Cervical Spine QME Evaluation Guide
The cervical spine (neck) is the fourth most frequently evaluated region in California workers' compensation, commonly injured in motor vehicle accidents, falls, and cumulative trauma. Conditions include disc herniations, cervical radiculopathy, cervical spondylosis, and whiplash-associated disorders. QME evaluations assess neurological status, range of motion, and upper extremity radicular symptoms.
4-25% WPI
Typical Impairment
$2,500-$4,000
QME Fee Range
#4
Frequency Rank
Evaluation Methods
- DRE (Diagnosis-Related Estimates)
- ROM (Range of Motion)
- Spurling test
- Upper limb tension testing
- Neurological assessment
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Cervical Spine Specialists →Frequently Asked Questions
How is the cervical spine evaluated in a QME examination?
A QME evaluation of the cervical spine follows the Chapter 15 — The Spine of the AMA Guides 5th Edition. Common evaluation methods include DRE (Diagnosis-Related Estimates), ROM (Range of Motion), Spurling test. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a cervical spine injury?
Typical whole person impairment ratings for cervical spine injuries in California workers' compensation range from 4-25% 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 cervical spine injuries?
QME evaluation fees for cervical spine injuries in California typically range from $2,500-$4,000 (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 cervical spine?
Common workers' compensation conditions involving the cervical spine include Cervicalgia, Cervical disc disorder with radiculopathy, unspecified cervical region, M50.120. These conditions are typically evaluated by Orthopedic Surgery or Neurology physicians.