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Lower Extremity Chapter 17 — The Lower Extremities

Hip QME Evaluation Guide

Hip injuries in workers' compensation include labral tears, avascular necrosis, fractures, and post-traumatic osteoarthritis, often resulting from falls, heavy lifting, and repetitive activities. Total hip arthroplasty outcomes are a significant component of evaluations. QME assessments measure range of motion, gait abnormalities, and functional limitations.

Updated March 2026

5-25% LE (2-10% WPI)

Typical Impairment

$2,000-$3,500

QME Fee Range

#9

Frequency Rank

Evaluation Methods

  • ROM (Range of Motion)
  • Trendelenburg test
  • FABER test
  • Leg length measurement
  • Gait analysis

Common Conditions

Specialties That Evaluate This Region

Related Body Parts

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Frequently Asked Questions

How is the hip evaluated in a QME examination?

A QME evaluation of the hip follows the Chapter 17 — The Lower Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Trendelenburg test, FABER test. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.

What impairment rating can I expect for a hip injury?

Typical whole person impairment ratings for hip injuries in California workers' compensation range from 5-25% LE (2-10% 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 hip injuries?

QME evaluation fees for hip 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 hip?

Common workers' compensation conditions involving the hip include Primary osteoarthritis, right hip, Fracture of unspecified part of neck of right femur, initial encounter, M87.051. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.