Sacrum/Coccyx QME Evaluation Guide
Sacral and coccygeal injuries in workers' compensation typically result from falls onto the buttocks, resulting in coccyx fractures, coccydynia, and sacral fractures. While less common than lumbar injuries, these can cause significant sitting intolerance and functional limitations. Evaluations assess pain with sitting, pelvic floor function, and neurological status.
2-10% WPI
Typical Impairment
$2,500-$4,000
QME Fee Range
#23
Frequency Rank
Evaluation Methods
- DRE (Diagnosis-Related Estimates)
- Sitting tolerance assessment
- Palpation examination
- Neurological assessment of sacral nerve roots
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Sacrum/Coccyx Specialists →Frequently Asked Questions
How is the sacrum/coccyx evaluated in a QME examination?
A QME evaluation of the sacrum/coccyx follows the Chapter 15 — The Spine of the AMA Guides 5th Edition. Common evaluation methods include DRE (Diagnosis-Related Estimates), Sitting tolerance assessment, Palpation examination. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a sacrum/coccyx injury?
Typical whole person impairment ratings for sacrum/coccyx injuries in California workers' compensation range from 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 sacrum/coccyx injuries?
QME evaluation fees for sacrum/coccyx 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 sacrum/coccyx?
Common workers' compensation conditions involving the sacrum/coccyx include S32.10XA, M53.3, S32.001A. These conditions are typically evaluated by Orthopedic Surgery or Pain Management physicians.