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Lower Extremity Chapter 17 — The Lower Extremities

Knee QME Evaluation Guide

The knee is the third most commonly evaluated joint in workers' compensation QME evaluations, frequently injured in slip-and-fall incidents, repetitive kneeling, and twisting motions. Common diagnoses include meniscal tears, ACL/PCL injuries, chondromalacia, and post-traumatic arthritis. Evaluations assess ligamentous stability, range of motion, and articular cartilage defects.

Updated March 2026

2-20% LE (1-8% WPI)

Typical Impairment

$2,000-$3,500

QME Fee Range

#3

Frequency Rank

Evaluation Methods

  • ROM (Range of Motion)
  • Ligamentous stability testing (Lachman, McMurray)
  • Muscle atrophy measurement
  • Arthrometric testing

Common Conditions

Specialties That Evaluate This Region

Related Body Parts

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Frequently Asked Questions

How is the knee evaluated in a QME examination?

A QME evaluation of the knee follows the Chapter 17 — The Lower Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Ligamentous stability testing (Lachman, McMurray), Muscle atrophy measurement. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.

What impairment rating can I expect for a knee injury?

Typical whole person impairment ratings for knee injuries in California workers' compensation range from 2-20% LE (1-8% 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 knee injuries?

QME evaluation fees for knee 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 knee?

Common workers' compensation conditions involving the knee include M23.200, Sprain of anterior cruciate ligament of right knee, initial encounter, Primary osteoarthritis, right knee. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.