Ears/Hearing QME Evaluation Guide
Hearing loss evaluations are a significant category in California workers' compensation, particularly for workers in construction, manufacturing, entertainment, and emergency services. Noise-induced hearing loss (NIHL) and tinnitus are the most common conditions. QME evaluations require audiometric testing and assessment of monaural versus binaural hearing impairment.
0-35% WPI
Typical Impairment
$2,500-$4,000
QME Fee Range
#12
Frequency Rank
Evaluation Methods
- Pure tone audiometry
- Speech recognition testing
- Tympanometry
- Otoacoustic emissions
- Noise exposure history
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Ears/Hearing Specialists →Frequently Asked Questions
How is the ears/hearing evaluated in a QME examination?
A QME evaluation of the ears/hearing follows the Chapter 11 — Ear, Nose, Throat, and Related Structures of the AMA Guides 5th Edition. Common evaluation methods include Pure tone audiometry, Speech recognition testing, Tympanometry. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a ears/hearing injury?
Typical whole person impairment ratings for ears/hearing injuries in California workers' compensation range from 0-35% 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 ears/hearing injuries?
QME evaluation fees for ears/hearing 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 ears/hearing?
Common workers' compensation conditions involving the ears/hearing include Noise effects on inner ear, unspecified ear, Unspecified hearing loss, unspecified ear, Tinnitus, unspecified ear. These conditions are typically evaluated by Otolaryngology (ENT) or Audiology physicians.