Wrist/Hand QME Evaluation Guide
Wrist and hand injuries are among the most common upper extremity conditions in workers' compensation, frequently caused by repetitive motion, cumulative trauma, and acute workplace accidents. Common conditions include carpal tunnel syndrome, de Quervain's tenosynovitis, scaphoid fractures, and TFCC tears. Evaluations assess grip and pinch strength, sensory deficits, and range of motion.
1-30% UE (1-18% WPI)
Typical Impairment
$2,000-$3,500
QME Fee Range
#6
Frequency Rank
Evaluation Methods
- ROM (Range of Motion)
- Grip and pinch strength dynamometry
- Phalen test / Tinel sign
- Two-point discrimination
- Semmes-Weinstein monofilament testing
Common Conditions
Specialties That Evaluate This Region
Related Body Parts
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Find Wrist/Hand Specialists →Frequently Asked Questions
How is the wrist/hand evaluated in a QME examination?
A QME evaluation of the wrist/hand follows the Chapter 16 — The Upper Extremities of the AMA Guides 5th Edition. Common evaluation methods include ROM (Range of Motion), Grip and pinch strength dynamometry, Phalen test / Tinel sign. The physician assesses objective findings, reviews medical records, and determines permanent impairment using standardized criteria.
What impairment rating can I expect for a wrist/hand injury?
Typical whole person impairment ratings for wrist/hand injuries in California workers' compensation range from 1-30% UE (1-18% 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 wrist/hand injuries?
QME evaluation fees for wrist/hand 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 wrist/hand?
Common workers' compensation conditions involving the wrist/hand include Carpal tunnel syndrome, unspecified upper limb, Radial styloid tenosynovitis (de Quervain), Unspecified fracture of navicular [scaphoid] bone of right wrist, initial encounter. These conditions are typically evaluated by Orthopedic Surgery or Hand Surgery physicians.