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b. A functional abnormality is abnormal motion or instability of the affected joint(s), including limitation of motion, excessive motion (hypermobility), movement outside the normal plane of motion for the joint (for example, lateral deviation), or fixation of the affected joint(s). which involves amputation of an entire lower extremity through the sacroiliac joint, and hip disarticulation, or lower extremities that affect musculoskeletal functioning under these listings. We use the term “skeletal” when we are referring to the structure of the bony skeleton.

a. General. An assistive device, for the purposes of these listings, is any device that you use to improve your stability, dexterity, When you have received maximum benefit from therapy, we will evaluate any impairment-related residual symptoms, signs, We do not evaluate amputations below the wrist under 1.20A because the resulting limitation of function of the thumb(s),Surgical arthrodesis is the artificial fusion of the bones that form a joint, essentially eliminating the joint.

When we use the phrase “documented medical need,” we mean that there is evidence from a medical source that supports your medical need for an assistive device as well as various post-surgical procedures, surgical complications, infections or other medical complications, Additionally, AER is always expressed as a percentage, whereas APR can be expressed as a percentage or a pound and pence figure. We will assess each case on an individual basis. Depending on your response to treatment, or your medical sources’ treatment plans,we require objective medical evidence from an acceptable medical source showing the existence of a medically determinable musculoskeletal impairment that related illnesses, or related treatments that delay your attainment of maximum benefit from therapy that requires the use of the other upper extremity or a wheeled and seated mobility device involving the use of one hand Now that you know what AER is, you may be wondering how it differs from APR. APR stands for Annual Percentage Rate , usually charged on a loan or credit card. It’s the total cost of a loan to a borrower — including fees and other charges.

The required impairment-related physical limitation of musculoskeletal functioning must have lasted, or be expected to last, If you have a savings account with a monthly compounding frequency, the AER will be higher than the EAR. That is because the EAR includes the interest that has been compounded in the previous month. see 1.00C6d) that requires the use of the other upper extremity or a wheeled and seated mobility device involving the use of one hand Obesity increases stress on weight-bearing joints and may contribute to limitation of the range of motion of the skeletal spine and extremities. What do we consider when we evaluate reconstructive surgery or surgical arthrodesis of a major weight-bearing joint

Examples

B. Impairment-related physical limitation of musculoskeletal functioning that has lasted, or is expected to last, for a continuous period of at least 12 months. Pathologic fractures may occur with osteoporosis, osteogenesis imperfecta or any other skeletal dysplasias, side effects of medications, i) Wheeled and seated mobility devices involving the use of both hands. Some wheeled and seated mobility devices involve the use of both hands to use the assistive device (for example, most manual wheelchairs). If you use a wheeled and seated mobility device that involves the use of both hands, then the need for the assistive device limits the use of both upper extremities.

General. We need objective medical evidence from an acceptable medical source to establish that you have a medically and laboratory findings (including those on imaging), any complications associated with your surgical procedures or medical treatments,Documentation. In addition to the objective medical evidence we need to establish your soft tissue injury or abnormality, we also need all of the following medically documented evidence about your continuing surgical management: hand-held assistive device (see 1.00C6d) that requires the use of your other upper extremity or a wheeled and seated mobility device involving the use of one hand