Section 388-447-0060 - Progressive evaluation process step IV-How does the department determine the severity of multiple impairments?(1) If you have more than one impairment, we determine the overall severity rating by deciding if your impairments have a combined effect on your ability to be gainfully employed.(2) When you have two or more diagnosed impairments that limit work activities, we assign an overall severity rating as follows: Condition | Severity Rating |
(a) All impairments are mild and there is no cumulative effect on basic work activities. | Mild 2 |
(b) All impairments are mild and there is a significant cumulative effect on one or more basic work activities. | Moderate 3 |
(c) Two or more impairments are of moderate severity and there is a very significant cumulative effect on basic work activities. | Marked 4 |
(d) Two or more impairments are of marked severity. | Severe 5 |
(3) We deny incapacity at this step when the overall severity rating is two. (4) We approve incapacity at this step when the overall severity rating is five.Wash. Admin. Code § 388-447-0060
Adopted by WSR 13-24-044, filed 11/26/13, effective 1/1/2014Amended by WSR 18-18-007, Filed 8/23/2018, effective 9/23/2018