FUNCTIONAL CAPACITY EVALUATION (FCE) 2025

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  1. Click ‘Get Form’ to open the FUNCTIONAL CAPACITY EVALUATION (FCE) in the editor.
  2. Begin by entering the claimant's personal information, including Name, Claim #, and Date of Injury. Ensure accuracy as this data is crucial for identification.
  3. In the Medical Evaluator section, provide the name and specialty of the evaluator. This establishes credibility for the evaluation.
  4. Proceed to document the dates regarding when impairments became severe and when treatment began. These fields help track the claimant's medical history.
  5. Answer questions about work capabilities, such as whether assistive devices are required and how many hours of competitive work can be sustained daily. Use checkboxes for clarity.
  6. Fill out sections on physical demands like lifting, carrying, pushing, and pulling. Select appropriate options based on the claimant’s abilities.
  7. Complete non-exertional physical demands and side effects of medication sections carefully to provide a comprehensive overview of limitations.

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The FCE will show your capabilities as well as your impairments. Many tests are administered during an FCE; each test has a different purpose that will measure your ability to perform certain activities. Some of the tests may include: Material handling (lifting, pushing, pulling, and carrying);
How Much Does a Functional Capacity Evaluation Cost? On MDsave, the cost of a Functional Capacity Evaluation ranges from $871 to $916. Those on high deductible health plans or without insurance can shop, compare prices and save.
A Functional Capacity Assessment is a comprehensive assessment of a persons capability across a range of daily activities and environments. It examines how well youre managing your everyday tasks, like taking care of yourself and handling things around the house.
The FCE involves aspects of lifting, carrying, pushing/pulling, balance, fine motor, and cardiovascular tolerance.
Many insurances will pay for some or all of the FCE if it is necessary. However, if you are planning on paying out of pocket you will be spending at least $575 at WorkSafe Physical Therapy for a functional capacity evaluation.
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FCE tests generally last a few hours and include a number of exercises. During your test, a physical therapist will ask you to perform exercises to evaluate your physical strength and identify any weak points.
FCEs are also utilized to establish baseline abilities for work hardening or work conditioning programs and are often used by physicians to assist with completion of disability and/or work forms. FCE results and recommendations are discussed with the patient at the conclusion of testing.

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