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AMA Guides Digital is a dynamic, digital platform that provides access to the most current impairment rating information online. According to the AMA Guides, impairments that are to be rated are permanent impairments.Complete Impairment. Health Condition, Disorder or Disease. The AMA Guides are the most widely used basis for determining impairment ratings in state WC systems. 38 CFR Book C, Schedule for Rating Disabilities ; Supplements ; Appendices ; 4. Neurologic impairment of the upper extremity nerves, which may be evaluated utilizing the AMA Guides. Guidelines for Assessing and Rating Areas of Function on the Mental Impairment Rating Worksheet. Items 5 - 24 — The following is a simple classification system for percentage of impairment. Summary of the Workers' Compensation System.