Permanent Partial Impairment (PPI) Ratings

Accurate, AMA-Guided Assessments for Upper Extremity Injuries

A Permanent Partial Impairment (PPI) Rating measures the degree of lasting functional loss following an injury. Impairment ratings are completed by Dr. David Galpern, a board-certified hand and upper extremity surgeon with extensive experience applying the AMA guidelines. 

Our impairment ratings are objective, consistent, and structured to provide clear medical legal insight for case resolution. 

What Our Impairment Ratings Include:

Each PPI focuses solely on the injured body part and includes: 

  • A review of relevant medical records
  • Physical examination and precise range-of-motion measurements
  • Impairment calculations based on the AMA guidelines (5th or 6th Edition, as required)
  • Documentation supporting the rating methodology
  • A clear explanation of how the final percentage was determined

Every report is organized, transparent, and designed to make complex data easy to understand.

Why Choose Our PPI Ratings?

Specialized Expertise in the Upper Extremity

With his focused surgical background, Dr. Galpern evaluates hand, wrist, forearm, and arm conditions with a high level of accuracy and consistency. 

Objective and Well-Supported Findings

Impairment Ratings are based on established measurement techniques and AMA methodology. Each conclusion is supported by clinical findings and objective data. 

Clear and Understandable Reporting

Reports are written in organized, easy-to-understand language, including all relevant measurements, calculations, and rationale. This makes them valuable for hearings, negotiations, disability determinations, and claims decisions. 

Timely Turnaround

We understand the importance of moving cases forward and schedule impairment ratings promptly based on case needs. 

Request a PPI Rating

To request an impairment rating or discuss case details, please contact our office: 

Phone: (804) 506-3050

Email: in**@*****sc.com


You may also submit a request through our Medical-Legal Contact Form:

Fill our our Medical Legal Contact Form

Comprehensive Hand Surgery
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