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AMA Guides Sixth 2023 Public Comment Information 

Public Comment Dates: June 1, 2022 – July 15, 2022
Deadline to Submit Request Form: July 6, 2022 - Request Form 

This page is intended to provide information related to the public comment period for AMA Guides Sixth 2023. The information below shows the application ids, description of the proposal(s), and affiliated organizations submitting the proposal. These details are extracted from the proposals submitted for discussion.

Individuals and organizations are welcome to request a copy of any of the below proposals for review and/or provide official comment for consideration by the AMA Guides Editorial Panel prior to finalization and adoption. A completed Request Form for a copy of the specific application and associated materials is required, which also includes a confidentiality agreement and disclosure of interest form for signature.

Requests will be processed within 5 business days of request submission.  Please reach out to with any questions or to receive the materials via email.

The following proposals are being considered by the AMA Guides Editorial Panel for the 2023 update. 

Proposed Update Summaries Under Consideration and Available for Review


Affiliated Organization(s)

Proposal Description


International Academy of Independent Medical Evaluators

The words “with normal motion” be removed from all sections in which it appears in Tables 15-2, 15-3, 15-4, and 15-5; elimination of the footnote from the DBI tables that says: “*If motion loss is present, this impairment may alternatively be assessed using Section 15.7, Range of Motion Impairment. A range of motion impairment stands alone and is not combined with diagnosis impairment.”

Revision of section 15-7 (and 15-3b) to reinforce DBI as preferred method, but, when presented with decreased ROM, a rater can consider that as an alternative method when the impairment isn’t able to be rated with the DBI paradigm.


North American Spine Society

Proposal description (pdf)


American Academy of Otolaryngology - Head and Neck Surgery

Revisions to the ENT Chapter of the Guides that address:

  • Rotary Chair Testing
  • New dysphagia example
  • Inclusion of videonystagmography

Guidelines for Providing Commentary

To submit comment(s) for editorial panel consideration relative to the above proposals, please complete the required Comment Form by returning to Please submit one comment form per proposal. Submitted Comment Forms will be made publicly available.


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