# PA IRE Program Guide | Medrecords AI

> 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.

Canonical page: https://medrecords.ai/ime-hub/states/pa/

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## 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.

## 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

- [34 Pa. Code § 123.105](https://regulations.justia.com/states/pennsylvania/title-34/part-viii/chapter-123/subchapter-b/section-123-105/)
- [PA Bulletin 53-16 (IRE rule changes)](https://www.pacodeandbulletin.gov/secure/pabulletin/data/vol53/53-16/53-16.pdf)

Last verified: 2026-08-15