Purpose of the reference table
This MOM reference lists injury descriptions and estimated permanent-incapacity percentages or ranges. It supports understanding a compensation calculation; the medically assessed percentage for a particular person is not determined by self-selecting the closest row.
Injuries, sub-injuries and percentages
ROM means range of motion. Ranges require clinical assessment. Repeated or incomplete entries in the original are retained as reference information, not interpreted as additional entitlements; the final wrist entry gives 0 without a specified sub-injury and should not be read as meaning all wrist injuries have zero incapacity.
| Injury | Sub-injury | PI % |
|---|---|---|
| Ankle Subtalar Joint | Ankylosis | 14.00 - 33.00 |
| Ankle Subtalar Joint | ROM | 0.00 - 12.00 |
| Elbow Joint | Ankylosis | 27.00 - 53.00 |
| Elbow Joint | ROM | 0.00 - 30.00 |
| Finger | Ankylosis | 3.00 - 8.00 |
| Finger | ROM | 0.00 - 6.00 |
| Great Toe | Ankylosis | 2.00 - 10.00 |
| Great Toe | ROM | 0.00 - 6.00 |
| Hip Joint | Ankylosis | 27.00 - 56.00 |
| Hip Joint | ROM | 0.00 - 30.00 |
| Knee Joint | Ankylosis | 32.00 - 56.00 |
| Knee Joint | ROM | 0.00 - 56.00 |
| Loss of 4 fingers | — | 60 |
| Loss of 4 fingers and thumb of one hand | — | 70 |
| Loss of 4 fingers and thumb of one hand | — | 70 |
| Loss of arm at elbow | — | 75 |
| Loss of arm at shoulder | — | 75 |
| Loss of arm between elbow and shoulder | — | 75 |
| Loss of arm between wrist and elbow | — | 70 |
| Loss of both arms | — | 100 |
| Loss of both feet | — | 100 |
| Loss of both hands or all fingers and both thumbs | — | 100 |
| Loss of both hands or of all fingers and both thumb | — | 100 |
| Loss of both legs | — | 100 |
| Loss of foot | — | 55 |
| Loss of hand at wrist | — | 70 |
| Loss of hearing 1 ear | — | 30 |
| Loss of index finger | 1 phalanx | 9 |
| Loss of index finger | 2 phalanges | 11 |
| Loss of index finger | 3 phalanges | 14 |
| Loss of index finger | 3 phalanges & 2nd metacarpal | 21 |
| Loss of leg | at or above knee | 75 |
| Loss of leg | below knee | 65 |
| Loss of little finger | 1 phalanx | 5 |
| Loss of little finger | 2 phalanges | 6 |
| Loss of little finger | 3 phalanges | 7 |
| Loss of little finger | 3 phalanges & 5th metacarpal | 10 |
| Loss of metacarpals | 1st or 2nd | 8 |
| Loss of metacarpals | 3rd, 4th or 5th | 3 |
| Loss of metatarsals | 1st | 10 |
| Loss of metatarsals | Other | 4 |
| Loss of middle finger | 1 phalanx | 7 |
| Loss of middle finger | 2 phalanges | 9 |
| Loss of middle finger | 3 phalanges | 12 |
| Loss of middle finger | 3 phalanges 3rd metacarpal | 15 |
| Loss of midfoot | — | 35 |
| Loss of ring finger | 1 phalanx | 5 |
| Loss of ring finger | 2 phalanges | 6 |
| Loss of ring finger | 3 phalanges | 7 |
| Loss of ring finger | 3 phalanges 4th metacarpal | 10 |
| Loss of sight of 1 eye | — | 50 |
| Loss of thumb | 1 phalanx | 20 |
| Loss of thumb | 2 phalanges | 30 |
| Loss of thumb | 2 phalanges & 1st metacarpal | 36 |
| Loss of toes | all of 1 foot | 20 |
| Loss of toes | great, 1 phalanx | 3 |
| Loss of toes | great, 2 phalanges | 14 |
| Loss of toes | great, 2 phalanges & 1st metatarsal | 23 |
| Loss of toes | other than great (each) | 3 |
| Shoulder Joint | Ankylosis | 18.00 - 45.00 |
| Shoulder Joint | Restriction of Motion (ROM) | 0.00 - 13.00 |
| Thumb | Ankylosis | 5.00 - 16.00 |
| Thumb | ROM | 0.00 - 8.00 |
| Toe (2nd - 5th) | Ankylosis | 2.00 - 3.00 |
| Toe (2nd - 5th) | ROM | 0.00 - 1.00 |
| Total loss of hearing | — | 60 |
| Total loss of sight, including loss of sight as to | — | 100 |
| Wrist Joint | — | 0 |
Applying an assessed percentage
Use the assessed percentage with the applicable average monthly earnings, age factor and statutory accident-date limits. The percentage is not a promised payout, and different impairments should not simply be added together without the required assessment.