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About AMA Guides Digital
The AMA Guides to the Evaluation of Permanent Impairment provide a reliable, repeatable measurement framework for assessing permanent impairment and have been the trusted gold standard by physicians, patients, and the legal and regulatory communities.
AMA Guides Digital is a dynamic, digital platform that provides access to the most current impairment rating information online. AMA Guides Digital hosts AMA Guides Sixth (2008), AMA Guides Sixth updates for 2021, 2022, 2023, 2024, the all-new AMA Guides Sixth 2025 as well as the AMA Guides Newsletter Archives. AMA Guides updates are available exclusively on the digital platform. Review FAQs (PDF) for distributors and print customers on the AMA Guides transition from print to digital.
AMA Guides Sixth 2025
The AMA Guides® to the Evaluation of Permanent Impairment, Sixth Edition, 2024 (AMA Guides Sixth 2025) updates and reinforces the international standard for the assessment of permanent impairment first published in 2008. AMA Guides Sixth 2025 is delivered via an interactive digital platform—AMA Guides Digital.
AMA Guides Sixth 2025 was posted on AMA Guides Digital on Dec. 2, 2025 and is considered the most current version of AMA Guides Sixth. The AMA Guides Sixth 2025 is based on the most current science as adopted by the AMA Guides Editorial Panel. Physicians and other qualified health care professionals who perform permanent impairment evaluations should review the state and jurisdictional requirements regarding use of AMA Guides Sixth 2025.
More than 40 states and several countries recognize the AMA Guides as the authority on evaluating permanent impairment and require raters in their jurisdiction to use the AMA Guides.
Summary of 2025 updates
The AMA Guides Sixth Edition (2008) is considered the foundation for updates to the AMA Guides, and all annual updates to the AMA Guides build upon the changes that precede them. AMA Guides Sixth 2025 builds upon the changes issued in AMA Guides Sixth 2024.
The AMA Guides Sixth 2025 update applies current practices and standards to the pulmonary system content (Chapters 5) and minor updates to ear, nose, throat and related structures content (Chapter 11). Users of these chapters will notice are encouraged to review the 2025 Summary of Changes.
AMA Guides Newsletter
The AMA Guides Newsletter archives provide authoritative guidance and interpretations of rationales for those using the fourth, fifth and sixth editions of the AMA Guides®. It also features peer-reviewed articles on overarching topics and issues regarding disability evaluation.
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