Psychiatric/Mental Health QME Evaluation Guide
Psychiatric evaluations represent a growing segment of California workers' compensation QME examinations, addressing claims for PTSD, major depressive disorder, anxiety disorders, and adjustment disorders arising from workplace injuries or events. Under LC 4660.1, psychiatric impairment apportionment requires careful analysis. Evaluations utilize standardized psychological testing and clinical interview.
1-15% WPI
Typical Impairment
$3,000-$5,000
QME Fee Range
#5
Frequency Rank
Evaluation Methods
- Clinical psychiatric interview
- MMPI-2/MMPI-3
- Beck Depression Inventory
- PCL-5 (PTSD Checklist)
- GAF/WHODAS assessment
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Psychiatric/Mental Health Specialists →Frequently Asked Questions
How is the psychiatric/mental health evaluated in a QME examination?
A QME evaluation of the psychiatric/mental health follows the Chapter 14 — Mental and Behavioral Disorders of the AMA Guides 5th Edition. Common evaluation methods include Clinical psychiatric interview, MMPI-2/MMPI-3, Beck Depression Inventory. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a psychiatric/mental health injury?
Typical whole person impairment ratings for psychiatric/mental health injuries in California workers' compensation range from 1-15% 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 psychiatric/mental health injuries?
QME evaluation fees for psychiatric/mental health injuries in California typically range from $3,000-$5,000 (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 psychiatric/mental health?
Common workers' compensation conditions involving the psychiatric/mental health include Post-traumatic stress disorder, unspecified, Major depressive disorder, single episode, moderate, Generalized anxiety disorder. These conditions are typically evaluated by Psychiatry or Psychology physicians.