The Workers Compensation Board (WCB) has established new guidelines in establishing scheduled loss of use (SLU) cases. If the first medical evaluation of SLU occurs on or after January 1st, 2018, the question of the SLU will be evaluated under the 2018 SLU Guidelines. If at least one SLU examination was conducted before January 1st, 2018, the Board will determine the claimant’s degree of permanent disability using the 2012 Guidelines. The Loss of Wage Earning Capacity is not changing and the schedule loss of use number of weeks per body part has not changed. The new guidelines have changed through 6 sections. The first section: Objectives, describes the body parts, systems, or extremity, and its use. The second section: Methods, describes when the exam should take place and requires the examiner to use range of motion (ROM), and to consider contralateral body parts. The third section: Range of Motion, describes the “normal” range of motion. The fourth section: Calculating Loss of Use, provides the formula for reaching an impairment percentage. The fifth section: Special Considerations, emphasizes the essential bonus points and enumerated values for SLU. The sixth section: Amputation, describes when to consider a limb or body part amputated. The SLU is awarded if it meets all six sections. There are also non-schedule awards in which certain body parts will be subject to classification in which the claimant can show joint inflammation, x-ray evidence of progressive and severe degenerative arthritis, and no improvement after all modalities of care have been exhausted. For more details and specifics on SLU award, refer to the Worker’s Compensation Guidelines for Determining Impairment, First Edition, November 22, 2017.