CYNTHIA NAPIER V. MIDDLESBORO APPALACHIAN REGIONAL HOSPITAL ; HON . DONALD G . SMITH, ADMINISTRATIVE LAW JUDGE ; AND WORKERS' COMPENSATION BOARD
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RENDERED : March 18, 2004
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2003-SC-0204-WC
CYNTHIA NAPIER
V.
D
D AT
APPEAL FROM COURT OF APPEALS
2002-CA-1558-WC
WORKERS' COMPENSATION BOARD NO . 99-60129
MIDDLESBORO APPALACHIAN
REGIONAL HOSPITAL ; HON . DONALD
G. SMITH, ADMINISTRATIVE LAW JUDGE;
AND WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
AFFIRMING
An Administrative Law Judge (ALJ) has determined that the claimant failed to
meet her burden of proving a permanent impairment rating under the American Medical
Association's Guides to the Evaluation of Permanent Impairment (Guides ) and also
determined that the 2000 amendment to KRS 342.730(1)(b) did not apply to an injury
that occurred in 1999. Following unsuccessful appeals to the Workers' Compensation
Board and the Court of Appeals, the claimant now appeals to this Court . We affirm with
respect to the first issue; therefore, the second issue is moot.
On October 22, 1999, the claimant injured her right shoulder and back while
working for the defendant-employer . She complained of right shoulder pain that
radiated into the upper arm with weakness and tingling in the right hand . Dr. Muffly
diagnosed an impingement syndrome with weakness in the rotator cuff muscle and mild
carpal tunnel syndrome. With respect to the extent of her permanent impairment, Dr.
Muffly reported that she suffered from a 10% impairment "to the whole body" but did not
relate the impairment to a particular condition or specify that the rating was based upon
the Guides . Dr. Wagner testified on the employer's behalf . In his opinion, the claimant
was at maximum medical improvement and had a 0% impairment under the Guides .
Relying upon Dr. Muffly, the ALJ determined that the claimant sustained a workrelated injury and awarded temporary total disability and medical benefits . Finding,
however, that there was no indication Dr. Muffly assigned the 10% impairment under
the Guides , the AU also determined that there was insufficient evidence to award
permanent partial disability benefits under KRS 342 .730(1)(b). Furthermore, the ALJ
rejected the claimant's assertion that the 2000 amendments to KRS 342 .730(1)(b)
governed the claim .
Since December 12, 1996, KRS 342 .730 has required a recipient of permanent
income benefits to have an AMA impairment rating . In fact, the formula for calculating
permanent partial disability awards takes into account the extent of the worker's AMA
impairment . KRS 342 .730(1)(b). The claimant maintains that because Dr. Muffly
regularly testifies in workers' compensation claims, the ALJ should have taken judicial
notice that he would have reported an impairment using the most current rating required
by law. As support for the argument, the claimant notes that neither the statutes nor
administrative regulations explicitly require a physician to state that an impairment rating
was made under the most current edition of the Guides . She maintains that the reason
they do not is that all parties, including physicians who perform IME exams, understand
that any impairment rating must be stated under the most current edition of the Guides .
The burden was on the claimant to prove every element of her claim, including
the extent of her AMA impairment . Contrary to her assertion, physicians who assign
impairment ratings do not necessarily do so under the latest available edition of the
Guides . See George Humfleet Mobile Homes v. Christman , 2003-SC-0047-WC,
rendered January 22, 2004 . Furthermore, because Dr. Muffly's practice with respect to
assigning impairment ratings is not an adjudicative fact in this claim, it would have been
inappropriate for the ALJ to take judicial notice concerning his practice even if the other
requirements of KRE 201 were met . It may well be that Dr. Muffly assigned the 10%
impairment under the Fifth Edition of the Guides as the claimant asserts . The fact
remains, however, that his report made no reference to the Guides or even to a chapter,
section, page, chart, or table from which the ALJ could have reasonably inferred that it
was. Under the circumstances, his report was not substantial evidence to support a
partial disability award .
The claimant's reliance on Transportation Cabinet v. Poe, Ky., 69 S.W.3d 60
(2002), is misplaced. There, the worker proved an AMA impairment due to the physical
effects of the injury. At issue was whether, in light of the fact that the Guides no longer
provided impairment ratings for psychological conditions, the ALJ properly considered a
psychological condition that was also due to the injury when determining that the worker
was totally disabled . The Court determined that because the psychological condition
produced restrictions, was work-related, and was a direct result of the same traumatic
event for which an AMA impairment was assigned, it was within the ALJ's discretion to
consider the condition when awarding a total disability. It is apparent that the claimant
has not alleged a psychological injury; therefore, Transportation Cabinet v. Poe does
not apply to the present facts .
Although the 2000 amendments to KRS 342.730(1)(b) changed the method by
which a partial disability award was calculated, they retained the use of an AMA
impairment as the basis for calculating a partial disability award. In view of our
conclusion that the claimant failed to meet her burden of proving an AMA impairment,
her question concerning the retroactive application of the amendments is moot .
Therefore, we will address it no further.
The decision of the Court of Appeals is affirmed .
All concur.
COUNSEL FOR APPELLANT :
Johnnie Turner
Johnnie L. Turner, PSC
114 S. First Street
P .O. Box 351
Harlan, KY 40831
COUNSEL FOR APPELLEE :
Mark Edward Hammond
1500 Starks Building
455 S. Fourth Avenue
Louisville, KY 40202
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