Key Takeaway
Court ruling establishes that a 20% deficit in cervical spine flexion constitutes a serious injury under New York's no-fault insurance threshold requirements.
This article is part of our ongoing 5102(d) issues coverage, with 89 published articles analyzing 5102(d) issues issues across New York State. Attorney Jason Tenenbaum brings 24+ years of hands-on experience to this analysis, drawing from his work on more than 1,000 appeals, over 100,000 no-fault cases, and recovery of over $100 million for clients throughout Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, and the Bronx. For personalized legal advice about how these principles apply to your specific situation, contact our Long Island office at (516) 750-0595 for a free consultation.
Understanding New York’s Serious Injury Threshold in Personal Injury Cases
In New York’s no-fault insurance system, accident victims must demonstrate they sustained a “serious injury” to pursue a lawsuit against the at-fault driver for pain and suffering damages. This threshold requirement, codified under Insurance Law § 5102(d), often becomes the battleground where cases are won or lost. The definition of serious injury includes various categories, but proving you meet the threshold can be challenging without proper medical documentation.
One crucial category within the serious injury threshold involves demonstrating a significant limitation of use of a body function or system. Medical professionals typically measure this through range of motion testing, comparing a patient’s current mobility to normal standards. Personal injury attorneys frequently rely on these objective measurements to establish their clients meet the statutory requirements.
The question of what percentage of limitation constitutes “significant” has been litigated extensively. While some defendants argue that only substantial deficits qualify, courts have recognized that even seemingly modest percentage losses can represent serious impairments, particularly when they affect daily activities and quality of life.
Jason Tenenbaum’s Analysis:
Kholdarov v Hyman, 2018 NY Slip Op 07111 (2d Dept. 2018)
“In opposition, the plaintiff submitted the affirmed report of a neurologist who examined the plaintiff on March 16, 2016. The neurologist measured the range of motion of the cervical region of the plaintiff’s spine and compared his results to what would be considered normal range of motion. The neurologist found a 20 percent deficit in the flexion of the plaintiff’s cervical spine, but otherwise found the results to be normal”
Key Takeaway
This case demonstrates that a 20% deficit in cervical spine flexion can satisfy New York’s serious injury threshold. The court’s acceptance of this relatively modest percentage deficit reinforces that plaintiffs don’t need catastrophic limitations to meet the statutory requirements. Objective medical evidence showing measurable deficits in range of motion remains crucial for overcoming summary judgment motions, as hospital records and medical documentation can make or break a case.
Legal Update (February 2026): Since this post’s 2018 publication, New York courts have continued to develop jurisprudence regarding serious injury thresholds under Insurance Law § 5102(d), particularly concerning what percentage limitations constitute “significant” impairment. Practitioners should verify current case law interpretations and any potential legislative or regulatory modifications to the serious injury threshold requirements that may have occurred in the intervening years.
Related Articles
Legal Context
Why This Matters for Your Case
New York law is among the most complex and nuanced in the country, with distinct procedural rules, substantive doctrines, and court systems that differ significantly from other jurisdictions. The Civil Practice Law and Rules (CPLR) governs every stage of civil litigation, from service of process through trial and appeal. The Appellate Division, Appellate Term, and Court of Appeals create a rich and ever-evolving body of case law that practitioners must follow.
Attorney Jason Tenenbaum has practiced across these areas for over 24 years, writing more than 1,000 appellate briefs and publishing over 2,353 legal articles that attorneys and clients rely on for guidance. The analysis in this article reflects real courtroom experience — from motion practice in Civil Court and Supreme Court to oral arguments before the Appellate Division — and a deep understanding of how New York courts actually apply the law in practice.
Keep Reading
More 5102(d) issues Analysis
Significant limitation v. permanent consequential, again
New York court ruling creates apparent contradiction in no-fault threshold requirements for significant limitation vs. permanent consequential limitation cases.
May 22, 2021NY Serious Injury Threshold: When Suboptimal Effort Derails Personal Injury Cases
Learn how NY's serious injury threshold works and why suboptimal effort can destroy your personal injury case. Expert Long Island attorney guidance. Call 516-750-0595.
Nov 25, 2019The $200,000 bulge
Defense attorney's nightmare: $200,000 jury verdict for bulge disc under NY no-fault law's significant limitation and permanent consequential limitation prongs.
Sep 21, 2017Surgery was done so well that plaintiff lost his day in court
New York court dismisses serious injury claim after successful shoulder surgery restored full range of motion, highlighting how effective medical treatment can defeat no-fault...
Jul 6, 2014They call her crash
Court analysis of four accidents determining which qualify for serious injury under 5102(d), examining significant limitation vs permanent consequential categories.
Mar 21, 2012The need for contemporaneous records
Second Department clarifies that contemporaneous medical examinations aren't required to defeat summary judgment motions under Insurance Law § 5102(d).
Apr 10, 2019Common Questions
Frequently Asked Questions
What is the serious injury threshold under Insurance Law §5102(d)?
New York Insurance Law §5102(d) defines 'serious injury' as a personal injury that results in death, dismemberment, significant disfigurement, a fracture, loss of a fetus, permanent loss of use of a body organ, member, function or system, permanent consequential limitation of use of a body organ or member, significant limitation of use of a body function or system, or a medically determined injury that prevents the person from performing substantially all of their daily activities for at least 90 of the first 180 days following the accident.
Why does the serious injury threshold matter?
In New York, you cannot sue for pain and suffering damages in a motor vehicle accident case unless your injuries meet the serious injury threshold. This is a critical hurdle in every car accident lawsuit. Insurance companies aggressively challenge whether plaintiffs meet this threshold, often relying on IME doctors who find no objective limitations. Successfully establishing a serious injury requires detailed medical evidence, including quantified range-of-motion findings and correlation to the accident.
Was this article helpful?
About the Author
Jason Tenenbaum, Esq.
Jason Tenenbaum is the founding attorney of the Law Office of Jason Tenenbaum, P.C., headquartered at 326 Walt Whitman Road, Suite C, Huntington Station, New York 11746. With over 24 years of experience since founding the firm in 2002, Jason has written more than 1,000 appeals, handled over 100,000 no-fault insurance cases, and recovered over $100 million for clients across Long Island, Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, the Bronx, and Staten Island. He is one of the few attorneys in the state who both writes his own appellate briefs and tries his own cases.
Jason is admitted to practice in New York, New Jersey, Florida, Texas, Georgia, and Michigan state courts, as well as multiple federal courts. His 2,353+ published legal articles analyzing New York case law, procedural developments, and litigation strategy make him one of the most prolific legal commentators in the state. He earned his Juris Doctor from Syracuse University College of Law.
Disclaimer: This article is published by the Law Office of Jason Tenenbaum, P.C. for informational and educational purposes only. It does not constitute legal advice, and no attorney-client relationship is formed by reading this content. The legal principles discussed may not apply to your specific situation, and the law may have changed since this article was last updated.
New York law varies by jurisdiction — court decisions in one Appellate Division department may not be followed in another, and local court rules in Nassau County Supreme Court differ from those in Suffolk County Supreme Court, Kings County Civil Court, or Queens County Supreme Court. The Appellate Division, Second Department (which covers Long Island, Brooklyn, Queens, and Staten Island) and the Appellate Term (which hears appeals from lower courts) each have distinct procedural requirements and precedents that affect litigation strategy.
If you need legal help with a 5102(d) issues matter, contact our office at (516) 750-0595 for a free consultation. We serve clients throughout Long Island (Huntington, Babylon, Islip, Brookhaven, Smithtown, Riverhead, Southampton, East Hampton), Nassau County (Hempstead, Garden City, Mineola, Great Neck, Manhasset, Freeport, Long Beach, Rockville Centre, Valley Stream, Westbury, Hicksville, Massapequa), Suffolk County (Hauppauge, Deer Park, Bay Shore, Central Islip, Patchogue, Brentwood), Queens, Brooklyn, Manhattan, the Bronx, Staten Island, and Westchester County. Prior results do not guarantee a similar outcome.