What Is Permanent Partial Disability (PPD)?
Permanent Partial Disability is the workers' comp benefit paid when your injury leaves you with lasting impairment after you've healed as much as medicine can get you. PPD does not require total loss of function. A 20% permanent limitation to your shoulder, a fusion that limits your spine movement, a finger amputation — these all produce PPD awards if they meet your state's threshold.
PPD kicks in after you reach Maximum Medical Improvement (MMI). Your treating physician or an independent medical examiner assigns a permanent impairment rating — a percentage. That percentage, applied to a scheduled number of weeks for the body part involved, determines how many weeks of benefits you receive. Your weekly rate stays the same as your TTD rate.
Most states use the American Medical Association (AMA) Guides to the Evaluation of Permanent Impairment to assign ratings, but a growing number of states (California, New York, Florida, Illinois) use their own modified rating systems. The difference matters — California's PDRS produces higher ratings than the AMA Guides for many injuries.
How PPD Is Calculated — Scheduled vs. Unscheduled Awards
Scheduled Body Parts
Most states maintain a schedule that assigns a fixed maximum number of weeks to specific body parts. The arm is typically worth 312 weeks at the full rate. The leg is 288 weeks. A hand is 244 weeks. An eye is 160 weeks. To calculate your award:
- Weeks of benefit = (Body part scheduled weeks) × (Impairment rating %)
- Total PPD award = Weeks × Weekly benefit rate
Unscheduled (Whole-Person) Injuries
For injuries that do not fit a scheduled body part — spine injuries that limit function broadly, internal organ damage, chronic pain conditions — states use a "whole-person" impairment rating. Whole-person awards are often worth 500 or more weeks at the full rate, making them significantly larger than scheduled awards for the same injury severity.
Back injuries that produce a whole-person rating rather than a spinal-scheduled rating can increase your PPD award by 60% or more depending on state. This distinction is worth fighting over with an attorney.
How Impairment Ratings Are Assigned
At MMI, your treating physician performs an impairment evaluation. They use standardized criteria to measure loss of range of motion, sensory deficits, loss of strength, and functional limitations. The result is a percentage applied to the whole body or the specific body part.
Important: The insurance company may schedule an Independent Medical Examination (IME) with a physician of their choosing. IME doctors produce lower ratings than treating physicians in the majority of cases — some studies suggest 30 to 50% lower. The treating physician's rating typically carries more weight before a workers' comp board, but a low IME rating can anchor a negotiation if you settle without fighting it.
If the insurance company's IME produces a rating you believe is too low, an attorney can request a second opinion or contest the IME through a formal hearing. This is one of the highest-value interventions a workers' comp attorney provides.
PPD by Body Part — 2026 Reference
Standard scheduled weeks used by most states (actual schedules vary by state — confirm with your state workers' comp board):
| Body Part | Scheduled Weeks |
|---|---|
| Arm | 312 |
| Leg | 288 |
| Hand | 244 |
| Foot | 205 |
| Eye | 160 |
| Thumb | 75 |
| Index finger | 46 |
| Back / Spine | 312 (scheduled) or 500+ (whole person) |
| Hearing, both ears | 200 |
A 25% impairment to the leg (288 weeks) produces 72 weeks of PPD benefits. At $700/week, that is $50,400 before any settlement discount.
PPD vs. Settlement
PPD benefits are often paid as periodic weekly payments through the state board. But most injured workers eventually settle their PPD claim for a lump sum. Settlements discount the future value of weekly payments — the insurance carrier pays less than the full scheduled award in exchange for closing the claim permanently.
Attorney-represented PPD settlements average 30 to 40% higher than unrepresented settlements. The Settlement Calculator shows you both scenarios side by side.
Scheduled weeks reference — major states
A standard federal-style schedule. Actual schedules vary significantly by state — these are estimates for comparison.
| Body part | CA | TX | FL | NY | IL |
|---|---|---|---|---|---|
| Arm | 312 wks | 312 wks | 312 wks | 312 wks | 312 wks |
| Leg | 288 wks | 288 wks | 288 wks | 288 wks | 288 wks |
| Hand | 244 wks | 244 wks | 244 wks | 244 wks | 244 wks |
| Foot | 205 wks | 205 wks | 205 wks | 205 wks | 205 wks |
| Eye | 160 wks | 160 wks | 160 wks | 160 wks | 160 wks |
| Thumb | 75 wks | 75 wks | 75 wks | 75 wks | 75 wks |
| Index finger | 46 wks | 46 wks | 46 wks | 46 wks | 46 wks |
| Middle finger | 30 wks | 30 wks | 30 wks | 30 wks | 30 wks |
| Ring finger | 25 wks | 25 wks | 25 wks | 25 wks | 25 wks |
| Little finger | 15 wks | 15 wks | 15 wks | 15 wks | 15 wks |
| Hearing (one ear) | 52 wks | 52 wks | 52 wks | 52 wks | 52 wks |
| Hearing (both ears) | 200 wks | 200 wks | 200 wks | 200 wks | 200 wks |
| Back / Spine | 312 wks | 312 wks | 312 wks | 312 wks | 312 wks |
| Whole person | 500 wks | 500 wks | 500 wks | 500 wks | 500 wks |
Workers' Comp Calculators by State
Pick your state for benefit caps, weekly rate, and a state-specific calculator.
PPD FAQ
How is a permanent partial disability rating determined?+
A permanent partial disability rating is assigned by a physician at Maximum Medical Improvement using standardized evaluation criteria, most often the AMA Guides to the Evaluation of Permanent Impairment. The physician measures range of motion, strength, sensory deficits, and functional limitations. The result is a percentage applied to the affected body part or the whole person. In California, New York, and several other states, modified rating systems are used that may produce higher or lower percentages than the AMA Guides for the same injury.
What is the difference between a scheduled and unscheduled PPD award?+
A scheduled award applies to specific body parts listed in your state's workers' comp schedule — arms, legs, hands, feet, eyes, and fingers. The award equals the body part's scheduled weeks multiplied by your impairment percentage and your weekly rate. An unscheduled or whole-person award applies to injuries affecting the body more broadly, such as spine injuries producing systemic limitations. Whole-person awards are typically worth more because the scheduled weeks for whole person are usually 400 to 500+ weeks in most states, compared to 312 for an arm or 288 for a leg.
When do PPD benefits begin?+
PPD benefits begin after you reach Maximum Medical Improvement and receive a permanent impairment rating from your treating physician. MMI typically occurs after your condition stabilizes and your doctor determines that further treatment will not produce significant improvement. At that point, TTD benefits stop and PPD benefits begin — either as continuing weekly payments or a lump-sum settlement.
How much is a 10% whole-person impairment worth?+
In most states, a 10% whole-person impairment rating produces 50 weeks of PPD benefits (10% of the 500-week whole-person schedule). At a weekly rate of $700, that equals $35,000 in total PPD benefits before any settlement discount. The actual amount varies significantly by state — California uses its own Permanent Disability Rating Schedule that produces higher values for many injuries, while states with lower weekly caps produce smaller total awards for the same rating.
Can I return to work and still receive PPD benefits?+
Yes. PPD benefits compensate for permanent impairment, not for being out of work. You can return to your pre-injury job, a modified job, or a new job and still receive your PPD award. PPD is paid separately from wage-replacement benefits. The only situation where returning to work affects PPD is if your state calculates PPD based on wage loss rather than impairment rating — a few states (like Florida and New York) use a wage-loss model for some PPD claims.
What happens if the insurance company and I disagree on the impairment rating?+
If the insurance company's IME physician assigns a lower impairment rating than your treating physician, you can challenge it. Options include requesting a second independent evaluation, filing for a formal hearing before the state workers' comp board, or negotiating a compromise rating in settlement. Workers who contest low IME ratings — especially with attorney representation — typically recover more than those who accept the carrier's number. An attorney can evaluate whether the gap is worth pursuing.