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PA IRE Program Guide

Pennsylvania's impairment rating evaluation (IRE) assigns an impairment rating under the AMA Guides 6th Edition (2nd printing 2009) after Act 142 restored the IRE remedy.

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

Program overview

An IRE is conducted and an impairment rating determination must result under the most recent edition of the AMA Guides; the physician attaches the Report of Medical Evaluation to the Face Sheet.

02

History

The Pennsylvania Supreme Court's Protz decision (2017) struck down the prior IRE framework; Act 142 (2018) restored it with the 6th Edition (2nd printing April 2009) as the standard.

Key facts

Program

IRE

Agency

Pennsylvania Bureau of Workers' Compensation

Statute / rules

34 Pa. Code § 123.105; Act 142 (2018)

AMA Guides edition

6th Edition (2nd printing, April 2009)

Edition basis

34 Pa. Code § 123.105; Act 142

MMI rules

IRE assigns an impairment rating that can cap or terminate wage-loss benefits depending on the percentage

Key forms

Report of Medical Evaluation as specified in the AMA Guides

Fee schedule

IRE fee schedule (verify current)

Telehealth

Not verified in this pass

Sources

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Last verified: 2026-08-15