Fingers/Thumb QME Evaluation Guide
Finger and thumb injuries are common in manufacturing, construction, and food processing occupations, including fractures, tendon lacerations, amputations, and trigger finger. The thumb carries significantly higher impairment values due to its functional importance. Evaluations assess range of motion of individual joints, sensory loss, and opposition function.
1-40% digit (1-20% UE)
Typical Impairment
$1,500-$3,000
QME Fee Range
#14
Frequency Rank
Evaluation Methods
- ROM of individual finger joints (DIP, PIP, MCP)
- Grip and pinch strength
- Sensory testing
- Opposition assessment
- Digital nerve function
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
Find a QME Specialist for Fingers/Thumb Evaluations
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Find Fingers/Thumb Specialists →Frequently Asked Questions
How is the fingers/thumb evaluated in a QME examination?
A QME evaluation of the fingers/thumb follows the Chapter 16 — The Upper Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM of individual finger joints (DIP, PIP, MCP), Grip and pinch strength, Sensory testing. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a fingers/thumb injury?
Typical whole person impairment ratings for fingers/thumb injuries in California workers' compensation range from 1-40% digit (1-20% UE). 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 fingers/thumb injuries?
QME evaluation fees for fingers/thumb injuries in California typically range from $1,500-$3,000 (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 fingers/thumb?
Common workers' compensation conditions involving the fingers/thumb include S62.509A, S66.029A, Trigger finger, unspecified finger. These conditions are typically evaluated by Hand Surgery or Orthopedic Surgery physicians.