Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Skin Graft


Related Terms

  • Allograft
  • Autograft
  • Full-thickness Skin Graft
  • Pedicle Graft
  • Split-thickness Graft

Specialists

  • Plastic Surgeon

Comorbid Conditions

Factors Influencing Duration

The length of disability will be influenced by the location and size of the damaged tissue area, the cause and severity of the wound, the extent of the surgery, and whether the individual is also the donor of the skin graft.

Medical Codes

ICD-9-CM:
86.6 - Free Skin Graft
86.60 - Skin Graft, Free, Not Otherwise Specified
86.61 - Skin Graft, Full-thickness to Hand
86.62 - Skin Graft to Hand, Other
86.63 - Skin Graft, Full-thickness to Other Sites
86.69 - Skin Graft to Other Sites

How Procedure is Performed

The procedure for harvesting and grafting skin varies somewhat according to the size, the extent of grafting needed to cover the wounded site, and the type of cosmetic reconstruction required. For example, extensive facial wounds that involve the nose, lips, or eyes may require skin grafting and a series of plastic surgery interventions to reconstruct normal function and appearance. However, most skin grafting follows a common general procedure.

The size of the wound (recipient site) is measured, and a template or pattern of the area to be covered is made. Then a donor site is selected. Although skin can be grafted from any site on the body, care is usually taken to select a site that matches the recipient site in color. Common donor sites are the underside of the wrist, the abdomen or upper thigh. The pattern or template is laid on the donor site and an outline is made. Local anesthesia is injected into the donor and recipient sites. If the area to be grafted is large, general anesthesia may be used. The skin is harvested using a scalpel or a special cutting tool called a dermatome. The donor site is covered with gauze. Any rough edges or fat adhering to the donor skin are removed. If the skin graft must cover an irregular surface, such as a finger, the donor skin may be passed through a mechanical device that produces multiple uniform slits in the skin graft to produce a mesh-like effect that conforms better to the irregular surface. The graft is then anchored into place with stitches and, possibly, staples. A snug dressing (pressure dressing) is applied to minimize lifting and movement of the grafted skin.

Source: Medical Disability Advisor






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