UNITED PARCEL SERVICE V. KENNETH L . HOWARD; HON. ROGER D . RIGGS, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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IMPOR 'ANT NOTICE
NOT TO BE PUBLISHED OPINION
THIS OPINION IS DESIGNATED "NOT TO BE
PUBLISHED. " PURSUANT TO THE RULES OF
CIVIL PROCED URE PROMUL GA TED B Y THE
SUPREME COURT, CR 76.28 (4) (c), THIS OPINION
IS NOT TO BE PUBLISHED AND SHALL NOT BE
CITED OR USED AS A UTHORITY INANY OTHER
CASE INANY COURT OF THIS STATE.
RENDERED : April 22, 2004
NOT .--, ... PUBLISHED
___.._- .--., TO BE .-,
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2003-SC-0320-WC
UNITED PARCEL SERVICE
V
APPELLANT
APPEAL FROM COURT OF APPEALS
2002-CA-1439-W C
WORKERS' COMPENSATION BOARD NO. 98-64252
KENNETH L . HOWARD; HON. ROGER D . RIGGS,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
AFFIRMING
An Administrative Law Judge (ALJ) calculated the claimant's award using an
impairment rating that was based upon the Fifth Edition of the American Medical
Association's Guides to the Evaluation of Permanent Impairment ( Guides ). Although
the decision has been affirmed by the Workers' Compensation Board (Board) and the
Court of Appeals, the employer continues to maintain that the Fifth Edition of the Guides
cannot be applied retroactively to an injury that occurred in 1998. The employer also
asserts that the ALJ erred by failing to find a pre-existing active impairment . We affirm .
On September 28, 1998, the claimant injured his lower back. After undergoing
surgery, he filed an application for benefits . It is undisputed that at the time of the injury
the Fourth Edition of the Guides was the latest edition available. On March 1, 2001, the
Commissioner of the Department of Workers' Claims certified that the Fifth Edition was
generally available .
Several physicians testified concerning the extent of the claimant's impairment .
Testimony from Dr. Bryson, his family physician, indicated that his impairment was 6575% . Dr. Bryson did not explain how he arrived at the rating.
Dr. Tibbs was the treating neurosurgeon . In August, 2001, he indicated that the
Fifth Edition of the Guides authorized an impairment in the range of 20-23% for DIRE
Lumbar Category IV and determined that the claimant's impairment was 22%. He also
assigned a number of work restrictions. In his opinion, none of the impairment was due
to the arousal of a pre-existing dormant non-disabling condition, and there was no preexisting active impairment . He reported some evidence that natural aging contributed to
the claimant's condition, but he also stated that the nature of the claimant's work
aggravated or accelerated the effects of the natural aging process .
Dr. Ballard examined the claimant on the employer's behalf in June, 1999, which
was before the surgery. She examined him again in August, 2001 . Her 1999 report
indicates that in addition to the 1998 injury the claimant gave a history of three previous
episodes of work-related back pain, the first of which occurred in 1987 . He also
reported that he underwent monthly chiropractic treatment and took Vicodin for back
pain before the 1998 injury . In 1999, Dr. Ballard assigned a 10% impairment under the
Fourth Edition of the Guides , attributing half to the injury and half to "pre-existing
conditions and the natural aging process ." In 2001, she assigned a 25% impairment
under the Fifth Edition, indicating that the increase was due to the fusion surgery . She
attributed half of the impairment to the injury and half to the natural aging process .
Dr. Ensalada reviewed the medical records but did not examine the claimant . In
an August 8, 2001, report, he assigned a 10% impairment based upon the Fourth
Edition of the Guides . He took issue with Dr. Tibbs' methodology, but his rationale was
based on the Fourth Edition of the Guides . Dr. Tibbs had used the Fifth Edition . In his
opinion, half of the impairment was due to the previous back sprains and strains, so he
characterized it as pre-existing active impairment . He attributed the remaining half to
the 1998 injury .
The employer maintained that under Maggard v. International Harvester Co. , Ky.,
508 S .W.2d 777 (1974), any award must be based on an impairment that was assigned
under the Fourth Edition of the Guides because that was the latest edition available on
the date of injury . The ALJ determined, however, that because the Fifth Edition became
generally available before the close of proof time and was based upon the best medical
knowledge that was available, an impairment that was assigned under the Fifth Edition
must be used . Finding Dr. Tibbs' testimony to be the most persuasive, the ALJ
awarded a permanent partial disability based upon the 22% impairment rating that he
assigned using the Fifth Edition. Furthermore, the ALJ rejected the employer's
argument that a portion of the impairment was prior, active, and non-compensable .
This appeal follows decisions affirming the award .
In George Humfleet Mobile Homes v. Christman, Ky.,
S.W .3d
(2004), we
construed the phrase "latest edition available" as referring to the latest edition certified
as being generally available as of the date that proof time closes. We explained that the
methods used in the latest edition were likely to be the most accurate and, therefore,
could be used without regard to the date of injury . See Stovall v. Great Flame Coal Co.,
Ky.App ., 684 S.W.2d 3 (1984) . Furthermore, the impairment from which a permanent
partial disability benefit was calculated must be based on those methods .
In the present claim, the Fifth Edition of the Guides was certified as being
generally available before proof time closed . The ALJ relied on Dr. Tibbs, who assigned
a 22% impairment using the Fifth Edition . Although Dr. Ensalada took issue with the
impairment that Dr. Tibbs assigned, we are not persuaded that the ALJ was compelled
to rely upon his testimony. First, his criticism was based upon the methods used in
Fourth Edition of the Guides , while Dr. Tibbs' testimony was based on the Fifth Edition .
Furthermore, Dr. Tibbs treated the claimant and examined him many times ; whereas,
Dr. Ensalada reviewed the medical records but did not examine him.
Contrary to the employer's assertion, we do not view Dr. Ensalada's testimony
attributing half of the claimant's impairment to the natural aging process as requiring an
exclusion of half of his impairment when applying KRS 342.730(1)(b) . The employer
asserts that only Dr. Ensalada knew of the claimant's previous back sprains or strains,
but page 2 of his report clearly indicates that he learned of them from Dr. Ballard's 1999
report. Although she attributed half of the impairment to the "previous conditions and
natural aging process" in 1999, her 2001 report attributed half of the impairment to the
natural aging process alone . Although Dr. Tibbs' report did not mention previous
incidents of back pain, he was not asked to testify if he was informed of such incidents.
He did acknowledge the presence of pre-existing changes that may have been due to
the natural aging process but indicated that, in his opinion, the claimant's work
accelerated or aggravated those changes . Under the circumstances, they were
compensable . McNutt Construction/First General Services v. Scott, Ky., 40 S .W .3d 854
(2001) .
The decision of the Court of Appeals is affirmed .
All concur.
COUNSEL FOR APPELLANT :
Kenneth Dietz
Jones Dietz & Schrand PLLC
P.O. Box 0095
Florence, KY 41022-0095
COUNSEL FOR APPELLEE:
Gregory Dean Allen
Collins & Smith
P.O . Box 475
Salyersville, KY 41465
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