WCPanelIQ
PanelQMEMed-legalRemanded

Vigil, Sammy

SAMMY VIGIL, Applicant vs. COUNTY OF KERN, Defendants

ADJ number
ADJ11201607
Decision date
Date unavailable
District office
Bakersfield
WCJ
—
Claim administrator
County of Kern (self-insured)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, CRAIG SNELLINGS, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: hips, left hip, right hip, lumbar spine, back

LC §115LC §4660LC §4660.1LC §4663LC §4664LC §5705CCR §10325CCR §10961CCR §10962

Summary

Applicant Sammy Vigil, a maintenance painter for the County of Kern, claimed injury to his hips and back, with QME Dr. Peter Newton assigning 15% WPI to each hip and 7% WPI to the lumbar spine. The WCJ found 68% PD by adding (rather than combining via CVC) the bilateral hip impairments under Kite and declined apportionment to the hips under Hikida, reasoning the disability resulted from hip replacement surgery. The Appeals Board, sitting En Banc, held that the CVC may be rebutted and impairments added where an applicant establishes the ADL impact of each impairment and either (a) no overlap between effects on ADLs exists, or (b) overlap exists but increases/amplifies the impact on overlapping ADLs. The Board found Dr. Newton's opinion failed to constitute substantial evidence because it contained no analysis of ADLs to support adding the hip impairments. In a separate panel decision, the Board also found the WCJ misapplied Hikida (since the surgery was successful) but concluded defendant still failed its burden of proving apportionment because Dr. Newton's apportionment opinion was conclusory. The matter was rescinded and remanded for further development of the record.

Issues

Member is $25/month or $250/year and includes full case search.

Holding

Member is $25/month or $250/year and includes full case search.

Analysis

Member is $25/month or $250/year and includes full case search.

Applicant takeaway

Member is $25/month or $250/year and includes full case search.

Defense takeaway

Member is $25/month or $250/year and includes full case search.

Provider takeaway

Member is $25/month or $250/year and includes full case search.

Similar decisions

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.