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Class 3. ImpaIrment of the Whole Person, 21—45% There is objective evidence of colonic or rectal disease or anatomic loss or alteration; and There are moderate to severe exacerbations with disturbance of bowel habit, accompanied by periodic or continual pain; and Restriction of activity, special diet, and drugs are required during attacks; and There are constitutional manifestations (fever, anemia or weight loss).
Class 4. Impairment of the Whole Person, 46—75%There is objective evidence of colonic or rectal disease or anatomic loss or alteration; and There are persistent disturbances of bowel function present at test with severe persistent pain; and Complete limitation of activity, continued restriction of diet, and medication do not entirely control the symptoms; and There are constitutional manifestations (fever, weight loss, and/or anemia) present; or There is no prolonged remission.
ENTEROCUTANEOUS FISTULAS OF THE GASTROINTESTINAL TRACT, BILIARY TRACT, OR PANCREAS
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Surgical Stoma
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% Impairment of the Whole Person
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Esophagostomy
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10-15
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Gastrostomy
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10-15
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Jejunostomy
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15—20
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Ileostomy
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15—20
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Colostomy
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5—10
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