Thoracic Spine QME Evaluation Guide
Thoracic spine injuries in workers' compensation are less frequent than cervical or lumbar injuries but occur in falls, direct impacts, and compression fractures. Conditions include thoracic disc herniations, compression fractures, and intercostal neuralgia. Evaluations address range of motion, neurological deficits, and pain with respiratory mechanics.
2-20% WPI
Typical Impairment
$2,500-$4,000
QME Fee Range
#10
Frequency Rank
Evaluation Methods
- DRE (Diagnosis-Related Estimates)
- ROM (Range of Motion)
- Neurological assessment
- Palpation and percussion
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Thoracic Spine Specialists →Frequently Asked Questions
How is the thoracic spine evaluated in a QME examination?
A QME evaluation of the thoracic 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 thoracic spine injury?
Typical whole person impairment ratings for thoracic spine injuries in California workers' compensation range from 2-20% 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 thoracic spine injuries?
QME evaluation fees for thoracic 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 thoracic spine?
Common workers' compensation conditions involving the thoracic spine include Pain in thoracic spine, Intervertebral disc disorders with radiculopathy, thoracic region, S22.009A. These conditions are typically evaluated by Orthopedic Surgery or Neurology physicians.