Head/Brain (TBI) QME Evaluation Guide
Traumatic brain injury evaluations in workers' compensation address concussions, post-concussive syndrome, and moderate-to-severe TBI from workplace falls, struck-by incidents, and motor vehicle accidents. These cases often involve complex neuropsychological testing and multidisciplinary assessment. Cognitive, emotional, and physical sequelae are all evaluated for impairment rating.
1-55% WPI
Typical Impairment
$3,500-$6,000
QME Fee Range
#13
Frequency Rank
Evaluation Methods
- Neuropsychological testing battery
- Neurocognitive assessment
- Brain MRI review
- Vestibular function testing
- Clinical neurological examination
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Head/Brain (TBI) Specialists →Frequently Asked Questions
How is the head/brain (tbi) evaluated in a QME examination?
A QME evaluation of the head/brain (tbi) follows the Chapter 13 — The Central and Peripheral Nervous System of the AMA Guides 5th Edition. Common evaluation methods include Neuropsychological testing battery, Neurocognitive assessment, Brain MRI review. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a head/brain (tbi) injury?
Typical whole person impairment ratings for head/brain (tbi) injuries in California workers' compensation range from 1-55% 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 head/brain (tbi) injuries?
QME evaluation fees for head/brain (tbi) injuries in California typically range from $3,500-$6,000 (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 head/brain (tbi)?
Common workers' compensation conditions involving the head/brain (tbi) include Concussion without loss of consciousness, initial encounter, Postconcussional syndrome, S06.300A. These conditions are typically evaluated by Neurology or Neuropsychology physicians.