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Lower Extremity Chapter 17 — The Lower Extremities

Ankle/Foot QME Evaluation Guide

Ankle and foot injuries are commonly evaluated in workers' compensation claims involving falls, missteps, and crush injuries. Conditions include ankle fractures, Achilles tendon ruptures, plantar fasciitis, and tarsal tunnel syndrome. QME evaluations assess gait, stability, range of motion, and weight-bearing capacity.

Updated March 2026

2-18% LE (1-7% WPI)

Typical Impairment

$2,000-$3,500

QME Fee Range

#7

Frequency Rank

Evaluation Methods

  • ROM (Range of Motion)
  • Gait analysis
  • Anterior drawer test
  • Thompson test
  • Weight-bearing assessment

Common Conditions

Specialties That Evaluate This Region

Related Body Parts

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Frequently Asked Questions

How is the ankle/foot evaluated in a QME examination?

A QME evaluation of the ankle/foot follows the Chapter 17 — The Lower Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Gait analysis, Anterior drawer test. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.

What impairment rating can I expect for a ankle/foot injury?

Typical whole person impairment ratings for ankle/foot injuries in California workers' compensation range from 2-18% LE (1-7% WPI). The exact rating depends on objective findings, diagnosis severity, treatment history, and whether the DRE or ROM method is used.

What does a QME evaluation cost for ankle/foot injuries?

QME evaluation fees for ankle/foot injuries in California typically range from $2,000-$3,500 (2026 OMFS rates). Fees are set by the Division of Workers' Compensation fee schedule and may vary based on case complexity and whether supplemental reports are needed.

What conditions commonly affect the ankle/foot?

Common workers' compensation conditions involving the ankle/foot include Other fracture of lower leg, right, initial encounter, Achilles tendinitis, unspecified leg, S86.001A. These conditions are typically evaluated by Orthopedic Surgery or Podiatry physicians.