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The 'serious injury' threshold: when you can sue for pain and suffering

7 min read May 2026

In New York, you can only sue for pain and suffering after a car crash if your injury clears a specific legal bar. Here's what that bar is.

Because New York is a no-fault state, you cannot automatically sue the at-fault driver for pain and suffering after a car accident. First, your injury must cross what the law calls the 'serious injury' threshold, defined in Insurance Law § 5102(d). Whether an injury qualifies is often the single most contested question in a car-accident case.

The categories of serious injury

The statute lists several categories. The most commonly litigated include:

  • Bone fracture
  • Significant disfigurement
  • Permanent loss of use of a body organ, member, function, or system
  • Permanent consequential limitation of a body organ or member
  • Significant limitation of use of a body function or system
  • A non-permanent injury that prevents you from performing your usual daily activities for at least 90 of the 180 days following the accident
This is where cases are won or lost

Insurers hire their own doctors to argue your injury does not meet the threshold. Consistent medical treatment and thorough documentation are what carry the day.

Why documentation is everything

The difference between a claim that clears the threshold and one that does not is usually evidence: MRI and imaging results, treating-physician records, and a consistent treatment history. Gaps in treatment, or a decision to 'tough it out,' give the insurer's expert room to argue the injury was minor. This is why following your doctor's plan matters legally as well as medically.

The takeaway

If you suffered anything beyond minor bruising in a New York crash, do not assume you cannot recover for pain and suffering — and do not assume you automatically can. The threshold is technical, and how your injury is documented and presented makes the difference. A lawyer who knows how the defense attacks these cases can tell you honestly where yours stands.

This guide is general information about New York law, not legal advice, and does not create an attorney-client relationship. Deadlines and statutes change and every case is different — speak with an attorney about your specific situation.
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