A pain add-on of up to 3% WPI on top of a ratable impairment (AMA Guides Chapter 18). The pain add-on is capped at 3% WPI (AMA Guides Chapter 18).
How the pain add-on works: Chapter 18 pain is not a standalone rating — the schedule allows up to 3% WPI added on top of a ratable impairment (18.00.00.00), capped at 3% across the entire case, and it borrows the FEC rank of the body part it attaches to. The add-on rides the host impairment through the pipeline; it never rates alone.