Skip to Main Content
Skip Nav Destination

AMA Guides Sixth 2023 Public Comment Information 

Public Comment Dates: September 5 - October 3, 2022
Deadline to Submit Request Form: September 29, 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 is 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

Synopses of proposed changes include, but are not limited to:

  • Change of chapter title from Central and Peripheral Nervous System to The Nervous System
  • Adherence to the principles of the AMA Guides, Sixth Edition by promoting the concept of Diagnosis Based Impairment
  • Conformity of tables with all other Guides chapters
  • Identification of a Key Factor: Effect on ADLs consistent with known natural history of the diagnosis
  • Introduction of Grades within Classes along with Grade Modifiers 
    • 3-Grade system with Grade A as the foundation
    • BOTC that can be used to Adjust Grade within Class
  • Update of the following Tables in conformity to the Guides Principle of Simplicity:
    • To maintain consistency with Chapter 14 Digital 2022, The GAF has been incorporated into the MSCHIF as the MSCHIF-E
    • Aphasia has been incorporated into the Mental Status Examination within the MSCHIF-E
    • Modifies Episodic Disorders of Consciousness into Episodic Disorders
    • Consolidates 3 Tables on Pain into one (Neuropathic Pain)
    • Defers Central Sleep Disorders to Chapter 14, consistent with the DSM-5
  • Creation of the QuickView Worksheet to improve Inter-Rater Reliability
  • Creation of a BOTC that is not burdensome on the evaluator

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 keep submit comments relevant to the changes outlined in the proposal. Comments that go beyond the scope of the proposal may not be considered. Commentary on grammar, spelling and syntax is not necessary. 

Submit one comment form per proposal. Submitted Comment Forms will be made publicly available.

Helpful Links

Request Form  

Commentary Form

Register for Panel Meetings

More Information about AMA Guides

Public Comment Period Archive 

Close Modal

or Create an Account

Close Modal
Close Modal