuries to male reproductive system
5 to 37 ISVApprox. $10,050 – $120,130
Comments
- See item 48 because sterility results.
Factors affecting ISV assessment
- level of any pain or residual scarring
Item 51Loss of 1 testicleDivision 4 — Injuries to male reproductive system
2 to 10 ISVApprox. $4,020 – $21,850
Factors affecting ISV assessment
- age
- cosmetic damage or scarring
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate if the injury does not reduce reproductive capacity.
Division 5 — Injuries to female reproductive system
Item 52InfertilityDivision 5 — Injuries to female reproductive system
0 to 35 ISVApprox. $0 – $110,650
Comments
- This division applies to injuries caused by physical trauma, not secondary to mental disorder. For mental disorders causing loss of reproductive function, see Part 2.
Factors affecting ISV assessment
- extent of any physical trauma
- whether the injured person has children
- whether the injured person intended to have children (or more children)
- age
- scarring
- depression or adverse psychological reaction
- effect on social and domestic life
Graduated sub-items
Item 53Any other injury to the female reproductive systemDivision 5 — Injuries to female reproductive system
3 to 25 ISVApprox. $6,030 – $69,100
Factors affecting ISV assessment
- extent of any physical trauma
- whether the injured person has children
- whether the injured person intended to have children (or more children)
- age
- scarring
- depression or adverse psychological reaction
- effect on social and domestic life
Graduated sub-items
Item 54Failed sterilisation leading to unwanted pregnancyDivision 5 — Injuries to female reproductive system
3 to 25 ISVApprox. $6,030 – $69,100
Factors affecting ISV assessment
- extent of any physical trauma
- whether the injured person has children
- whether the injured person intended to have children (or more children)
- age
- scarring
- depression or adverse psychological reaction
- effect on social and domestic life
Graduated sub-items
Division 6 — Injuries to digestive system (Subdivision 1: Injury caused by trauma)
Item 55Extreme injury to the digestive system caused by traumaDivision 6 — Injuries to digestive system (Subdivision 1: Injury caused by trauma)
19 to 40 ISVApprox. $48,300 – $134,350
Examples of the injury
- Severe permanent damage to the digestive system with ongoing debilitating pain and discomfort, diarrhoea, nausea and vomiting not controllable by drugs and causing weight loss of at least 20%
- An injury to the throat requiring a permanent gastrostomy
Factors affecting ISV assessment
- extent of any voice or speech impairment
- need for ongoing endoscopic procedures
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for an injury to the throat requiring temporary gastrostomy for more than one year and permanent dietary changes (e.g. a soft food diet).
- An ISV at or near the top of the range will be appropriate for an injury to the throat requiring permanent gastrostomy with significant ongoing symptoms.
Item 56Serious injury to the digestive system caused by traumaDivision 6 — Injuries to digestive system (Subdivision 1: Injury caused by trauma)
11 to 18 ISVApprox. $24,620 – $45,150
Examples of the injury
- A serious injury causing long-term complications aggravated by physical strain
- An injury requiring a feeding tube for between 3 and 12 months
Factors affecting ISV assessment
- extent of any ongoing voice or speech impairment
- whether a feeding tube was required and for how long
Item 57Moderate injury to the digestive system caused by traumaDivision 6 — Injuries to digestive system (Subdivision 1: Injury caused by trauma)
6 to 10 ISVApprox. $12,410 – $21,850
Examples of the injury
- A simple penetrating stab wound with some permanent tissue damage but no significant long-term effect on digestive function
- An injury requiring a feeding tube for less than 3 months
Factors affecting ISV assessment
- whether a feeding tube was required and for how long
- whether dietary changes are required to reduce the risk of aspiration because of impaired swallowing
Item 58Minor injury to the digestive system caused by traumaDivision 6 — Injuries to digestive system (Subdivision 1: Injury caused by trauma)
0 to 5 ISVApprox. $0 – $10,050
Examples of the injury
- A soft tissue injury to the abdomen wall (e.g. laceration or serious seatbelt bruising to the abdomen or flank)
- A minor injury to the throat or tongue causing temporary difficulties with swallowing or speech
- A laceration of the tongue requiring suturing
Division 6 — Injuries to digestive system (Subdivision 2: Injury not caused by trauma)
Item 59Extreme injury to the digestive system not caused by traumaDivision 6 — Injuries to digestive system (Subdivision 2: Injury not caused by trauma)
13 to 35 ISVApprox. $30,160 – $110,650
Comments
- There is a marked difference between those comparatively rare cases having a long-term or even permanent effect on quality of life and cases where the only ongoing symptom is an allergy (e.g. to specific foods) that may cause short-term illness.
Examples of the injury
- Severe toxicosis causing serious acute pain, vomiting, diarrhoea and fever requiring hospitalisation for days or weeks; also causing ongoing incontinence, haemorrhoids or irritable bowel syndrome; with significant impact on capacity for employment and enjoyment of life.
Appropriate level of ISV
- An ISV in the lower half of the range will be appropriate if the injury causes a chronic infection requiring prolonged hospitalisation that will not resolve after antibiotic treatment for one year.
Item 60Serious injury to the digestive system not caused by traumaDivision 6 — Injuries to digestive system (Subdivision 2: Injury not caused by trauma)
6 to 12 ISVApprox. $12,410 – $27,390
Comments
- There is a marked difference between those comparatively rare cases having a long-term or even permanent effect on quality of life and cases where the only ongoing symptom is an allergy (e.g. to specific foods) that may cause short-term illness.
Examples of the injury
- Serious but short-term food poisoning causing diarrhoea and vomiting, diminishing over 2–4 weeks, with some remaining discomfort and disturbance of bowel function and impact on sex life and enjoyment of food over a few years
- Constant abdominal pain causing significant discomfort for up to 18 months, caused by delay in diagnosis of a digestive system injury
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate for an adverse drug response requiring ICU admission, without permanent impairment, but causing the need for lifelong drug therapy.
- An ISV in the upper half of the range will be appropriate for a chronic infection requiring prolonged hospitalisation and additional treatment, resolved by antibiotics within one year.
- An ISV at or near the bottom of the range will be appropriate for an adverse drug response requiring ICU admission, without permanent impairment and without ongoing drug therapy.
Item 61Moderate injury to the digestive system not caused by traumaDivision 6 — Injuries to digestive system (Subdivision 2: Injury not caused by trauma)
3 to 5 ISVApprox. $6,030 – $10,050
Comments
- There is a marked difference between those comparatively rare cases having a long-term or even permanent effect on quality of life and cases where the only ongoing symptom is an allergy (e.g. to specific foods) that may cause short-term illness.
Examples of the injury
- Food poisoning causing significant discomfort, stomach cramps, change of bowel function and fatigue; requiring hospitalisation for days; symptoms lasting a few weeks; full recovery within 1–2 years
- An infection resolved by antibiotic treatment (with or without hospital treatment) within 3 months
- An adverse drug response causing vomiting, shortness of breath, hypertension or skin irritation continuing more than 7 days and requiring hospitalisation
Item 62Minor injury to the digestive system not caused by traumaDivision 6 — Injuries to digestive system (Subdivision 2: Injury not caused by trauma)
0 to 2 ISVApprox. $0 – $4,020
Comments
- There is a marked difference between those comparatively rare cases having a long-term or even permanent effect on quality of life and cases where the only ongoing symptom is an allergy (e.g. to specific foods) that may cause short-term illness.
Examples of the injury
- Disabling pain, cramps and diarrhoea ongoing for days or weeks
- A localised infection requiring antibiotic treatment, healing within 6 weeks
- An adverse drug response causing vomiting, shortness of breath, hypertension or skin irritation continuing not more than 7 days, not requiring hospitalisation
- Intermittent abdominal pain for up to 6 months caused by delay in diagnosis of a digestive system injury
Division 7 — Kidney or ureter injuries
Item 63Extreme injury to kidneys or uretersDivision 7 — Kidney or ureter injuries
31 to 75 ISVApprox. $93,250 – $328,800
Comments
- An injury to a ureter or the ureters alone, without loss of, or serious damage to, a kidney will generally be assessed under item 65 or 66.
Factors affecting ISV assessment
- age
- risk of ongoing kidney or ureter problems, complications or symptoms
- need for future medical procedures
Graduated sub-items
Item 64Serious injury to kidneys or uretersDivision 7 — Kidney or ureter injuries
19 to 30 ISVApprox. $48,300 – $88,900
Comments
- The injury may require temporary dialysis for less than 3 months.
- An injury to a ureter or the ureters alone, without loss of, or serious damage to, a kidney will generally be assessed under item 65 or 66.
Examples of the injury
- Loss of one kidney if there is severe damage to, and a risk of loss of function of, the other kidney.
Factors affecting ISV assessment
- age
- risk of ongoing kidney or ureter problems, complications or symptoms
- need for future medical procedures
Appropriate level of ISV
- The higher the risk of loss of function of the other kidney, the higher the ISV.
Item 65Moderate injury to kidneys or uretersDivision 7 — Kidney or ureter injuries
11 to 18 ISVApprox. $24,620 – $45,150
Examples of the injury
- Loss of one kidney with no damage to the other
- An injury to a ureter or the ureters requiring surgery or placement of stents
Factors affecting ISV assessment
- age
- risk of ongoing kidney or ureter problems, complications or symptoms
- need for future medical procedures
Item 66Minor injury to kidneys or uretersDivision 7 — Kidney or ureter injuries
0 to 10 ISVApprox. $0 – $21,850
Examples of the injury
- A laceration or contusion to one or both of the kidneys.
Factors affecting ISV assessment
- age
- risk of ongoing kidney or ureter problems, complications or symptoms
- need for future medical procedures
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for a kidney contusion.
- An ISV at or near the top of the range will be appropriate if partial removal of a kidney is required.
Division 8 — Liver, gall bladder or biliary tract injuries
Item 67Extreme injury to liver, gall bladder or biliary tractDivision 8 — Liver, gall bladder or biliary tract injuries
51 to 70 ISVApprox. $190,900 – $297,850
Examples of the injury
- Loss, or injury causing effective loss, of liver function, requiring constant substitutional therapy.
Factors affecting ISV assessment
- whether there are recurrent episodes of infection or obstruction
- whether there is a risk of developing biliary cirrhosis
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for recurrent episodes of liver failure requiring hospital admission and medical management but not liver transplantation.
- An ISV at or near the top of the range will be appropriate if the injury requires liver transplantation.
Item 68Serious injury to liver, gall bladder or biliary tractDivision 8 — Liver, gall bladder or biliary tract injuries
36 to 50 ISVApprox. $115,390 – $185,450
Examples of the injury
- Serious damage causing loss of over 30% of the tissue of the liver, but with some functional capacity of the liver remaining.
Factors affecting ISV assessment
- whether there are recurrent episodes of infection or obstruction
- whether there is a risk of developing biliary cirrhosis
Item 69Moderate injury to liver, gall bladder or biliary tractDivision 8 — Liver, gall bladder or biliary tract injuries
16 to 35 ISVApprox. $38,850 – $110,650
Examples of the injury
- A laceration or contusion to the liver with a moderate effect on liver function.
Factors affecting ISV assessment
- whether there are recurrent episodes of infection or obstruction
- whether there is a risk of developing biliary cirrhosis
Appropriate level of ISV
- ISV near bottom: impaired liver function with intermittent nausea and vomiting; or gall bladder injury with recurrent infection or symptomatic stone disease (pain, jaundice).
- ISV near middle: gall bladder removal causing a bile duct injury.
- ISV near top: surgery required to remove not more than 30% of the liver, or bile ducts requiring repair (e.g. stents); or gall bladder injury with ongoing symptoms, infection, or need for further endoscopic surgery.
Item 70Minor injury to liver, gall bladder or biliary ductDivision 8 — Liver, gall bladder or biliary tract injuries
3 to 15 ISVApprox. $6,030 – $35,700
Comments
- An injury within this item should not require surgery to the liver.
Examples of the injury
- A laceration or contusion to the liver with a minor effect on liver function.
Factors affecting ISV assessment
- whether there are recurrent episodes of infection or obstruction
- whether there is a risk of developing biliary cirrhosis
Appropriate level of ISV
- An ISV in the lower half of the range will be appropriate for uncomplicated removal of the gall bladder with no ongoing symptoms.
Division 9 — Bowel injuries
Item 71Extreme bowel injuryDivision 9 — Bowel injuries
41 to 60 ISVApprox. $139,460 – $239,950
Examples of the injury
- An injury causing total loss of natural bowel function and dependence on colostomy.
Factors affecting ISV assessment
- age
- risk of ongoing bowel problems, complications or symptoms
- need for future surgery
- degree to which dietary changes are required to manage chronic pain or diarrhoea caused by the injury
Item 72Serious bowel injuryDivision 9 — Bowel injuries
19 to 40 ISVApprox. $48,300 – $134,350
Examples of the injury
- A serious abdominal injury causing impairment of bowel function (often requiring permanent/long-term colostomy with disfiguring scars), and/or restrictions on employment and diet.
Factors affecting ISV assessment
- age
- risk of ongoing bowel problems, complications or symptoms
- need for future surgery
- degree to which dietary changes are required to manage chronic pain or diarrhoea caused by the injury
Item 73Moderate bowel injuryDivision 9 — Bowel injuries
7 to 18 ISVApprox. $14,770 – $45,150
Factors affecting ISV assessment
- age
- risk of ongoing bowel problems, complications or symptoms
- need for future surgery
- degree to which dietary changes are required to manage chronic pain or diarrhoea caused by the injury
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate if the injury requires ileostomy or colostomy for less than 3 months, bowel function returns to normal, and there are no ongoing symptoms.
- An ISV at or near the top of the range will be appropriate if the injury requires temporary surgical diversion of the bowel (e.g. ileostomy or colostomy) and there is ongoing intermittent abnormal bowel function requiring medication.
Item 74Minor bowel injuryDivision 9 — Bowel injuries
3 to 6 ISVApprox. $6,030 – $12,410
Examples of the injury
- An injury causing tears to the bowel with minimal ongoing bowel problems.
Factors affecting ISV assessment
- age
- risk of ongoing bowel problems, complications or symptoms
- need for future surgery
- degree to which dietary changes are required to manage chronic pain or diarrhoea caused by the injury
Division 10 — Bladder, prostate or urethra injuries
Item 75Extreme bladder, prostate or urethra injuryDivision 10 — Bladder, prostate or urethra injuries
40 to 60 ISVApprox. $134,350 – $239,950
Examples of the injury
- An injury causing complete loss of bladder function and control, with permanent dependence on urostomy.
Factors affecting ISV assessment
- age
- risk of ongoing bladder, prostate or urethra problems, complications or symptoms
- need for future surgery
Item 76Serious bladder, prostate or urethra injuryDivision 10 — Bladder, prostate or urethra injuries
19 to 39 ISVApprox. $48,300 – $129,610
Examples of the injury
- An injury causing serious impairment of bladder control, with some incontinence.
Factors affecting ISV assessment
- age
- risk of ongoing bladder, prostate or urethra problems, complications or symptoms
- need for future surgery
Appropriate level of ISV
- An ISV in the upper half of the range will be appropriate if there is serious ongoing pain.
Item 77Moderate bladder, prostate or urethra injuryDivision 10 — Bladder, prostate or urethra injuries
7 to 18 ISVApprox. $14,770 – $45,150
Examples of the injury
- An injury causing continued impairment of bladder control, with minimal incontinence and minimal pain.
Factors affecting ISV assessment
- age
- risk of ongoing bladder, prostate or urethra problems, complications or symptoms
- need for future surgery
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for a laceration of the urethra requiring surgical repair, causing intermittent infection or bladder dysfunction.
- An ISV at or near the top of the range will be appropriate for increased urinary frequency (>once every 2 hours by day, >3 times at night) unresponsive to treatment, or ongoing requirement for minor surgery (e.g. cystoscopy or urethral dilation).
Item 78Minor bladder, prostate or urethra injuryDivision 10 — Bladder, prostate or urethra injuries
3 to 6 ISVApprox. $6,030 – $12,410
Examples of the injury
- A bladder injury with full recovery and some relatively long-term interference with natural bladder function.
Factors affecting ISV assessment
- age
- risk of ongoing bladder, prostate or urethra problems, complications or symptoms
- need for future surgery
Division 11 — Spleen and pancreas injuries
Item 79Injuries to the pancreasDivision 11 — Spleen and pancreas injuries
10 to 35 ISVApprox. $21,850 – $110,650
Factors affecting ISV assessment
- extent of ongoing risk of internal infection and disorders (e.g. diabetes)
- need for, and outcome of, further surgery (e.g. pain management for stone disease, infection or expanding pseudocyst)
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for a contusion to the pancreas that heals.
- An ISV at or near the middle of the range will be appropriate for chronic symptoms (e.g. pain or diarrhoea).
- An ISV at or near the top of the range will be appropriate for chronic symptoms with significant weight loss of 10–20% of body weight and requirement for pancreatic enzyme replacement; or if the injury to the pancreas causes diabetes.
Item 80Loss of spleen (complicated)Division 11 — Spleen and pancreas injuries
8 to 20 ISVApprox. $17,130 – $51,450
Examples of the injury
- Loss of spleen with a more than minor risk of ongoing internal infection and disorders caused by the loss.
Appropriate level of ISV
- ISV near bottom: splenectomy with intermittent pain, nausea and vomiting that settle.
- ISV near middle: splenectomy with serious post-splenectomy infection requiring surgical or radiological intervention.
- ISV near top: splenectomy with portal vein thrombosis afterwards.
Item 81Injury to the spleen or uncomplicated loss of spleenDivision 11 — Spleen and pancreas injuries
0 to 7 ISVApprox. $0 – $14,770
Examples of the injury
- A laceration or contusion to the spleen that has been radiologically confirmed, has no ongoing bleeding, is managed conservatively, and resolves fully.
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate for splenectomy with little or no risk of ongoing infections and disorders caused by the loss of the spleen.
Division 12 — Hernia injuries
Item 82Severe herniaDivision 12 — Hernia injuries
11 to 20 ISVApprox. $24,620 – $51,450
Examples of the injury
- A hernia where after repair there is ongoing pain and/or a restriction on physical activities, sport or employment.
Item 83Moderate herniaDivision 12 — Hernia injuries
6 to 10 ISVApprox. $12,410 – $21,850
Examples of the injury
- A hernia that after repair has some real risk of recurring in the short-term.
Item 84Minor herniaDivision 12 — Hernia injuries
0 to 5 ISVApprox. $0 – $10,050
Examples of the injury
- An uncomplicated inguinal hernia, whether or not repaired.
Part 6Orthopaedic injuries
Division 1 — Cervical spine injuries
Item 85Extreme cervical spine injuryDivision 1 — Cervical spine injuries
41 to 75 ISVApprox. $139,460 – $328,800
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Cervical spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 85, 86 or 87 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
- These are extremely severe injuries causing gross limitation of movement and serious interference with performance of daily activities.
- The injury will involve significant upper or lower extremity impairment and may require the use of an adaptive device or prosthesis.
Examples of the injury
- A total neurological loss at a single level
- Severe multilevel neurological dysfunction
- Structural compromise of the spinal canal with extreme upper or lower extremity motor and sensory impairments
- Fractures involving more than 50% compression of a vertebral body with neural compromise
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate for whole person impairment of about 29%.
- An ISV at or near the top of the range will be appropriate for a cervical spine injury causing monoplegia of the dominant upper limb and whole person impairment of at least 60%.
Item 86Serious cervical spine injuryDivision 1 — Cervical spine injuries
16 to 40 ISVApprox. $38,850 – $134,350
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Cervical spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 85, 86 or 87 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
- The injury will cause serious upper extremity impairment or serious permanent impairment of the cervical spine.
- The injury may involve a change of motion segment integrity or bilateral/multilevel nerve root compression or damage.
Examples of the injury
- Loss of motion in a motion segment because of a surgical or post-traumatic fusion
- A fracture involving more than 25% compression of one vertebral body
- An injury showing objective signs of nerve root damage after surgery
Appropriate level of ISV
- ISV near bottom: the injured person has had surgery and symptoms persist, or there is a fracture involving 25% compression of one vertebral body.
- ISV in middle: fracture with about 50% compression of a vertebral body, ongoing pain.
- ISV near top: failed vertebral body fusion leaving objective signs of significant residual nerve root damage and ongoing pain on one side; whole person impairment of about 28%.
Item 87Moderate cervical spine injury—fracture, disc prolapse or nerve root compression or damageDivision 1 — Cervical spine injuries
5 to 15 ISVApprox. $10,050 – $35,700
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Cervical spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 85, 86 or 87 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
Appropriate level of ISV
- ISV near top: disc prolapse with radiological evidence at an anatomically correct level, with pain and 3+ objective signs (sensory loss, loss of muscle strength, loss of reflexes, unilateral atrophy) anatomically localised to an appropriate spinal nerve root distribution, and impairment not improved after non-operative treatment.
- ISV of about 10: fracture of a vertebral body with up to 25% compression and ongoing pain.
- ISV near bottom: uncomplicated fracture of a posterior element of 1+ vertebral segments (e.g. spinous or transverse processes) without neurological impairment.
Item 88Moderate cervical spine injury—soft tissue injuryDivision 1 — Cervical spine injuries
5 to 10 ISVApprox. $10,050 – $21,850
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Cervical spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 85, 86 or 87 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
- The injury will cause moderate permanent impairment of the cervical spine, for which there is objective evidence.
Appropriate level of ISV
- An ISV of not more than 10 will be appropriate if there is whole person impairment of 8% caused by a soft tissue injury for which there is no radiological evidence.
Item 89Minor cervical spine injuryDivision 1 — Cervical spine injuries
0 to 4 ISVApprox. $0 – $8,040
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Cervical spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 85, 86 or 87 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
- Injuries within this item include a whiplash injury with no ongoing symptoms (other than nuisance symptoms) remaining more than 18 months after the injury.
- There will be no objective signs of neurological impairment.
Examples of the injury
- A soft tissue or whiplash injury if symptoms are minor and the injured person recovers, or is expected to recover, to a level where the injury is merely a nuisance within 18 months.
Appropriate level of ISV
- An ISV at or near the bottom of the range will be appropriate if the injury resolves without ongoing symptoms within months.
- An ISV at or near the top of the range will be appropriate if the injury (despite improvement) causes headaches and some ongoing pain.
Division 2 — Thoracic spine or lumbar spine injuries
Item 90Extreme thoracic or lumbar spine injuryDivision 2 — Thoracic spine or lumbar spine injuries
36 to 60 ISVApprox. $115,390 – $239,950
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Thoracic/lumbar spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 90, 91 or 92 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
- These are extremely severe injuries causing gross limitation of movement and serious interference with performance of daily activities. There may be some motor or sensory loss, and some impairment of bladder, ano-rectal or sexual function.
Examples of the injury
- A fracture involving compression of a thoracic or lumbar vertebral body of more than 50%, with neurological impairment.
Appropriate level of ISV
- ISV near bottom: whole person impairment of 25%.
- ISV near top: whole person impairment of at least 45%.
Item 91Serious thoracic or lumbar spine injuryDivision 2 — Thoracic spine or lumbar spine injuries
16 to 35 ISVApprox. $38,850 – $110,650
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Thoracic/lumbar spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 90, 91 or 92 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
- The injury will cause serious permanent impairment in the thoracic or lumbar spine.
- The injury may involve bilateral or multilevel nerve root damage, or a change in motion segment integrity (e.g. because of surgery).
Examples of the injury
- A fracture involving at least 25% compression of one thoracic or lumbar vertebral body.
Appropriate level of ISV
- ISV near bottom: the injured person has had surgery and symptoms persist, or there is a fracture involving 25% compression of one vertebral body.
- ISV in middle: fracture with 50% compression of a vertebral body, ongoing pain.
- ISV near top: failed vertebral body fusion leaving objective signs of significant residual nerve root damage and ongoing pain on one side, causing whole person impairment of 24%.
Item 92Moderate thoracic or lumbar spine injury—fracture, disc prolapse or nerve root compression or damageDivision 2 — Thoracic spine or lumbar spine injuries
5 to 15 ISVApprox. $10,050 – $35,700
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Thoracic/lumbar spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 90, 91 or 92 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
Appropriate level of ISV
- ISV near top: disc prolapse with radiological evidence at an anatomically correct level, with pain and 3+ objective signs (sensory loss, muscle strength loss, loss of reflexes, unilateral atrophy) anatomically localised to an appropriate spinal nerve root distribution, and impairment not improved after non-operative treatment.
- ISV of about 10: fracture of a vertebral body with up to 25% compression, ongoing pain.
- ISV near bottom: uncomplicated fracture of a posterior element of 1+ vertebral segments (e.g. spinous or transverse processes) without neurological impairment.
Item 93Moderate thoracic or lumbar spine injury—soft tissue injuryDivision 2 — Thoracic spine or lumbar spine injuries
5 to 10 ISVApprox. $10,050 – $21,850
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Thoracic/lumbar spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 90, 91 or 92 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
- The injury will cause moderate permanent impairment, for which there is objective evidence, of the thoracic or lumbar spine.
Appropriate level of ISV
- An ISV of not more than 10 will be appropriate if there is whole person impairment of 8% caused by a soft tissue injury for which there is no radiological evidence.
Item 94Minor thoracic or lumbar spine injuryDivision 2 — Thoracic spine or lumbar spine injuries
0 to 4 ISVApprox. $0 – $8,040
Comments
- This division does not apply to quadriplegia, paraplegia, or hemiplegia/severe paralysis of more than 1 limb (items 1–3).
- Thoracic/lumbar spine injuries (other than items 1–3) range from very severe disability to minor strain with no time off work and symptoms only for 2–3 weeks.
- Symptoms of nerve root compression or damage cannot be taken into account under items 90, 91 or 92 unless objective signs are present (e.g. CT/MRI or other radiological evidence; muscle wasting; clinical findings of deep tendon reflex loss, motor weakness and loss of sensation).
Examples of the injury
- A soft tissue injury of the thoracic or lumbar spine with no: significant clinical findings; fractures; documented neurological impairment; significant loss of motion segment integrity; or other objective signs of impairment relating to the injury.
Appropriate level of ISV
- ISV near top: whether or not the injured person continues to suffer some ongoing pain, if the injury will substantially reach maximum medical improvement, with only minor symptoms, within about 18 months.
- ISV near bottom: the injury will resolve without ongoing symptoms within months.
Division 3 — Shoulder injuries
Item 95Extreme shoulder injuryDivision 3 — Shoulder injuries
31 to 50 ISVApprox. $93,250 – $185,450
Comments
- Injuries include subluxations or dislocations of the sternoclavicular joint, acromioclavicular joint or glenohumeral joint.
- Soft tissue injuries may involve the musculoligamentous supporting structures of the joints.
- Fractures may involve the clavicle, the scapula (shoulder blade) and the humerus.
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the shoulder of the dominant upper limb.
- These are the most severe traumatic injuries causing gross permanent impairment.
Examples of the injury
- A severe fracture or dislocation with secondary medical complications
- Joint disruption with poor outcome after surgery
- Degloving
- Permanent nerve palsies
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate for whole person impairment of 45% and complete loss of all shoulder function of the dominant upper limb.
Item 96Serious shoulder injuryDivision 3 — Shoulder injuries
16 to 30 ISVApprox. $38,850 – $88,900
Comments
- Injuries include subluxations or dislocations of the sternoclavicular joint, acromioclavicular joint or glenohumeral joint.
- Soft tissue injuries may involve the musculoligamentous supporting structures of the joints.
- Fractures may involve the clavicle, the scapula (shoulder blade) and the humerus.
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the shoulder of the dominant upper limb.
- The injury will involve serious trauma to the shoulder causing serious permanent impairment.
Examples of the injury
- A crush injury
- A serious fracture with secondary arthritis
- Nerve palsies with partial recovery
- Established non-union of a clavicular or scapular fracture despite open reduction and internal fixation (ORIF)
- Established non-union of a clavicular or scapular fracture where surgery is not appropriate or not possible, with significant functional impairment
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate for whole person impairment of 25% where the injury is to the dominant upper limb.
Item 97Moderate shoulder injuryDivision 3 — Shoulder injuries
6 to 15 ISVApprox. $12,410 – $35,700
Comments
- Injuries include subluxations or dislocations of the sternoclavicular joint, acromioclavicular joint or glenohumeral joint.
- Soft tissue injuries may involve the musculoligamentous supporting structures of the joints.
- Fractures may involve the clavicle, the scapula (shoulder blade) and the humerus.
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the shoulder of the dominant upper limb.
Examples of the injury
- Traumatic adhesive capsulitis with discomfort, limitation of movement and symptoms persisting for about 2 years
- Permanent and significant soft tissue disruption (e.g. tendon or ligament tears)
- A fracture with reasonable recovery, requiring open reduction and internal fixation
- Nerve palsies with good recovery
- Painful persisting dislocation of the acromioclavicular joint
- An injury to the sternoclavicular joint causing permanent, painful instability
Appropriate level of ISV
- ISV near bottom: whole person impairment for the injury of 6%.
- ISV near top: whole person impairment of 12% where the injury is to the dominant upper limb.
Item 98Minor shoulder injuryDivision 3 — Shoulder injuries
0 to 5 ISVApprox. $0 – $10,050
Comments
- Injuries include subluxations or dislocations of the sternoclavicular joint, acromioclavicular joint or glenohumeral joint.
- Soft tissue injuries may involve the musculoligamentous supporting structures of the joints.
- Fractures may involve the clavicle, the scapula (shoulder blade) and the humerus.
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the shoulder of the dominant upper limb.
Examples of the injury
- Soft tissue injury with considerable pain, with almost full recovery in less than 18 months
- Fracture with uncomplicated recovery
- Strain injury of the acromioclavicular or sternoclavicular joint
Division 4 — Amputation of upper limbs
Item 99Loss of both upper limbs, or loss of 1 arm and extreme injury to the other armDivision 4 — Amputation of upper limbs
55 to 85 ISVApprox. $212,700 – $392,450
Comments
- The effect of the injury is to reduce the injured person to a state of considerable helplessness.
Factors affecting ISV assessment
- whether amputations are above or below the elbow (loss of the elbow joint adds greatly to the disability)
- length of any stump suitable for use with a prosthesis
- severity of any phantom pains
Appropriate level of ISV
- ISV 70–85: both upper limbs amputated at the shoulder; or one arm amputated at the shoulder with loss of function in the other arm causing whole person impairment of 60%.
- ISV 65–80: both upper limbs amputated through or above the elbow; or one arm amputated through/above the elbow with loss of function in the other arm causing whole person impairment of 57%.
- ISV 55–75: both upper limbs amputated below the elbow; or one arm amputated below the elbow with loss of function in the other arm causing whole person impairment of 54%.
Item 100Loss of 1 upper limbDivision 4 — Amputation of upper limbs
35 to 65 ISVApprox. $110,650 – $268,900
Factors affecting ISV assessment
- whether the amputation is above or below the elbow
- whether the amputation was of the dominant arm
- length of any stump suitable for use with a prosthesis
- severity of any phantom pains
- extent of any disability in the other arm
Graduated sub-items
Division 5 — Elbow injuries
Item 101Extreme elbow injuryDivision 5 — Elbow injuries
26 to 50 ISVApprox. $73,060 – $185,450
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the elbow of the dominant upper limb.
- The injury will involve an extremely severe elbow injury, falling short of amputation, leaving little effective use of the elbow joint.
Examples of the injury
- Whole person impairment for the injury of between 24% and 42%
- A complex elbow fracture or dislocation with secondary complications
- Joint disruption with poor outcome after surgery
- Degloving
- Permanent nerve palsies
- Severe limitation of elbow movement with the joint constrained in a non-functional position
Item 102Serious elbow injuryDivision 5 — Elbow injuries
13 to 25 ISVApprox. $30,160 – $69,100
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the elbow of the dominant upper limb.
- The injury will involve significant disability and require major surgery.
Examples of the injury
- A serious fracture with secondary arthritis
- A crush injury
- Nerve palsies with partial recovery
- Permanent, poor restriction of range of motion with the elbow constrained in a satisfactory functional position
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate for whole person impairment of 23% where the injury is to the elbow of the dominant upper limb.
Item 103Moderate elbow injuryDivision 5 — Elbow injuries
6 to 12 ISVApprox. $12,410 – $27,390
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the elbow of the dominant upper limb.
- The injury will cause moderate long-term disability but does not require protracted surgery.
Examples of the injury
- Soft tissue disruption (e.g. a ligament or tendon tear)
- A fracture with reasonable recovery, requiring open reduction and internal fixation
- Nerve palsies with good recovery
Appropriate level of ISV
- ISV near bottom: whole person impairment for the injury of 5%.
- ISV near top: moderately severe injury to the dominant elbow requiring prolonged treatment and causing whole person impairment of 10%.
Item 104Minor elbow injuryDivision 5 — Elbow injuries
0 to 5 ISVApprox. $0 – $10,050
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the elbow of the dominant upper limb.
- The injury will cause no permanent damage and no permanent impairment of function.
Examples of the injury
- A fracture with uncomplicated recovery; a soft tissue injury with pain; minor tennis elbow syndrome; lacerations.
Division 6 — Wrist injuries
Item 105Extreme wrist injuryDivision 6 — Wrist injuries
25 to 40 ISVApprox. $69,100 – $134,350
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the wrist of the dominant upper limb.
- The injury will involve severe fractures or a dislocation causing a high level of permanent impairment.
Examples of the injury
- A severe fracture or dislocation with secondary joint complications
- Joint disruption with poor outcome after surgery
- Degloving
- Permanent nerve palsies
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate for whole person impairment of 36% where the injury is to the wrist of the dominant upper limb.
Item 106Serious wrist injuryDivision 6 — Wrist injuries
16 to 24 ISVApprox. $38,850 – $65,570
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the wrist of the dominant upper limb.
Examples of the injury
- An injury causing significant permanent loss of wrist function (e.g. severe problems with gripping or pushing) but with some useful movement remaining
- Non-union of a carpal fracture
- Severe carpal instability
Appropriate level of ISV
- An ISV at or near the top of the range will be appropriate for whole person impairment of 20% where the injury is to the wrist of the dominant upper limb.
Item 107Moderate wrist injuryDivision 6 — Wrist injuries
6 to 15 ISVApprox. $12,410 – $35,700
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the wrist of the dominant upper limb.
Examples of the injury
- A wrist injury not serious but causing some permanent disability (e.g. persisting pain and stiffness)
- Persisting radio-ulnar instability
- Recurrent tendon subluxation or entrapment
Appropriate level of ISV
- ISV near bottom: whole person impairment of 6%.
- ISV near top: whole person impairment of 12%.
Item 108Minor wrist injuryDivision 6 — Wrist injuries
0 to 5 ISVApprox. $0 – $10,050
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the wrist of the dominant upper limb.
Examples of the injury
- A fracture with almost full recovery
- A soft tissue injury (e.g. severe bruising)
- Continued pain following carpal tunnel release
Division 7 — Hand injuries
Item 109Total or effective loss of both handsDivision 7 — Hand injuries
51 to 75 ISVApprox. $190,900 – $328,800
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
Examples of the injury
- A serious injury causing extensive damage to both hands making them little more than useless.
Factors affecting ISV assessment
- level of residual capacity in either hand
- severity of any phantom pains if there has been amputation(s)
Appropriate level of ISV
- ISV near bottom: both hands remain attached to the forearms and are of some cosmetic importance.
- ISV near top: both hands amputated through the wrist.
Item 110Serious injury to both handsDivision 7 — Hand injuries
40 to 50 ISVApprox. $134,350 – $185,450
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
- The injury will involve significant loss of function in both hands (e.g. loss of 50% or more of the use of each hand).
Item 111Total or effective loss of 1 handDivision 7 — Hand injuries
35 to 60 ISVApprox. $110,650 – $239,950
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
Examples of the injury
- A crushed hand that has been surgically amputated
- Traumatic amputation of all fingers and most of the palm
Factors affecting ISV assessment
- severity of any phantom pain if there has been an amputation
Appropriate level of ISV
- ISV near bottom: amputation of the fingers at the metacarpophalangeal joints, but thumb remains, with whole person impairment of 32%.
- ISV near top: amputation of the dominant hand at the wrist with residual severe stump pain and ongoing complications (e.g. chronic regional pain syndrome or neuroma formation).
Item 112Amputation of the thumb or part of the thumbDivision 7 — Hand injuries
15 to 28 ISVApprox. $35,700 – $80,980
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
Factors affecting ISV assessment
- the level of amputation (e.g. CMC joint, distal third of thumb metacarpal, MCP joint, or thumb IP joint)
- whether the injury is to the dominant hand
- extent of any damage to the fingers
Appropriate level of ISV
- ISV near bottom: amputation through the interphalangeal joint of the thumb, whole person impairment of 11%.
- ISV in middle: amputation through the proximal phalanx.
- ISV near top: amputation at the base of the thumb at the carpometacarpal (CMC) joint level of the dominant hand, with ongoing debilitating complications.
Item 113Amputation of index, middle and ring fingers, or any 2 of themDivision 7 — Hand injuries
15 to 30 ISVApprox. $35,700 – $88,900
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
- The amputation will cause complete or nearly complete loss of 2 or all of the index, middle and ring fingers.
Factors affecting ISV assessment
- the level of the amputation (e.g. whether the hand has been made of very little use and any remaining grip is very weak)
Appropriate level of ISV
- ISV near bottom: 2 fingers (index, middle or ring) amputated at the proximal interphalangeal joints.
- ISV in middle: whole person impairment of 19%.
- ISV near top: index, middle and ring fingers amputated at the MCP joint level (or whole person impairment of at least 27%), with the injury to the dominant hand.
Item 114Amputation of individual fingersDivision 7 — Hand injuries
5 to 20 ISVApprox. $10,050 – $51,450
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
Factors affecting ISV assessment
- whether the amputation was of the index or middle finger
- the level of the amputation
- any damage to other fingers short of amputation
Appropriate level of ISV
- ISV near bottom: amputation at the distal interphalangeal joint of the little or ring finger, or whole person impairment of 3%.
- ISV ≤ 11: amputation of the index or middle finger at the PIP joint, or whole person impairment of 8%.
- ISV near top: complete loss of the index or middle finger of the dominant hand with serious impairment of remaining fingers causing whole person impairment of at least 15%.
Item 115Amputation of thumb and all fingersDivision 7 — Hand injuries
35 to 60 ISVApprox. $110,650 – $239,950
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
- As the injury will cause effective loss of the hand, see item 111.
Item 116Any other injury to 1 or more of the fingers or the thumbDivision 7 — Hand injuries
0 to 25 ISVApprox. $0 – $69,100
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
- An ISV of not more than 5 will be appropriate if substantial function of the hand remains.
Factors affecting ISV assessment
- whether the injury is to the thumb, index or middle finger
- any damage to other fingers
- whether the injury is to the dominant hand
Graduated sub-items
Item 117Extreme hand injuryDivision 7 — Hand injuries
31 to 45 ISVApprox. $93,250 – $159,900
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
- The injury will involve a severe traumatic injury to the hand (which may include amputation of part of the hand) causing gross impairment.
- A hand injury causing whole person impairment of 35% will generally fall within this item.
Examples of the injury
- An injury reducing a hand's capacity to 50% or less
- Amputation of several fingers rejoined to the hand, leaving it clawed, clumsy and unsightly
- Amputation of some fingers and part of the palm causing grossly reduced grip and dexterity and gross disfigurement
Appropriate level of ISV
- ISV near bottom: the injured hand has some residual usefulness for performing activities of daily living.
- ISV near top: the injured hand has little or no residual usefulness for ADLs and is the dominant hand.
Item 118Serious hand injuryDivision 7 — Hand injuries
16 to 30 ISVApprox. $38,850 – $88,900
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
Examples of the injury
- A severe crush injury causing significantly impaired function despite surgery
- Serious permanent tendon damage
Appropriate level of ISV
- ISV near top: whole person impairment of 20%.
Item 119Moderate hand injuryDivision 7 — Hand injuries
6 to 15 ISVApprox. $12,410 – $35,700
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
Examples of the injury
- A crush injury, penetrating wound or deep laceration requiring surgery
- Moderately serious tendon damage
- A hand injury causing whole person impairment between 5% and 12%
Item 120Minor hand injuryDivision 7 — Hand injuries
0 to 5 ISVApprox. $0 – $10,050
Comments
- Hands are cosmetically and functionally the most important part of the upper limbs.
- The appropriate ISV for loss of a hand is only a little less than for loss of the relevant arm.
- An ISV at or near the top of the range will generally be appropriate if the injury is to the dominant hand.
Examples of the injury
- A soft tissue injury, or an injury not requiring surgery, with nearly full recovery of hand function.
Division 8 — Upper limb injuries, other than injuries mentioned in divisions 3 to 7
Item 121Extreme upper limb injury, other than an injury mentioned in divisions 3 to 7Division 8 — Upper limb injuries, other than injuries mentioned in divisions 3 to 7
36 to 65 ISVApprox. $115,390 – $268,900
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the dominant upper limb.
- The injury will involve an extremely serious upper limb injury, falling short of amputation, leaving the injured person little better off than if the whole arm had been lost.
Examples of the injury
- A serious brachial plexus injury affecting peripheral nerve function
- Non-union of a fracture with peripheral nerve damage to the extent that an arm is nearly useless
Appropriate level of ISV
- ISV near bottom: whole person impairment of 31%.
- ISV near top: complete brachial plexus lesion shown by a flail arm and paralysis of all hand muscles, with injury to the dominant limb.
- ISV near top (alt): serious crush injury causing whole person impairment of 55%.
Item 122Serious upper limb injury, other than an injury mentioned in divisions 3 to 7Division 8 — Upper limb injuries, other than injuries mentioned in divisions 3 to 7
21 to 35 ISVApprox. $54,980 – $110,650
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the dominant upper limb.
Examples of the injury
- A serious fracture of the humerus, radius or ulna (or any combination) with significant permanent residual impairment of function
- A brachial plexus injury requiring nerve grafts with partial recovery of shoulder and elbow function and normal hand function
Appropriate level of ISV
- ISV near bottom: whole person impairment of 16%.
- ISV near top: injury to the dominant limb causing whole person impairment of 30%.
Item 123Moderate upper limb injury, other than an injury mentioned in divisions 3 to 7Division 8 — Upper limb injuries, other than injuries mentioned in divisions 3 to 7
6 to 20 ISVApprox. $12,410 – $51,450
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the dominant upper limb.
Examples of the injury
- A fracture causing impairment of associated soft tissues, including nerves and blood vessels
- A fracture with delayed union or infection
- Multiple fractures of the humerus, radius or ulna (or any combination)
Appropriate level of ISV
- ISV near bottom: whole person impairment of 6%.
- ISV in lower half: complicated fracture of the humerus, radius or ulna (or combination) requiring ORIF, with recovery or expected recovery.
- ISV near top: crush injury causing significant skin or muscle loss with permanent residual impairment.
- ISV near top (alt): whole person impairment of 15%.
Item 124Minor upper limb injury, other than an injury mentioned in divisions 3 to 7Division 8 — Upper limb injuries, other than injuries mentioned in divisions 3 to 7
0 to 5 ISVApprox. $0 – $10,050
Comments
- An ISV at or near the top of the range will generally only be appropriate if the injury is to the dominant upper limb.
Examples of the injury
- An uncomplicated fracture of the humerus, radius or ulna (or any combination) with full recovery within a short time.
Appropriate level of ISV
- ISV near bottom: soft tissue injuries, lacerations, abrasions and contusions with full or almost full recovery.
- ISV near top: brachial plexus injury with substantial recovery within a few weeks, leaving minor functional impairment.
Division 9 — Pelvis or hip injuries
Item 125Extreme pelvis or hip injuryDivision 9 — Pelvis or hip injuries
46 to 65 ISVApprox. $165,010 – $268,900
Comments
- The most serious injuries to the pelvis or hips can be as devastating as a leg amputation and will have similar ISVs.
- However, the appropriate ISV for other injuries to the pelvis or hips will generally be no higher than about 20.
Examples of the injury
- An extensive pelvis fracture; degloving; permanent nerve palsies.
Factors affecting ISV assessment
- exceptionally severe specific sequelae will increase the level of ISV
- availability of remedies (e.g. total hip replacement is an important factor)
- age
Appropriate level of ISV
- ISV near bottom: whole person impairment of 40%.
- ISV near top: the injured person is not able to mobilise without a wheelchair and is relatively young.
Item 126Serious pelvis or hip injuryDivision 9 — Pelvis or hip injuries
26 to 45 ISVApprox. $73,060 – $159,900
Comments
- The most serious injuries to the pelvis or hips can be as devastating as a leg amputation and will have similar ISVs.
- However, the appropriate ISV for other injuries to the pelvis or hips will generally be no higher than about 20.
- There will be substantial residual disability, for example severe lack of bladder and bowel control, sexual dysfunction, or deformity making the use of 2 canes or crutches routine.
Examples of the injury
- A fracture-dislocation of the pelvis involving both ischial and pubic rami
- Traumatic myositis ossificans with formation of ectopic bone around the hip
- A fracture of the acetabulum leading to degenerative changes and leg instability requiring an osteotomy, with likely future hip replacement surgery
Factors affecting ISV assessment
- exceptionally severe specific sequelae will increase the level of ISV
- availability of remedies (e.g. total hip replacement is an important factor)
- age
Appropriate level of ISV
- ISV near bottom: whole person impairment of 20%.
Item 127Moderate pelvis or hip injuryDivision 9 — Pelvis or hip injuries
11 to 25 ISVApprox. $24,620 – $69,100
Comments
- The most serious injuries to the pelvis or hips can be as devastating as a leg amputation and will have similar ISVs.
- However, the appropriate ISV for other injuries to the pelvis or hips will generally be no higher than about 20.
Examples of the injury
- A significant pelvis or hip injury with no major permanent disability
- A hip fracture requiring a hip replacement
- A fracture of the sacrum extending into the sacro-iliac joint with ongoing significant symptoms and whole person impairment of at least 10%
Factors affecting ISV assessment
- exceptionally severe specific sequelae will increase the level of ISV
- availability of remedies (e.g. total hip replacement is an important factor)
- age
Appropriate level of ISV
- ISV near bottom: whole person impairment of 10%.
- ISV near top: fracture requiring a hip replacement that is only partially successful, with clear risk of need for revision surgery.
Item 128Minor pelvis or hip injuryDivision 9 — Pelvis or hip injuries
0 to 10 ISVApprox. $0 – $21,850
Comments
- The most serious injuries to the pelvis or hips can be as devastating as a leg amputation and will have similar ISVs.
- However, the appropriate ISV for other injuries to the pelvis or hips will generally be no higher than about 20.
Examples of the injury
- An uncomplicated fracture of 1+ pelvis or hip bones not requiring surgery or causing permanent impairment
- Undisplaced coccygeal fractures
- Undisplaced or healed pubic rami fractures
- An injury to the coccyx requiring successful surgery
Factors affecting ISV assessment
- exceptionally severe specific sequelae will increase the level of ISV
- availability of remedies (e.g. total hip replacement is an important factor)
- age
Appropriate level of ISV
- ISV near bottom: soft tissue injury with full recovery.
- ISV in middle: whole person impairment of 5%.
- ISV near top: ongoing coccydynia and difficulties with sitting.
Division 10 — Amputation of lower limbs (Subdivision 1: Amputation of both lower limbs)
Item 129Loss of both lower limbs above or through the kneeDivision 10 — Amputation of lower limbs (Subdivision 1: Amputation of both lower limbs)
55 to 70 ISVApprox. $212,700 – $297,850
Factors affecting ISV assessment
- the level of each amputation
- severity of any phantom pain
- pain in the stumps
- extent of any ongoing symptoms
Appropriate level of ISV
- ISV near top: each amputation is near the hips so neither stump can be used with a prosthesis.
Item 130Below the knee amputation of both lower limbsDivision 10 — Amputation of lower limbs (Subdivision 1: Amputation of both lower limbs)
50 to 65 ISVApprox. $185,450 – $268,900
Factors affecting ISV assessment
- the level of each amputation
- severity of any phantom pain
- pain in the stumps
- extent of any ongoing symptoms
Appropriate level of ISV
- ISV near bottom: whole person impairment of 48%.
- ISV near top: both legs amputated just below the knees leaving little or no stumps for prostheses; poor quality skin cover; chronic regional pain syndrome.
Division 10 — Amputation of lower limbs (Subdivision 2: Amputation of 1 lower limb)
Item 131Above or through the knee amputation of 1 lower limbDivision 10 — Amputation of lower limbs (Subdivision 2: Amputation of 1 lower limb)
35 to 50 ISVApprox. $110,650 – $185,450
Factors affecting ISV assessment
- the level of the amputation
- severity of any phantom pain
- whether there have been problems with a prosthesis (e.g. pain and further damage to the stump)
Appropriate level of ISV
- ISV near bottom: amputation through or just above the knee.
- ISV near top: amputation near the hip with a prosthesis that cannot be used.
Item 132Below the knee amputation of 1 lower limbDivision 10 — Amputation of lower limbs (Subdivision 2: Amputation of 1 lower limb)
31 to 45 ISVApprox. $93,250 – $159,900
Factors affecting ISV assessment
- the level of the amputation
- severity of any phantom pain
- whether there have been problems with a prosthesis (e.g. pain and further damage to the stump)
Appropriate level of ISV
- ISV near bottom: a straightforward below-knee amputation with no complications.
- ISV near top: amputation close to the knee joint, leaving little or no stump for use with a prosthesis.
Division 11 — Lower limb injuries, other than injuries mentioned in division 9 or 10 or divisions 12 to 15
Item 133Extreme lower limb injury, other than an injury mentioned in division 9 or 10 or divisions 12 to 15Division 11 — Lower limb injuries, other than injuries mentioned in division 9 or 10 or divisions 12 to 15
31 to 55 ISVApprox. $93,250 – $212,700
Comments
- These are the most severe injuries short of amputation, leaving the injured person little better off than if the whole leg had been lost.
Examples of the injury
- Extensive degloving of the lower limb
- An injury causing gross shortening of the lower limb
- A fracture that has not united despite extensive bone grafting
- Serious neurovascular injury
- A lower limb injury causing whole person impairment of 40%
Item 134Serious lower limb injury, other than an injury mentioned in division 9 or 10 or divisions 12 to 15Division 11 — Lower limb injuries, other than injuries mentioned in division 9 or 10 or divisions 12 to 15
21 to 30 ISVApprox. $54,980 – $88,900
Comments
- Removal of extensive muscle tissue and extensive scarring may have a significant enough impact to fall within this item.
- An injury to multiple joints or ligaments causing instability, prolonged treatment and a long period of non-weight-bearing may have a significant enough impact to fall within this item, but generally only if those results are combined.
Examples of the injury
- Multiple complex fractures of the lower limb expected to take years to heal and cause serious deformity and serious limitation of mobility.
Appropriate level of ISV
- ISV near bottom: whole person impairment of 16%.
- ISV near top: whole person impairment of 25%.
Item 135Moderate lower limb injury, other than an injury mentioned in division 9 or 10 or divisions 12 to 15Division 11 — Lower limb injuries, other than injuries mentioned in division 9 or 10 or divisions 12 to 15
11 to 20 ISVApprox. $24,620 – $51,450
Examples of the injury
- A fracture causing impairment of associated soft tissues, including nerves and blood vessels
- A fracture with delayed union or infection
- Multiple fractures of the femur, tibia or fibula (or any combination)
Factors affecting ISV assessment
- period of non-weight-bearing
- presence or risk of degenerative change
- imperfect union of a fracture
- muscle wasting
- limited joint movement
- unsightly scarring
- permanently increased vulnerability to future damage
Appropriate level of ISV
- ISV near bottom: whole person impairment of 10%.
- ISV in middle: deep vein thrombosis requiring treatment for life.
- ISV near top: whole person impairment of 15%.
Item 136Minor lower limb injury, other than an injury mentioned in division 9 or 10 or divisions 12 to 15Division 11 — Lower limb injuries, other than injuries mentioned in division 9 or 10 or divisions 12 to 15
0 to 10 ISVApprox. $0 – $21,850
Examples of the injury
- An uncomplicated fracture of the femur, tibia or fibula with full recovery.
Appropriate level of ISV
- ISV near bottom: DVT requiring treatment for less than 6 months with full recovery; or soft tissue injuries/lacerations/cuts/bruising/contusions with full or almost full recovery and minor residual disability.
- ISV near top: DVT requiring treatment for at least 1 year; impaired mobility or defective gait; whole person impairment of 9%.
Division 12 — Knee injuries
Item 137Extreme knee injuryDivision 12 — Knee injuries
25 to 40 ISVApprox. $69,100 – $134,350
Comments
- The availability of remedies (e.g. a total knee replacement) is an important factor in assessing an ISV under this division.
Examples of the injury
- A severe knee injury with disruption of the joint, gross ligamentous damage, loss of function after unsuccessful surgery, lengthy treatment and considerable pain.
Appropriate level of ISV
- ISV near bottom: whole person impairment of 20%.
- ISV near top: a total knee replacement needed and very likely to need repeat; or ongoing severe symptoms, poor function, and whole person impairment of more than 30%.
Item 138Serious knee injuryDivision 12 — Knee injuries
11 to 24 ISVApprox. $24,620 – $65,570
Comments
- The availability of remedies (e.g. a total knee replacement) is an important factor in assessing an ISV under this division.
- The injury may involve ongoing pain, discomfort, limitation of movement, instability or deformity.
- And a long-term risk of degenerative changes from damage to the joint surfaces, muscular wasting or ligamentous or meniscal injury.
Examples of the injury
- A leg fracture extending into the knee joint, causing constant permanent pain that limits movement or impairs agility.
Appropriate level of ISV
- ISV in middle: a ligamentous injury requiring surgery and prolonged rehabilitation causing whole person impairment of 15% and functional limitation.
Item 139Moderate knee injuryDivision 12 — Knee injuries
6 to 10 ISVApprox. $12,410 – $21,850
Comments
- The availability of remedies (e.g. a total knee replacement) is an important factor in assessing an ISV under this division.
Examples of the injury
- A dislocation or torn cartilage or meniscus causing ongoing minor instability, wasting and weakness.
Appropriate level of ISV
- ISV near top: whole person impairment of 8%.
Item 140Minor knee injuryDivision 12 — Knee injuries
0 to 5 ISVApprox. $0 – $10,050
Comments
- The availability of remedies (e.g. a total knee replacement) is an important factor in assessing an ISV under this division.
Examples of the injury
- A partial cartilage, meniscal or ligamentous tear
- A laceration
- A twisting or bruising injury
Division 13 — Ankle injuries
Item 141Extreme ankle injuryDivision 13 — Ankle injuries
21 to 35 ISVApprox. $54,980 – $110,650
Comments
- The appropriate ISV for the vast majority of ankle injuries is 1 or 2.
Examples of the injury
- A transmalleolar fracture of the ankle with extensive soft tissue damage causing severe deformity with varus/valgus malalignment; risk that future injury may lead to below-knee amputation; marked reduction in walking ability with constant dependence on walking aids; inability to place the foot for even load-bearing distribution
- An ankylosed ankle in a severely misaligned position with severe ongoing pain and other debilitating complications
- Whole person impairment of more than 20%
Factors affecting ISV assessment
- a failed arthrodesis
- regular disturbance of sleep
- need for an orthosis for load bearing and walking
Item 142Serious ankle injuryDivision 13 — Ankle injuries
11 to 20 ISVApprox. $24,620 – $51,450
Comments
- The appropriate ISV for the vast majority of ankle injuries is 1 or 2.
Examples of the injury
- An injury requiring long treatment, long time in plaster or insertion of pins and plates, causing permanent significant ankle instability or severely limited walking on a permanent basis.
Factors affecting ISV assessment
- unsightly scarring
- significance of any malunion
- requirement for modified footwear
- whether, and to what degree, there is swelling following activity
Appropriate level of ISV
- ISV near bottom: whole person impairment of 10%.
- ISV near top: a major tendon controlling foot or ankle movement is severed.
Item 143Moderate ankle injuryDivision 13 — Ankle injuries
6 to 10 ISVApprox. $12,410 – $21,850
Comments
- The appropriate ISV for the vast majority of ankle injuries is 1 or 2.
Examples of the injury
- A fracture, ligamentous tear or similar injury causing moderate disability — e.g. difficulty walking on uneven ground, awkwardness on stairs, irritation from metal plates, residual scarring.
Appropriate level of ISV
- ISV near bottom: whole person impairment of 6%.
Item 144Minor ankle injuryDivision 13 — Ankle injuries
0 to 5 ISVApprox. $0 – $10,050
Comments
- The appropriate ISV for the vast majority of ankle injuries is 1 or 2.
Examples of the injury
- A sprain, ligamentous or soft tissue injury, or minor or undisplaced fracture.
Factors affecting ISV assessment
- whether the injured person has fully recovered (and whether there is any tendency for the ankle to give way)
- whether there is scarring, aching or discomfort
Division 14 — Foot injuries (Subdivision 1: Amputations)
Item 145Amputation of both feetDivision 14 — Foot injuries (Subdivision 1: Amputations)
32 to 65 ISVApprox. $97,600 – $268,900
Factors affecting ISV assessment
- severity of any phantom pain
- pain in the stumps
- extent of any ongoing symptoms
Appropriate level of ISV
- ISV near bottom: amputations of both feet at the forefoot (transmetatarsal level amputations).
- ISV about 40: amputations of both feet at the mid foot (tarsometatarsal level or Lisfranc amputations).
- ISV near top: each amputation at the level of the ankle (Syme's amputation) and the stumps cannot be used with prostheses.
Item 146Amputation of 1 footDivision 14 — Foot injuries (Subdivision 1: Amputations)
20 to 35 ISVApprox. $51,450 – $110,650
Factors affecting ISV assessment
- severity of any phantom pain
- pain in the stumps
- extent of any ongoing symptoms
Appropriate level of ISV
- ISV near bottom: amputation at the forefoot (transmetatarsal level amputation).
- ISV about 26: amputation at the mid foot (tarsometatarsal level or Lisfranc amputation).
- ISV near top: amputation at the level of the ankle (Syme's amputation) and the stump cannot be used with a prosthesis.
Division 14 — Foot injuries (Subdivision 2: Other foot injuries)
Item 147Extreme foot injury that is not an amputationDivision 14 — Foot injuries (Subdivision 2: Other foot injuries)
13 to 25 ISVApprox. $30,160 – $69,100
Comments
- There will be permanent and severe pain or very serious permanent disability.
Examples of the injury
- An unusually severe foot injury causing whole person impairment of 15% or more, e.g. a heel fusion or loss of the tibia-calcaneum angle.
Appropriate level of ISV
- ISV near top: subtalar fibrous ankylosis in a severely malaligned position, ongoing pain, whole person impairment of 24%.
Item 148Serious foot injuryDivision 14 — Foot injuries (Subdivision 2: Other foot injuries)
9 to 12 ISVApprox. $19,490 – $27,390
Examples of the injury
- A severe midfoot deformity causing whole person impairment of 8%
- A lower level loss of the tibia-calcaneum angle
Item 149Moderate foot injuryDivision 14 — Foot injuries (Subdivision 2: Other foot injuries)
4 to 8 ISVApprox. $8,040 – $17,130
Examples of the injury
- A displaced metatarsal fracture causing permanent deformity with ongoing symptoms of minor severity (e.g. a limp that does not prevent most daily activities).
Item 150Minor foot injuryDivision 14 — Foot injuries (Subdivision 2: Other foot injuries)
0 to 3 ISVApprox. $0 – $6,030
Examples of the injury
- A simple metatarsal fracture, ruptured ligament, puncture wound or similar injury.
Appropriate level of ISV
- ISV of 2 or less: a straightforward foot injury (e.g. fracture, laceration or contusions) with full recovery.
Division 15 — Toe injuries
Item 151Extreme toe injuryDivision 15 — Toe injuries
3 to 20 ISVApprox. $6,030 – $51,450
Factors affecting ISV assessment
- whether the amputation was traumatic or surgical
- extent of the loss of the forefoot
- residual effects on mobility
Graduated sub-items
Item 152Serious toe injuryDivision 15 — Toe injuries
8 to 12 ISVApprox. $17,130 – $27,390
Comments
- The injury will cause serious and permanent disability.
Examples of the injury
- A severe crush injury causing ankylosis of the toes
- A bursting wound or severe toe damage with significant symptoms
Item 153Moderate toe injuryDivision 15 — Toe injuries
4 to 7 ISVApprox. $8,040 – $14,770
Comments
- There will be permanent discomfort, pain or sensitive scarring.
Examples of the injury
- A moderate injury to the great toe
- A crush injury causing multiple fractures of 2+ toes
Appropriate level of ISV
- ISV near top: more than 1 unsuccessful operation, or persisting stabbing pains, impaired gait or similar effects.
Item 154Minor toe injuryDivision 15 — Toe injuries
0 to 3 ISVApprox. $0 – $6,030
Examples of the injury
- A relatively straightforward fracture or soft tissue injury.
Appropriate level of ISV
- ISV of 1: a straightforward fracture of 1+ toes with complete resolution within a short time.
Part 7Scarring to parts of the body other than the face
Item 155Scarring to a part of the body other than the faceScarring to parts of the body other than the face
0 to 25 ISVApprox. $0 – $69,100
Comments
- This part applies to external appearance and physical condition of the skin only, and includes scarring to the scalp, trunk and limbs.
- Facial scarring must be assessed under Part 3, Division 2 (items 19–22).
- This part does not apply to adhesions, or scarring, of internal organs.
- This part will usually apply to an injury involving skeletal damage only if the skeletal damage is minor.
- Many of the physical injuries mentioned in Schedule 4 involve some scarring from the initial injury and subsequent surgery (including skin grafting), and this has been taken into account in fixing the range of ISVs for the injuries.
Factors affecting ISV assessment
- location of the scar
- age
- adverse psychological reaction
- likelihood of a scar fading or becoming less noticeable over time
Graduated sub-items
Part 8Burn injuries
Item Burns (general)Burn injuries — reference provisionsBurn injuries
Assessed under the item covering the affected body part
Comments
- The ISV for a burn injury must be assessed having regard to the item of Schedule 4 that (a) relates to the part of the body affected by the burn, and (b) is for an injury of similar adverse impact.
- Burns to the face must be assessed under Part 3, Division 2 (items 19–22).
- In burns cases, the ISV for an injury to a part of the body causing functional impairment will generally be at or near the top of the range for that part of the body.
- In serious burns cases, the effects of scarring are more comprehensive and less able to be remedied than the effects of scarring from other causes.
Part 9Injuries affecting hair
Item 156Extreme injury affecting head hairInjuries affecting hair
11 to 15 ISVApprox. $24,620 – $35,700
Examples of the injury
- Total permanent loss of head hair.
Item 157Serious injury affecting head hairInjuries affecting hair
4 to 10 ISVApprox. $8,040 – $21,850
Examples of the injury
- Damage to head hair (e.g. from defective waving or tinting) where the physical effect is dermatitis or tingling/burning of the scalp causing dry, brittle hair that breaks off or falls out — and the physical effect leads to depression, loss of confidence and inhibited social life.
Appropriate level of ISV
- An ISV in the upper half of the range will be appropriate if thinning continues and regrowth prospects are poor, or there is partial loss of areas of hair and regrowth is slow.
Item 158Moderate injury affecting head hair or loss of body hairInjuries affecting hair
0 to 3 ISVApprox. $0 – $6,030
Examples of the injury
- Hair that has been pulled out leaving bald patches
- The same example as for item 157 but with fewer or only moderate symptoms
Factors affecting ISV assessment
- length of time before regrowth
Part 10Dermatitis
Item 159Extreme dermatitisDermatitis
11 to 20 ISVApprox. $24,620 – $51,450
Examples of the injury
- Permanent dermatitis having a severe effect on employment and domestic capability, with some mental disorder.
Item 160Serious dermatitisDermatitis
8 to 10 ISVApprox. $17,130 – $21,850
Examples of the injury
- Dermatitis that lasts for years or indefinitely, involves cracking and soreness, affects employment and domestic capability, and causes marked adverse psychological reaction.
Item 161Moderate dermatitisDermatitis
3 to 7 ISVApprox. $6,030 – $14,770
Examples of the injury
- Dermatitis lasting for a significant period, but settling with treatment or a change of personal conduct (or both).
Item 162Minor dermatitisDermatitis
0 to 2 ISVApprox. $0 – $4,020
Examples of the injury
- Itching, skin irritation or a rash (alone or in combination) that resolves with treatment within a few months of the start of treatment.
The lookup gives you the ISV range for your injury. It cannot tell you where inside that range you sit, and it says nothing about the economic loss that usually dominates a claim.
How Injury Scale Values work
Since the Civil Liability Act 2003 (Qld) came into force, general damages in Queensland personal injury claims – the money a court awards for pain, suffering, and loss of amenities of life – are no longer calculated at large. Every injury is translated into an Injury Scale Value, or ISV: a whole number between 0 and 100 that reflects the severity of the injury and its adverse impact on the injured person.
An ISV of 0 reflects an injury too minor to warrant an award of general damages. An ISV of 100 reflects the most severe injuries a person can sustain – spinal injuries causing total paralysis, catastrophic brain injuries requiring assisted ventilation, or multiple comparably devastating injuries in combination. The dollar value of each ISV point is set by a formula in the Act and indexed annually.
Where the ISV sits in a personal injury claim
General damages are one component of a personal injury payout. The other heads of damage – past and future economic loss, past and future medical and care costs, superannuation, and interest – are calculated separately and, in most cases, are significantly larger than the general damages component. A working-age plaintiff who cannot return to their pre-injury occupation will usually see economic loss dwarf the amount claimable for pain and suffering. Non-working plaintiffs, and those who recover quickly enough to return to work, may find that general damages form the larger portion of their claim.
The ISV determines general damages only. It tells you nothing about the dollar value of your economic loss, your medical expenses, or your superannuation shortfall.
How the range is chosen
Schedule 3 of the Civil Liability Regulation 2025 (Qld) lists injuries across ten Parts – from central nervous system injuries through to dermatitis – and assigns each an ISV range.
Cervical spine injuries, for example, are divided into five items:
- Extreme (ISV 41–75),
- Serious (16–40),
- two Moderate categories (5–15, depending on whether there is fracture, disc prolapse, or nerve root involvement, or only soft tissue damage), and
- Minor (0–4).
Where within a range the injury sits is determined by the court having regard to the factors listed against that item in the Regulation – things like the presence and extent of pain, level of function, degree of independence, residual cognitive or sensory impairment, and secondary medical complications. The Regulation also requires the court to give greater weight to medical assessments of whole-person impairment based on the American Medical Association’s Guides to the Evaluation of Permanent Impairment (5th edition – known as AMA 5).
For mental disorders, the assessment uses a different scale: the Psychiatric Impairment Rating Scale (PIRS), which rates permanent impairment across six areas of functioning and converts to a percentage impairment. A PIRS rating is only accepted by a court if it is assessed by an appropriately qualified medical expert (typically a psychiatrist) and provided in an independent medico-legal report.
Multiple injuries
Most claims involve more than one injury. The court starts by identifying the dominant injury (the injury with the highest maximum ISV range) and assesses the ISV within that range. To account for the combined impact of the other injuries, the court may uplift the ISV above what the dominant injury alone would warrant. The uplift is generally capped at 25% above the dominant injury’s maximum unless the court provides detailed written reasons for a larger increase. The overall ISV cannot exceed 100.
From ISV to dollars
Once the court settles on a whole-number ISV between 0 and 100, section 62 of the Civil Liability Act, read with the Civil Liability Indexation Notice in force at the time the injury arose, converts it into a dollar figure. The scale is non-linear – each point is worth more at the top of the scale than at the bottom – so an ISV of 30 is worth considerably more than three times an ISV of 10. The dollar amounts are adjusted each 1 July in line with Queensland full-time adult persons’ ordinary time earnings.
What the lookup can’t tell you
Our lookup tool shows which Schedule 3 category matches your injury, the ISV range the Regulation assigns to it, and the corresponding dollar range for general damages under the current Indexation Notice. That’s the framework.
A higher ISV does not make you any more likely to prove negligence and win your claim.
The ISV does not determine the total value of a personal injury claim – the total value is actually most influenced by the injured person’s loss of earnings. An ISV of 10 might cause one person to be totally and permanently disabled from an employment standpoint, whereas it might be a mere inconvenience to another with no consequence to their earnings.
Within general damages itself, the lookup also can’t tell you where in the ISV range your particular injury sits. That depends on medical evidence, the factors the court must consider under Schedule 2 of the Regulation, and judgment about how a court is likely to treat your particular combination of facts. A moderate cervical spine (soft tissue) injury, for example, sits in the ISV range 5–10 and a dollar range of roughly $10,050 to $21,850 for injuries arising on or after 1 July 2026 – but whether yours is a 5 or a 10 has a larger practical impact than the range itself.
The tool also doesn’t apply the dominant-injury-and-uplift process for claims with multiple injuries, and the dollar ranges shown are for the current financial year only. Injuries arising before 1 July 2026 use the lower figures fixed by the Indexation Notice that applied at the time.
If you have been injured in Queensland, a proper and full analysis is best done with a personal injury solicitor who runs these cases regularly. Request a free claim assessment by Roche Legal – no cost, no obligation.