Springfield Pest v. Scott Peterman ( 2024 )


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  •                                           COURT OF APPEALS OF VIRGINIA
    Present: Judges Huff, Causey and White
    PUBLISHED
    Argued by videoconference
    SPRINGFIELD PEST, ET AL.
    OPINION BY
    v.     Record No. 2056-23-2                             JUDGE KIMBERLEY SLAYTON WHITE
    NOVEMBER 26, 2024
    SCOTT PETERMAN
    FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
    Erica S. Blackman (Two Rivers Law Group, P.C., on brief), for
    appellants.
    W. David Falcon, Jr. (Ackerman & Falcon, LLP, on brief), for
    appellee.
    Springfield Pest and Old Republic Insurance Company (collectively “Springfield Pest”)1
    appeal the decision of the Workers’ Compensation Commission awarding Scott Peterman,
    employee of Springfield Pest, permanent partial disability benefits for the 21.5% loss-of-use of his
    right leg. Springfield Pest claims that the Commission’s consideration of Peterman’s post-surgery
    impairment rating was in error based on the Supreme Court of Virginia’s decision in Loudoun
    County v. Richardson, 
    298 Va. 528
     (2020), and, in the alternative, that there was insufficient
    evidence for the Commission to conclude that Peterman’s condition worsened following his total
    right knee replacement surgery. We disagree with both arguments and affirm.
    BACKGROUND
    On June 15, 2017, Peterman injured his right knee while working as an operations
    manager for Springfield Pest. In 2019, Peterman filed a claim for permanent partial disability
    1
    Springfield Pest is the claimant’s employer, and Old Republic Insurance Company is an
    insurer.
    benefits for loss of use of his right knee. By stipulated order, the Commission awarded Peterman
    8.75% permanent partial disability benefits for his right lower extremity for 15.31 weeks.
    Peterman continued on light duty, never returning to his pre-injury tasks.
    In 2021, Peterman was scheduled for a total right knee replacement surgery. Following
    the surgery, performed by Dr. Neubauer, Peterman reported continued knee problems and sought
    an independent medical evaluation from Dr. Salter. Dr. Salter found that Peterman’s knee was
    now 43% impaired, which he attributed entirely to Peterman’s work accident. Based on
    Dr. Salter’s evaluation, Peterman filed a claim seeking additional permanent partial disability
    benefits for his right lower extremity in December 2022. At Springfield Pest’s request,
    Dr. Tepper performed a second independent medical evaluation of Peterman in May 2023.
    According to Dr. Tepper, Peterman’s right knee was 37% impaired, but only 8.75% of the
    impairment was attributable to Peterman’s work injury.2
    After an evidentiary hearing, the deputy commissioner found “valid points . . . made [by]
    both sides” and averaged the two proposed impairment ratings for the purposes of determining
    Peterman’s level of permanent disability to his right knee. The deputy commissioner increased
    Peterman’s permanent disability benefits, finding he had incurred a 21.5% permanent loss of the
    use of his right leg.3 Springfield Pest appealed to the full Commission, which affirmed the
    deputy commissioner’s finding.
    On appeal, Springfield Pest argues that the Commission erred by calculating the
    impairment rating of Peterman’s right leg after his total knee replacement surgery, asserting that
    2
    Dr. Tepper attributed the remaining 28.25% impairment of Peterman’s knee to unrelated
    preexisting medical conditions.
    3
    The deputy commissioner initially awarded Peterman benefits based on a 34.25%
    impairment of his right leg. Springfield Pest challenged the deputy commissioner’s calculation
    of this average in its request for reconsideration. The deputy commissioner issued an amended
    opinion recalculating the average of the impairment ratings.
    -2-
    the Supreme Court of Virginia has interpreted the Workers’ Compensation Act as requiring
    permanent loss of use of a joint to be measured before joint replacement surgery in permanent
    partial disability claims. Springfield Pest also argues that the evidence is insufficient to support
    the Commission’s finding that Peterman’s knee impairment increased after the knee replacement
    surgery. We disagree and affirm the decision of the Workers’ Compensation Commission.
    ANALYSIS
    I. An impairment rating does not need to be measured before joint replacement surgery
    under Code § 65.2-503.
    “Under well-established principles, an issue of statutory interpretation is a pure question
    of law which we review de novo.” Richardson, 298 Va. at 532 (quoting Conyers v. Martial Arts
    World of Richmond, Inc., 
    273 Va. 96
    , 104 (2007)).
    The Virginia Workers’ Compensation Act provides claimants an avenue to receive
    compensation for permanent partial loss and disfigurement. Code § 65.2-503. To become
    eligible for permanent partial disability, “it must appear both that the partial incapacity is
    permanent and that the injury has reached maximum medical improvement.” Cnty. of
    Spotsylvania v. Hart, 
    218 Va. 565
    , 568 (1977). The claimant bears the burden of proving the
    level of impairment. See Hungerford Mech. Corp. v. Hobson, 
    11 Va. App. 675
    , 677-78 (1991).
    It is not disputed that Peterman reached maximum medical improvement and suffers a
    ratable degree of permanent impairment. At issue here is whether Peterman’s impairment should
    be rated before or after his total knee replacement surgery. Relying on Richardson, Springfield
    Pest asserts that the Commission may only award permanent partial disability based on an
    -3-
    impairment rating calculated before joint replacement surgery.4 We disagree, as Springfield Pest
    misunderstands what Richardson stands for.
    In Richardson, the Commission addressed the claim of a firefighter who had undergone
    hip replacement due to an injury sustained on the job. Prior to the hip replacement, Richardson’s
    loss-of-use rating was 74%. Richardson, 298 Va. at 531. Following the replacement, his
    impairment rating was 11%. Id. Richardson initially filed a workers’ compensation benefits
    claim based on the post-replacement 11% loss-of-use rating, but subsequently amended the claim
    to reflect the 74% loss-of-use rating received prior to the surgery. Id. at 531-32. A deputy
    commissioner awarded Richardson permanent partial disability benefits, concluding that the
    proper measure for Richardson’s loss of use was the rating made prior to the replacement. Id. at
    531. The deputy commissioner reduced the initial 74% loss-of-use rating to 49% after
    determining that certain conditions should not have been included in the rating. Richardson’s
    employer, Loudoun County, appealed to the full Commission, and Richardson filed a cross-
    appeal challenging the reduction of the loss-of-use rating. Id. The Commission unanimously
    affirmed the decision of the deputy commissioner and granted Richardson’s cross-appeal,
    modifying the award to reflect the initial 74% loss-of-use rating. Id. The case reached our
    Supreme Court, which, in interpreting Code § 65.2-503, affirmed the Commission’s decision.
    Id. at 532.
    Loudoun County argued that the Commission erred by basing Richardson’s award on the
    impairment rating given prior to the corrective surgery. Instead, Loudoun County asserted that
    4
    At oral argument, Springfield Pest, for the first time, adopted an argument claiming that
    the Commission would need a “closer in time” pre-surgery impairment rating for it to be proper
    for the Commission to have used Peterman’s post-surgery impairment rating in calculating his
    disability benefits. Regardless of the merits of this argument, it is waived. Where an appellant
    does not raise the issue as an assignment of error on appeal, did not argue it in the Commission,
    nor on brief, the appellate court cannot consider the argument on appeal. See Rule 5A:18.
    -4-
    the proper impairment rating to have considered was the impairment rating Richardson obtained
    following the corrective surgery since “maximum medical improvement can only be determined
    after undergoing an available corrective surgery.” Id. at 538 n.3. Our Supreme Court disagreed,
    but not in the way Springfield Pest asserts that it did. While it was appropriate for the
    Commission to consider the pre-surgery impairment rating in Richardson, the Court did not hold
    that the Commission must only consider the pre-surgery impairment rating when awarding
    permanent partial disability benefits.
    The Richardson Court upheld the Commission’s award of permanent partial disability
    benefits for the loss of use measured before the joint replacement surgery, as this application
    “acknowledges the irreplaceable loss of the claimant’s natural joint, the nonmonetary costs
    associated with the corrective surgery, and the permanent restrictions on the claimant’s activities
    resulting from the work-related injury.” Id. at 537. The Richardson Court did not expressly
    limit the Commission to only considering a pre-surgery loss-of-use rating for permanent partial
    disability benefits.
    While awarding compensation based on a pre-surgery loss-of-use rating “recognizes that
    a work-related injury has permanently deprived that claimant of natural functionality,” an award
    based on that rating presupposes that the corrective surgery improved the employee’s condition.
    See Richardson, 298 Va. at 530 (finding pre-surgery loss-of use-calculation appropriate where
    claimant’s condition improved from 74% loss-of-use to 11% loss-of-use); Creative Dimensions
    Grp. Inc. v. Hill, 
    16 Va. App. 439
    , 441 (1993) (finding pre-surgery loss-of-use calculation
    appropriate where claimant’s vision improved significantly following an intraocular lens
    implant). The Richardson Court rejected the employer’s argument that the loss-of-use must be
    calculated following corrective surgery. The Richardson Court noted that joint replacement
    surgery had a high risk of failure, eliminated the natural joint’s ability to heal, and presented
    -5-
    numerous other possible complications, holding that “[r]equiring that loss of use be measured
    only after corrective surgery would omit these intangible costs from the compensation
    calculation.” Richardson, 298 Va. at 537. The Richardson Court clarified that a disability
    benefits award can be based on pre-surgery loss-of-use calculations. Where a claimant’s
    condition worsens following a corrective surgery, however, the statute necessitates a different
    calculation to effectuate Code § 65.2-503’s remedial purpose. The Workers’ Compensation
    Commission has consistently used a post-surgery loss-of-use rating in situations similar to
    Peterman’s.
    The purpose of the Workers’ Compensation Act is to protect employees, and courts
    construe it in a manner effectuating this remedial purpose. See, e.g., Richardson, 298 Va. at 535;
    E.I. du Pont de Nemours & Co. v. Eggleston, 
    264 Va. 13
    , 17 (2002); Ellis v. Commonwealth
    Dep’t of Highways, 
    182 Va. 293
    , 303 (1944). Notably, following Richardson, the Commission
    decided Schoenly v. Loudoun Stairs, JCN No. 00001453708 (Va. Workers Comp. Comm’n Jan.
    18, 2022).5 In Schoenly, the claimant underwent a right knee replacement surgery and filed an
    application seeking 50% permanent partial disability based on a rating assigned after the surgery.
    Id. at 1-2. The employer argued that, based on Richardson, the proper rating was limited to 2%
    loss-of-use assigned prior to the surgery. Id. at 2. The employer also cited Rowe v. Dycom
    Indus., Inc., VWC No. 179-38-18 (Va. Workers Comp. Comm’n Apr. 24, 2002), where a
    claimant submitted to knee replacement surgery and sought an award of permanent partial
    disability benefits based upon his pre-surgery loss of use. The Rowe Commission agreed,
    recognizing that although the knee replacement provided the claimant “the opportunity to
    improve beyond the body’s natural ability to heal itself,” Hill’s holding controls and that
    5
    While the Commission’s decisions are not binding on this Court, such decisions are
    highly informative as indicative of the Commission’s longstanding practice.
    -6-
    impairment ratings should be based on the claimant’s condition before the “artificial device” was
    implanted. Id.at 4 (citing Hill, 
    16 Va. App. at 446
    ).
    The Schoenly Commission rejected these arguments, stating that “[a]s was the case in
    Richardson and Rowe, the claimant submitted to the implantation of a prosthetic orthopedic
    device. There, the similarity ends.” Schoenly, slip op. at 5. The same is true here. The
    Commission recognized that Schoenly’s total knee replacement did not result in an improvement
    of his condition, but instead resulted in greater impairment. Relying on its own precedent, the
    Commission acknowledged that, under such circumstances, a different means of calculating the
    permanent impairment is necessary.
    In Groover v. Bell Atlantic VA., Inc., VWC No. 173-16-00 (Va. Workers Comp. Comm’n
    Oct. 6, 2004), the claimant was assessed with a 20% loss of use, then submitted to a total right
    knee replacement, and, following the surgery, was assessed with a 30% loss of use. The
    employer argued the benefits should have been based on the pre-surgery loss of use, relying on
    Rowe, and the Commission rejected this argument, holding that:
    [T]he claimant’s condition in this case actually deteriorated as a
    result of his knee replacement surgery. We agree with the Deputy
    Commissioner’s conclusion that an award of permanent
    impairment under Code § 65.2-503 of the Act should reflect the
    true measure of the claimant’s disability resulting from his
    industrial accident—even if a portion of such disability is
    attributable to corrective surgery.
    Id. at 5-6 (emphasis added).
    In Perkins v. Paramount Coal Corp., VWC No. 187-95-91 (Va. Workers Comp. Comm’n
    Nov. 1, 2005), the claimant was initially assessed with a 15% impairment, but, following
    surgery, his impairment rating was assessed at 50%. Citing Groover, the Commission held that
    the claimant was entitled to benefits for the increase in his impairment following the surgery. Id.
    at 5. The Commission explained that “[t]o ignore the increased disability would be contrary to
    -7-
    the intention of Code § 65.2-503.” Id. We agree. Where a claimant’s impairment worsens
    following a corrective surgery, the Commission is correct in using the post-surgery impairment
    rating when awarding permanent partial disability benefits under Code § 65.2-503.
    Consequently, the Commission did not err when it used the post-surgery loss-of-use rating to
    calculate Peterman’s disability benefits.
    II. The evidence was sufficient to support the Commission’s finding that Peterman’s knee
    impairment increased after the knee replacement surgery.
    Springfield Pest’s second argument is that the Commission erred in finding that the
    claimant’s right knee worsened following the total knee replacement. Springfield Pest does not
    assert a claim of insufficient evidence, but rather attempts to reweigh the evidence presented.
    This assignment of error is without merit.
    “On appeal, the appellant bears ‘the “burden of showing” that the Commission
    committed “reversable error.”’” LKQ Corp. v. Morales, 
    78 Va. App. 158
    , 163 (2023) (quoting
    Jones v. Crothall Laundry, 
    69 Va. App. 767
    , 774 (2019)). Decisions of the Commission are
    “conclusive and binding as to all questions of fact.” Code § 65.2-706(A). “Consequently, on
    appeal, ‘we do not retry the facts before the Commission nor do we review the weight,
    preponderance of the evidence, or the credibility of witnesses.’” Jeffreys v. Uninsured Emp.
    Fund, 
    297 Va. 82
    , 87 (2019) (quoting Caskey v. Dan River Mills, Inc., 
    225 Va. 405
    , 411 (1983)).
    Instead, “we are bound by the [C]ommission’s findings of fact as long as ‘there was credible
    evidence presented such that a reasonable mind could conclude that the fact in issue was proved,’
    even if there is evidence in the record that would support a contrary finding.” Artis v.
    Ottenberg’s Bakers, Inc., 
    45 Va. App. 72
    , 83-84 (2005) (en banc) (quoting Westmoreland Coal
    Co. v. Campbell, 
    7 Va. App. 217
    , 222 (1988) (emphasis in original)).
    Springfield Pest points to Dr. Tepper’s opinion that Peterman had “a good result” from
    his total knee replacement as evidence that Peterman’s knee did not worsen after the surgery.
    -8-
    Springfield Pest also acknowledges that this interpretation of Dr. Tepper’s statement contradicts
    both Dr. Salter’s opinion that Peterman’s impairment increased and Peterman’s own testimony
    regarding the worsening of his condition following the surgery. The appellate standard of review
    regarding the Virginia Workers’ Compensation Commission’s factual findings is limiting. This
    Court is bound by the Commission’s factual findings, so long as there was credible evidence
    presented such that a reasonable mind could conclude the fact was proved, even where there is
    evidence in the record that would support a contrary finding. Artis, 45 Va. App. at 83-84. Both
    Dr. Salter’s opinion and Peterman’s testimony constituted credible evidence, which the
    Commission was empowered to believe over other evidence presented, and thus it was not in
    error for the Commission to find that Peterman’s condition worsened by giving greater weight to
    the credible evidence that supported that finding.
    Furthermore, Springfield Pest advances the argument that Peterman’s testimony that his
    knee replacement surgery was “successful” should be construed to mean that he did not sustain
    any additional impairment because of the surgery. This is unpersuasive. Again, Springfield Pest
    asks us to reweigh the credible evidence presented to the Commission.
    In addition to Peterman’s testimony that the surgery was “successful,” Peterman testified
    that his knee was worse following the surgery than before. Common sense leads us to conclude
    that a person may have a successful procedure that nevertheless fails to improve his function.
    Additionally, as above, both statements constitute credible evidence from which the Commission
    drew its factual findings. The Commission did not abuse its discretion by finding that
    Peterman’s condition worsened based on this testimony.
    Lastly, Springfield Pest contends that there was no evidence of impairment prior to the
    total knee replacement for gauging whether Peterman’s condition worsened following the
    surgery. Specifically, Springfield Pest claims that Peterman’s September 5, 2019 8.75%
    -9-
    impairment rating is insufficient evidence to find that Peterman’s condition had worsened.
    Again, this argument defies common sense. The Commission’s finding based on Dr. Salter’s
    post-surgery rating combined with Peterman’s testimony that he never returned to full duty and
    that he sought corrective surgery constitutes credible evidence upon which the Commission
    could find that Peterman’s condition worsened.
    In short, the Commission properly considered credible evidence and made permissible
    factual findings regarding Peterman’s worsened condition in awarding him greater disability
    benefits.
    CONCLUSION
    The Commission’s use of Peterman’s post-surgery impairment rating to award increased
    disability benefits was proper under Code § 65.2-503. Code § 65.2-503 necessitates that a
    claimant’s award reflects the true measure of his disability resulting from his industrial accident,
    even if a portion of such disability is attributable to corrective surgery. Additionally, there was
    sufficient evidence for the Commission to conclude that Peterman’s condition worsened
    following the surgery. Accordingly, we affirm.
    Affirmed.
    - 10 -
    

Document Info

Docket Number: 2056232

Filed Date: 11/26/2024

Precedential Status: Precedential

Modified Date: 11/26/2024