Shoulder QME Evaluation Guide
Shoulder injuries are the second most frequent body part evaluated in California QME examinations, commonly resulting from repetitive overhead work, lifting, and acute trauma. Conditions include rotator cuff tears, labral tears, impingement syndrome, and adhesive capsulitis. Evaluations focus on range of motion loss, strength deficits, and surgical outcomes.
3-24% UE (1-14% WPI)
Typical Impairment
$2,000-$3,500
QME Fee Range
#2
Frequency Rank
Evaluation Methods
- ROM (Range of Motion)
- Manual muscle testing
- Impingement signs (Neer, Hawkins)
- Cross-body adduction test
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Shoulder Specialists →Frequently Asked Questions
How is the shoulder evaluated in a QME examination?
A QME evaluation of the shoulder follows the Chapter 16 — The Upper Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Manual muscle testing, Impingement signs (Neer, Hawkins). The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a shoulder injury?
Typical whole person impairment ratings for shoulder injuries in California workers' compensation range from 3-24% UE (1-14% 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 shoulder injuries?
QME evaluation fees for shoulder 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 shoulder?
Common workers' compensation conditions involving the shoulder include Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic, M75.110, M75.120. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.