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Lower Extremity Chapter 17 — The Lower Extremities

Lower Leg/Tibia QME Evaluation Guide

Lower leg and tibial injuries in workers' compensation include tibial plateau fractures, compartment syndrome, stress fractures, and tibial shaft fractures from falls and struck-by incidents. Evaluations assess bony union, residual deformity, muscle atrophy, and functional gait impairment.

Updated March 2026

2-15% LE (1-6% WPI)

Typical Impairment

$2,000-$3,500

QME Fee Range

#16

Frequency Rank

Evaluation Methods

  • ROM (Range of Motion)
  • Leg length measurement
  • Circumferential atrophy measurement
  • Gait analysis
  • Radiographic healing assessment

Common Conditions

Specialties That Evaluate This Region

Related Body Parts

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Frequently Asked Questions

How is the lower leg/tibia evaluated in a QME examination?

A QME evaluation of the lower leg/tibia follows the Chapter 17 — The Lower Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Leg length measurement, Circumferential 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 lower leg/tibia injury?

Typical whole person impairment ratings for lower leg/tibia injuries in California workers' compensation range from 2-15% LE (1-6% 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 lower leg/tibia injuries?

QME evaluation fees for lower leg/tibia 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 lower leg/tibia?

Common workers' compensation conditions involving the lower leg/tibia include Unspecified fracture of upper end of right tibia, initial encounter, S82.201A, T79.A11A. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.