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Upper Extremity Chapter 16 — The Upper Extremities

Forearm QME Evaluation Guide

Forearm injuries in workers' compensation include radius and ulna fractures, compartment syndrome, and Monteggia/Galeazzi fracture-dislocations from falls and machinery accidents. Pronation and supination deficits are key impairment drivers. Evaluations focus on rotational range of motion, grip strength, and radiographic alignment.

Updated March 2026

2-16% UE (1-10% WPI)

Typical Impairment

$2,000-$3,500

QME Fee Range

#17

Frequency Rank

Evaluation Methods

  • ROM (Range of Motion) including pronation/supination
  • Grip strength testing
  • Radiographic assessment of alignment
  • Circumferential measurement for atrophy

Common Conditions

Specialties That Evaluate This Region

Related Body Parts

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Frequently Asked Questions

How is the forearm evaluated in a QME examination?

A QME evaluation of the forearm follows the Chapter 16 — The Upper Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion) including pronation/supination, Grip strength testing, Radiographic assessment of alignment. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.

What impairment rating can I expect for a forearm injury?

Typical whole person impairment ratings for forearm injuries in California workers' compensation range from 2-16% UE (1-10% 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 forearm injuries?

QME evaluation fees for forearm 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 forearm?

Common workers' compensation conditions involving the forearm include Unspecified fracture of the lower end of right radius, initial encounter, S52.101A, S52.271A. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.