Whole Upper Extremity QME Evaluation Guide
Whole upper extremity evaluations address cumulative trauma disorders and multi-joint injuries affecting multiple segments of the arm. Common in keyboard workers, assembly line operators, and trades requiring repetitive hand and arm use. The AMA Guides 5th Edition provides conversion tables from digit/hand/UE impairment to whole person impairment.
5-40% UE (3-24% WPI)
Typical Impairment
$2,500-$4,000
QME Fee Range
#25
Frequency Rank
Evaluation Methods
- Multi-joint ROM assessment
- Nerve conduction studies review
- Grip and pinch strength
- Combined Values Chart application
- Functional capacity evaluation
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Whole Upper Extremity Specialists →Frequently Asked Questions
How is the whole upper extremity evaluated in a QME examination?
A QME evaluation of the whole upper extremity follows the Chapter 16 — The Upper Extremities of the AMA Guides 5th Edition. Common evaluation methods include Multi-joint ROM assessment, Nerve conduction studies review, Grip and pinch strength. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a whole upper extremity injury?
Typical whole person impairment ratings for whole upper extremity injuries in California workers' compensation range from 5-40% UE (3-24% 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 whole upper extremity injuries?
QME evaluation fees for whole upper extremity 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 whole upper extremity?
Common workers' compensation conditions involving the whole upper extremity include Carpal tunnel syndrome, unspecified upper limb, Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic, Lateral epicondylitis, unspecified elbow. These conditions are typically evaluated by Orthopedic Surgery or Physical Medicine & Rehabilitation physicians.