Fibromyalgia
ICD-10 Code: M79.7 · Body Part: Lumbar Spine
QME Evaluation Process
Tender point examination per ACR criteria, functional assessment, fatigue evaluation. Controversial in workers' compensation. May be rated as pain disorder per Chapter 18. Apportionment analysis critical.
Typical Impairment Rating
0-3% WPI if accepted as industrial; often disputed
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Lumbar Spine Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Fibromyalgia
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Browse Neurology Physicians →Frequently Asked Questions
What is Fibromyalgia (M79.7)?
Fibromyalgia is an ICD-10 diagnosis code (M79.7) classified under Pain conditions. It affects the Lumbar Spine and is occasionally seen in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is M79.7 rated for impairment?
The typical whole person impairment (WPI) range for Fibromyalgia is 0-3% WPI if accepted as industrial; often disputed. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for M79.7?
Tender point examination per ACR criteria, functional assessment, fatigue evaluation. Controversial in workers' compensation. May be rated as pain disorder per Chapter 18. Apportionment analysis critical.
What treatments are common for Fibromyalgia?
Common treatments for Fibromyalgia include Exercise program, Duloxetine, Pregabalin, Cognitive behavioral therapy. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.