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Upper Extremity Chapter 16 — The Upper Extremities

Elbow QME Evaluation Guide

Elbow injuries in workers' compensation commonly result from repetitive motions, direct trauma, and cumulative use. Lateral and medial epicondylitis, cubital tunnel syndrome, and fracture-dislocations are frequently evaluated. QME assessments focus on range of motion, stability, grip strength, and ulnar nerve function.

Updated March 2026

2-18% UE (1-11% WPI)

Typical Impairment

$2,000-$3,500

QME Fee Range

#8

Frequency Rank

Evaluation Methods

  • ROM (Range of Motion)
  • Lateral/medial epicondyle palpation
  • Tinel sign at cubital tunnel
  • Valgus stress test
  • Grip strength testing

Common Conditions

Specialties That Evaluate This Region

Related Body Parts

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Frequently Asked Questions

How is the elbow evaluated in a QME examination?

A QME evaluation of the elbow follows the Chapter 16 — The Upper Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Lateral/medial epicondyle palpation, Tinel sign at cubital tunnel. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.

What impairment rating can I expect for a elbow injury?

Typical whole person impairment ratings for elbow injuries in California workers' compensation range from 2-18% UE (1-11% 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 elbow injuries?

QME evaluation fees for elbow 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 elbow?

Common workers' compensation conditions involving the elbow include Lateral epicondylitis, unspecified elbow, M77.00, Lesion of ulnar nerve, unspecified upper limb. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.