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Guide · 6 min read

Head Injury & TBI Settlements in California Workers’ Comp: What They’re Worth

What a work head injury pays in California: engine-computed PD and dollars for cognitive impairment across the WPI range, why desk workers rate nearly as high as the trades, the multi-string nature of TBI cases (sleep, behavior, vertigo, tinnitus), and the severe-injury rules.

Head injuries break comp’s usual pattern. In most of this system, the desk job rates lowest — the schedule prices injuries against physical demands. Cognition is the exception: thinking is the clerical trade’s heavy lifting, and the variants say so. Figures computed by the engine.

How head injuries are measured

The anchor line is 13.04.00.00 — cognitive impairment, rated WPI from neuropsychological findings: memory, processing speed, executive function. Mild residual deficits commonly rate in the single digits to low teens; moderate impairment runs into the twenties. But a real TBI file is multi-line: arousal/sleep disorder, behavioral-emotional change, tinnitus, vertigo — each its own ratable string, all combined on the CVC.

The money table (cognitive line alone)

Final PD and total indemnity at age 37–41, 2026 injury, maximum PD rate, before apportionment:

WPIClerical · 111Custodian · 340Carpenter · 380
5%10% · $8,772.505% · $4,35011% · $9,932.50
10%18% · $18,99511% · $9,932.5020% · $21,895
20%34% · $46,11024% · $27,69536% · $50,170
29%47% · $72,50035% · $48,14050% · $78,662.50
10% WPI · group 111 · clerical
100% (13.04.00.00 - 10 - [1.4]14 - 111H - 18 - 18) = 18% PD · $18,995

Read the columns: clerical draws variant H — nearly the ceiling — while the custodian draws D. A bookkeeper’s concussion out-rates a custodian’s at every severity, and nearly matches the carpenter’s. No other injury family inverts the usual order this hard.

The severe end has its own rules

Brain injury producing permanent, incurable mental incapacity is conclusively presumed 100% disabling (§4662) — no rating string needed. And severe TBI is the archetypal catastrophic injury, which matters because SB 863’s bar on psychiatric add-ons to physical injuries has a catastrophic-injury exception: TBI cases are where psych ratings re-enter post-2013 claims.

What this table can’t tell you

Wages below the maximum scale the dollars down, the non-cognitive lines add real percentage on the CVC, ratings of 70%+ add a life pension, and lifetime future medical in TBI cases is often worth more than the PD. Companion pages: back · knee · shoulder · neck · hip · wrist · ankle · elbow · foot · hand · carpal tunnel · hearing · eye · amputation · fusion · knee replacement · rotator cuff · hip replacement · hernia · lungs · heart. Estimates for informational use; not legal or medical advice.

Rate your head injury right here

Same engine as the tables above — pick your occupation and age, slide the WPI from the report, and carry it into the full calculator when you’re ready.

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FAQ

How much is a head injury settlement in California workers’ comp?
Engine-computed at the 2026 maximum, age 37–41, for the cognitive-impairment line alone: mild residuals at 5% WPI rate 5–11% PD ($4,350–$9,932.50); 10% WPI rates 11–20% PD ($9,932.50–$21,895); moderate deficits at 20% WPI reach 24–36% PD ($27,695–$50,170); and 29% WPI runs to 50% PD ($78,662.50) — before the other TBI line items combine on top.
How is a traumatic brain injury rated in workers’ comp?
Rarely as one number. Cognitive impairment (13.04.00.00) anchors the case, but TBI residuals typically add separate ratable line items — sleep/arousal disorder, behavioral and emotional change, vertigo, tinnitus, headache-related limitations — each rated, adjusted, and then combined on the CVC. Complete P&S reporting across all of them is where TBI cases are won or lost.
Can a brain injury be a 100% disability?
Yes. An injury to the brain resulting in permanent, incurable mental incapacity is conclusively presumed totally disabling under Labor Code §4662 — one of the few statutory automatic-total categories. Severe TBI is also the classic “catastrophic injury,” which matters because it re-opens the door SB 863 otherwise closed on psychiatric add-on ratings.
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