Upper Arm/Humerus QME Evaluation Guide
Upper arm and humerus injuries in workers' compensation result from falls, direct blows, and overhead work. Proximal humerus fractures, humeral shaft fractures, and biceps/triceps tendon ruptures are commonly evaluated. Assessments focus on shoulder and elbow range of motion, strength deficits, and residual deformity.
2-18% UE (1-11% WPI)
Typical Impairment
$2,000-$3,500
QME Fee Range
#18
Frequency Rank
Evaluation Methods
- ROM (Range of Motion)
- Strength testing
- Radiographic healing assessment
- Circumferential measurement for atrophy
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Upper Arm/Humerus Specialists →Frequently Asked Questions
How is the upper arm/humerus evaluated in a QME examination?
A QME evaluation of the upper arm/humerus follows the Chapter 16 — The Upper Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Strength testing, Radiographic healing assessment. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a upper arm/humerus injury?
Typical whole person impairment ratings for upper arm/humerus injuries in California workers' compensation range from 2-18% UE (1-11% 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 upper arm/humerus injuries?
QME evaluation fees for upper arm/humerus 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 upper arm/humerus?
Common workers' compensation conditions involving the upper arm/humerus include Unspecified fracture of upper end of right humerus, initial encounter, S42.301A, S46.101A. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.