A

Moderate localized pain and/or mild systemic reaction, or impairment requiring minor change in normal activities, and associated with some restriction of work activity

B

Moderate pain and/or moderate impairment requiring moderate change in normal activities, e.g., housebound or in bed, and associated with temporary loss of ability to work

C

Severe pain, severe short-term impairment, or hospitalization

D

Mild chronic disability (not requiring hospitalization, institutionalization, or other major limitation of normal activity, and resulting in minor limitation of ability to work)

n.a.

n.a.

n.a.

n.a.

E

Moderate to severe chronic disability (requiring hospitalization, special care, or other major limitation of normal activity, and seriously restricting ability to work)

n.a.

n.a.

509,659

n.a.

62,991

n.a.

F

Total impairment

n.a.

n.a.

n.a.

n.a.

G

Reproductive impairment resulting in infertility

n.a.

n.a.

n.a.

n.a.

H

Death

n.a.

n.a.

509,659

n.a.

62,991

n.a.