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NY IME / SLU Program Guide

New York evaluates permanent impairment through its own Schedule Loss of Use guidelines (2018) rather than the AMA Guides, certified on Form C-4.3 at maximum medical improvement.

2 sections·3 sources·Verified 2026-08-15 ✓
01

Program overview

The Board's 2018 SLU guidelines apply when a claimant reaches MMI; examiners measure active range of motion and compare to the contralateral side where applicable. The doctor reports MMI and permanent impairment on Form C-4.3.

02

MMI definition

12 NYCRR 324.1 defines MMI as the point where the claimant has recovered to the greatest extent expected and no further improvement is reasonably expected; in non-surgery/non-fracture cases MMI cannot be found before six months from injury.

Key facts

Program

IME / SLU

Agency

New York Workers' Compensation Board

Statute / rules

12 NYCRR 324; 12 NYCRR 325-1.6

AMA Guides edition

Not AMA-based (New York SLU guidelines)

Edition basis

2018 Guidelines for Determining Permanent Impairment and Loss of Wage Earning Capacity

MMI rules

MMI defined at 12 NYCRR 324.1; no MMI before 6 months for non-surgical/non-fracture cases

Key forms

Form C-4.3 (Doctor's Report of MMI/Permanent Impairment)

Fee schedule

WCB medical fee schedule (verify current)

Telehealth

Not verified in this pass

Sources

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Last verified: 2026-08-15