Lumbar Spine QME Evaluation Guide
The lumbar spine (lower back) is the most commonly evaluated body region in California workers' compensation claims. Injuries include disc herniations, degenerative disc disease, spinal stenosis, and fractures. QME evaluations assess range of motion, neurological deficits, and functional limitations.
5-28% WPI
Typical Impairment
$2,500-$4,000
QME Fee Range
#1
Frequency Rank
Evaluation Methods
- DRE (Diagnosis-Related Estimates)
- ROM (Range of Motion)
- Neurological assessment
- Straight leg raise test
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Lumbar Spine Specialists →Frequently Asked Questions
How is the lumbar spine evaluated in a QME examination?
A QME evaluation of the lumbar spine follows the Chapter 15 — The Spine of the AMA Guides 5th Edition. Common evaluation methods include DRE (Diagnosis-Related Estimates), ROM (Range of Motion), Neurological assessment. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a lumbar spine injury?
Typical whole person impairment ratings for lumbar spine injuries in California workers' compensation range from 5-28% 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 lumbar spine injuries?
QME evaluation fees for lumbar spine injuries in California typically range from $2,500-$4,000 (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 lumbar spine?
Common workers' compensation conditions involving the lumbar spine include Low back pain, Intervertebral disc disorders with radiculopathy, lumbar region, Intervertebral disc disorders with radiculopathy, lumbosacral region. These conditions are typically evaluated by Orthopedic Surgery or Neurology physicians.