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Independent Medical Exams (IME) and Impairment Rating Information

Independent medical exams (IMEs) evaluate and document a worker's condition. The exams may also include impairment ratings.  A wide variety of doctors are approved to perform IMEs.

NEW: Important notice about impairment ratings for the spine
Beginning June 1, 2019, the Department of Labor and Industries (L&I) is discontinuing the following worksheets in support of impairment ratings of the spine. Read more...

Becoming an IME provider
Instructions and forms to apply for the first time as an independent medical examiner.

IME Provider Number Renewal
All active IME providers must reapply for approval and retake the MEH test every three years, or when required by the department.

Find a Medical Examiner
Use this online interactive list to search for an approved medical examiner.

Medical Examiners' Handbook and Impairment Rating Information
Contains guidelines, sample reports and detailed billing procedures for preparing and conducting IMEs and impairment ratings in Washington's workers' compensation system.

General Information for Approved IME providers
Explains the assignment letter, how to reschedule appointments and how to write reports and submit them.

About Independent Medical Exams
Explains what IMEs are, who can order them and who can perform them.

Accessing Medical Records
Instructions on how to access claim medical files from L&I, also for self-insured claims and Crime Victim’s Compensation claims.

Billing Codes and Fees
Explains how to find codes and fees in the Professional Services fee schedule.

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