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California · Workers' Compensation

What Is a PQME in California Workers' Comp?

Hurt at work? Workers' comp pays for medical care and part of your lost pay while you heal. A free call tells you where you stand.

Eman Yazdchi, Esq., Certified Specialist in Workers' Compensation Law, California Board of Legal Specialization, State Bar of California.

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Eman Yazdchi, Certified Specialist in Workers' Compensation Law (California Board of Legal Specialization, State Bar of California)
Eman Yazdchi, Esq.Certified Specialist, Workers’ Compensation Law
California Board of Legal Specialization, State Bar of California
14+
Years of Practice
2,000+
Cases handled over 14+ years
$50M+
Recovered over 14+ years
3
Languages: English, Español, Farsi

Past results do not guarantee, warrant, or predict future cases. Each case is different and results depend on specific facts and circumstances.

Prepared by Yazdchi Law

Content updated:

A PQME, or panel Qualified Medical Evaluator, is a doctor chosen from a list of three issued by the state to settle medical disputes in a workers' comp case. When you and the insurer disagree about your injury, your treatment, your ability to work, or your permanent disability, the PQME's report often decides the outcome.

PQME, QME, AME and IME: the terms

  • QME: a doctor certified by the state's Division of Workers' Compensation to write medical-legal reports.
  • PQME: a QME picked from a panel (a list of three) issued by the state.
  • AME (Agreed Medical Evaluator): a doctor that both sides agree on, used only when the worker has a lawyer.
  • IME or IQME: terms used in other states and in older California cases. In California workers' comp today, the evaluator who settles disputes is a QME or an AME.

How the panel works

No lawyerWith a lawyer
LawLabor Code 4062.1Labor Code 4062.2
How the panel is requestedForm 105, sent to the state's Medical UnitForm 106, requested online
How the doctor is chosenYou pick one of the three doctorsEach side strikes one name within 10 days; the remaining doctor is the QME
AlternativeNoneBoth sides can agree on an AME instead

If a panel doctor is unavailable or a panel is defective, the state rules allow a replacement panel (8 CCR 31.5).

Before and after the exam

  • Records. Medical records and other materials must be served at least 20 days before they go to the evaluator (Labor Code 4062.3).
  • Travel costs. The employer pays your mileage and travel costs to the exam (Labor Code 4621).
  • The report. The QME generally has 30 days after the exam to issue the report (8 CCR 38). If the report is late, either side can ask for a new evaluator (Labor Code 4062.5).

Why the PQME report matters so much

The report usually decides:

  • whether the injury happened at work,
  • what treatment you need now and in the future,
  • when your condition stopped improving,
  • your work restrictions,
  • your permanent disability rating, which sets how much permanent disability you receive.

A report can be challenged. Either side can ask the QME for a supplemental report or question the doctor in a deposition. A report with a mistake in it can cost you thousands of dollars, so have it reviewed before you settle.

What happens after the QME report

Results in cases like this

Every case is different. Past results do not guarantee, warrant, or predict a similar outcome.

$5,000,000

Catastrophic spinal cord injury

$1,500,000

Cervical spine injury

$425,000

Slip and fall accident

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Frequently asked questions

Can I choose my own PQME?

Not directly. The state issues a panel of three doctors in the specialty requested. Without a lawyer you pick one of the three. With a lawyer, each side strikes one and the remaining doctor is the evaluator.

What if I disagree with the PQME's report?

You can ask for a supplemental report, question the doctor in a deposition, or in some cases ask for a replacement. A lawyer can tell you which option fits your case.

Is a PQME the same as my treating doctor?

No. Your treating doctor manages your care. The PQME evaluates disputed issues and writes a report for the case. The PQME does not treat you.

Who pays for the PQME?

The employer or its insurer pays for the evaluation and your travel to it.

Reviewed by Eman Yazdchi, Certified Specialist in Workers' Compensation Law, The State Bar of California Board of Legal Specialization. Updated October 2026. This page is general information, not legal advice about your case.

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