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This chapter takes points off. The whole thing turns on one phrase in a medical report — about a half, about a third — and vague reports get decided against you.
This chapter takes points off you. It is worth understanding exactly how.
You have a bad back. Some of it is the accepted service injury. Some of it is a car accident in 2009 that has nothing to do with service.
Your back scores 30 points as it is today. But DVA can only pay for the service part.
Chapter 19 works out that share.
Three steps.
The answer must be based on proper medical advice. It is not a guess by an administrator.
Say the rating is 30 points. Depending on how much the accepted condition contributes:
The gap between "about half" and "about a third" is 6 points on a 30-point rating. On a 60-point rating it is 13 points. This is not a small decision.
Here is the pattern we see over and over.
The medical report says something like: "Degenerative changes, likely multifactorial, with a contribution from his service injury."
That sentence does not name a fraction. So someone has to pick one. And when there is nothing to anchor it, the pick tends to land low.
What a useful report says instead: "In my opinion the accepted lumbar injury contributes about two thirds of the current impairment, and the non-service motor vehicle accident about one third, because [reasons]."
Same doctor, same patient. Very different number.
Chapter 19 only applies when a non-accepted condition is contributing.
Two things that are not that:
If a reduction has been applied, it is fair to ask which non-accepted condition it relates to, and what medical opinion supports the fraction.
The delegate, on medical advice. Which is why the medical advice needs to say it plainly.
Yes. It is part of the determination and can be reviewed. Better medical evidence is what changes it.
That is a question for a specialist who has read the whole file. It is one of the main reasons a proper chart review of your records is worth doing before an assessment.
Chapter 20: splitting a score between two accepted conditions — the one that gives points back.
If you have a permanent impairment assessment coming up, we do these every week. Call 0429 146 039 or email reception@vhc.org.au.
What is the GARP? · The chapter map · DVA Claims: PI points calculator · Permanent Impairment Assessments · DVA claims · SoP library
This is general information for Australian veterans. It is not legal advice. It explains Chapter 19 of the Guide to Determining Impairment and Compensation 2026 (F2026L00595), which started on 1 July 2026. The full rules are on the Federal Register of Legislation. Check your own situation with DVA on 1800 VETERAN (1800 838 372).
The expert in veterans’ medicolegal medicine — Expert DVA Doctor.








Dr Thomas Perkins is the founding doctor at the Veterans Health Centre in Ipswich, Queensland, and the leading expert in veterans’ medicolegal work in Australia. He has spent over 13 years working exclusively with current and former Australian Defence Force members — treating conditions, writing reports, and navigating the DVA system alongside them.
With 100,000+ DVA claims submitted and over 2,000 Permanent Impairment Assessments completed, Dr Perkins brings a depth of experience that simply cannot be replicated from a textbook. He understands the Statements of Principles, the GARP tables, the imaging that proves what a physical examination alone cannot — and the difference that a properly written report makes at every level, from initial liability through to the VRB.
Every chart review, every diagnostic assessment, and every impairment rating is personally overseen by Dr Perkins. If you’re looking for a doctor who knows veterans medicine inside and out, you’ve found the right clinic.
Contact us0429 146 039 reception@vhc.org.au
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