A Schedule Award impairment rating comes from a medical evaluation and OWCP’s review of the supporting evidence. Your doctor’s initial percentage is an important part of the process, but it is not automatically the final percentage. The written decision matters.
What does the doctor evaluate?
The doctor examines the affected body part and records the findings needed to calculate impairment. That may include measurements and testing. The report needs to explain how those findings support the percentage.
Which guidelines apply?
OWCP uses the Sixth Edition of the AMA Guides for Schedule Award impairment ratings. The doctor needs to apply the relevant method and explain the calculation. OWCP’s Schedule Award guidance describes the medical report requirements.
Can the percentage change during review?
Yes. A district medical adviser reviews the medical evidence, and OWCP may seek another examination or opinion. Different doctors can reach different conclusions, so the reasoning behind the rating matters. A disagreement needs to be addressed through the applicable review process.
What if the rating feels too low?
An impairment rating follows a defined medical method. It may not reflect every limitation you feel in daily life. If something seems missing or incorrect, a review of the medical findings, calculation and OWCP decision can help clarify the next step.
Every Schedule Award and compensation case is unique. The Office of Workers’ Compensation Programs (OWCP) does not publish fixed timelines or guaranteed outcomes. Benefits depend on your medical evidence, impairment rating, and OWCP’s review process. The information provided here is for general educational purposes only and should not be taken as legal advice. For guidance on your specific claim, consult with an experienced federal workers’ compensation attorney.