The highest possible physical impairment rating is 100%, which signifies total permanent impairment or catastrophic loss of function affecting the entire body or multiple vital bodily systems. Under standard American Medical Association (AMA) evaluation guidelines, a 100% rating typically corresponds to severe permanent conditions such as total paralysis, permanent blindness, loss of multiple limbs, or catastrophic cognitive impairment. Such maximum ratings generally qualify an injured worker for permanent total disability (PTD) benefits, providing lifetime wage replacement.
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