Or. Admin. Code § 436-035-0250 - Hearing Loss
(1) The following
information is provided by the attending physician or reviewed and commented on
by the attending physician, under OAR
436-035-0007(5) and
(6), to value work-related hearing loss:
(a) A written record, history, examination,
diagnosis, opinion, interpretation and a statement noting if further material
improvement would reasonably be expected from medical treatment or the passage
of time by a medical provider with specialty training or experience in
evaluating hearing loss.
(b) The
complete audiometric testing.
(2) A worker is eligible for an award for
impairment for any loss of normal hearing that results from the compensable
injury. Any hearing loss that existed before the compensable injury and that
does not result from a compensable pre-existing condition must be offset
against hearing loss in the claim if the hearing loss that existed before the
compensable injury is adequately documented by a baseline audiogram that was
obtained within 180 days of assignment to a high noise environment.
(a) The offset will be done at the monaural
percentage of impairment level.
(b)
Determine the monaural percentage of impairment for the baseline audiogram
under section (4) of this rule.
(c)
Subtract the baseline audiogram impairment from the current audiogram
impairment to obtain the impairment value.
(3) Hearing loss is based on audiograms which
must report on air conduction frequencies at 500, 1,000, 2,000, 3,000, 4,000
and 6,000 Hz.
(a) Audiograms should be based
on American National Standards Institute S3.6 (1989) standards.
(b) Test results will be accepted only if
they come from a test conducted at least 14 consecutive hours after the worker
has been removed from significant exposure to noise.
(4) Impairment of hearing is calculated from
the number of decibels by which the worker's hearing exceeds 150 decibels
(hearing impairment threshold). Compensation for monaural hearing loss is
calculated as follows:
(a) Add the audiogram
findings at 500, 1,000, 2,000, 3,000, 4,000 and 6,000 Hz. Decibel readings in
excess of 100 will be entered into the computations as 100 dB.
(b) Hearing loss caused by presbycusis is
based on the worker's age at the time of the audiogram, except that, in an
injury claim, an impairment award for hearing loss caused by presbycusis is
reduced only if the presbycusis qualifies as a pre-existing condition. To
determine the reduction to be applied for hearing loss caused by presbycusis,
consult the Presbycusis Correction Values Table below. (These values represent
the total decibels of hearing loss in the six standard frequencies which
normally results from aging.) Find the figure for presbycusis hearing loss.
Take this presbycusis figure and subtract the hearing impairment threshold of
150 decibels. Subtract any positive value from the sum of the audiogram
entries. This value represents the total decibels of hearing loss in the six
standard frequencies which normally results from aging that exceed the hearing
impairment threshold. (If there is no positive value there is no hearing
impairment attributable to presbycusis above the hearing impairment threshold.)
[Table not included. See ED. NOTE.]
(c) Consult the Monaural Hearing Loss Table
below, using the figure found in subsection (b) of this section. This table
will give you the percent of monaural hearing loss to be compensated. [Table
not included. See ED. NOTE.]
(d) No
value is allowed for db totals of 150 or less. The value for db totals of 550
or more is 100%.
(5)
Binaural hearing loss is calculated as follows:
(a) Find the percent of monaural hearing loss
for each ear by using the method listed in (4)(a)-(c) above.
(b) Multiply the percent of loss in the
better ear by seven.
(c) Add to
that result the percent of loss in the other ear.
(d) Divide this sum by eight. This is the
percent of binaural hearing loss to be compensated.
(e) This method is expressed by the formula:
7(A) + B
8
"A" is the percent of hearing loss in the better ear.
"B" is the percent of hearing loss in the other ear.
(6) Use the method
(monaural or binaural) which results in the greater impairment.
(7) Tinnitus and other auditory losses may be
determined as losses under OAR
436-035-0390.
Notes
Tables and Formulas referenced are available from the agency.
Publications: Publications referenced are available from the agency.
To view attachments referenced in rule text, click here to view rule.
Statutory/Other Authority: ORS 656.726
Statutes/Other Implemented: 656.005, 656.214, 656.268 & 656.726
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