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DRE Impairment Rating
Updated March 2026

Diagnosis-Related Estimates (DRE)

Definition

The primary impairment rating method in the AMA Guides 5th Edition for the spine, which assigns impairment categories based on clinical findings such as radiculopathy, loss of motion segment integrity, or surgical outcomes. DRE categories range from I (no significant impairment) to V (severe impairment) for each spinal region.

Key Facts About DRE in 2026

QME Physicians in CA

~2,500

Evaluation Fee Range

$2,500-$4,000

Report Deadline

30 days

Avg AI-Assisted Turnaround

14 days

Related Terms

Frequently Asked Questions

What is a Diagnosis-Related Estimates (DRE)?

The primary impairment rating method in the AMA Guides 5th Edition for the spine, which assigns impairment categories based on clinical findings such as radiculopathy, loss of motion segment integrity, or surgical outcomes. DRE categories range from I (no significant impairment) to V (severe impairment) for each spinal region.

How is diagnosis-related estimates calculated in California?

Diagnosis-Related Estimates in California workers' compensation is typically determined using the AMA Guides to the Evaluation of Permanent Impairment, 5th Edition (2001). QME and AME physicians use standardized rating methods to ensure consistency across evaluations.