Whole Spine (Multi-Level) QME Evaluation Guide
Multi-level spine evaluations address injuries involving two or more spinal regions, commonly seen in cumulative trauma claims and high-energy accidents. Under the AMA Guides 5th Edition, impairments from different spinal regions are combined using the Combined Values Chart. These complex evaluations require careful apportionment between specific and cumulative injury claims.
8-40% WPI (combined)
Typical Impairment
$3,000-$5,000
QME Fee Range
#24
Frequency Rank
Evaluation Methods
- Multi-region ROM assessment
- DRE categorization per region
- Combined Values Chart application
- Neurological assessment of multiple nerve roots
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Whole Spine (Multi-Level) Specialists →Frequently Asked Questions
How is the whole spine (multi-level) evaluated in a QME examination?
A QME evaluation of the whole spine (multi-level) follows the Chapter 15 — The Spine of the AMA Guides 5th Edition. Common evaluation methods include Multi-region ROM assessment, DRE categorization per region, Combined Values Chart application. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a whole spine (multi-level) injury?
Typical whole person impairment ratings for whole spine (multi-level) injuries in California workers' compensation range from 8-40% WPI (combined). 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 spine (multi-level) injuries?
QME evaluation fees for whole spine (multi-level) injuries in California typically range from $3,000-$5,000 (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 spine (multi-level)?
Common workers' compensation conditions involving the whole spine (multi-level) include M54.89, M47.819, Intervertebral disc disorders with radiculopathy, lumbar region. These conditions are typically evaluated by Orthopedic Surgery or Neurology physicians.