Guides / Hernia value
Guide · 5 min read · Published · Updated

Hernia Injuries in California Workers’ Comp: What They’re Worth

What a work hernia pays in California workers’ comp: engine-computed PD and dollars across the WPI range and three occupations, the one-lift vs cumulative-trauma framing, the safety-member presumption, and why the residuals — not the tear — set the rating.

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The hernia is comp’s oldest lifting claim — one bad pull, immediate pain, a surgery, and then the question that actually sets the money: what’s left after the repair? The schedule prices hernias as lifting problems, and the residuals drive everything. Figures computed by the engine.

How hernias are measured

Hernias rate under 06.05.00.00 (digestive chapter) from what persists at P&S, on the AMA Guides’ hernia table — and every class there starts with a palpable defect in the abdominal wall. With one, slight protrusion or occasional mild discomfort is class 1 (0–9% WPI); frequent protrusion, or discomfort that rules out heavy lifting, is class 2 (10–19%); a persistent, irreducible, or irreparable protrusion that limits daily activities is class 3 (20–30%). A solid repair with no defect fits no class — pain alone doesn’t rate on the table, which is where an Almaraz/Guzman argument starts. The operative report matters less than the P&S exam.

The money table

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

WPIClerical · 111Custodian · 340Carpenter · 380
3%3% · $2,6105% · $4,3506% · $5,220
6%6% · $5,2209% · $7,83011% · $9,932.50
10%10% · $8,772.5016% · $16,09518% · $18,995
16%16% · $16,09524% · $27,69527% · $32,697.50
10% WPI · group 380 · carpenter
100% (06.05.00.00 - 10 - [1.4]14 - 380H - 18 - 18) = 18% PD · $18,995

Clerical draws variant C — the schedule’s low end — because a repaired hernia barely changes desk work, while the lifting trades draw H. The same logic as the fusion page: the variant prices what the injury takes from that job.

One lift or a career

Most hernia claims are specific injuries — the lift, the pop, the same-day report (and prompt reporting matters enormously here, since defense doctors love the “pre-existing weakness” theme). Gradual-onset cases run as cumulative trauma on §5412 dates. And for qualifying firefighters and peace officers, hernia sits on the §3212 presumption list — presumed industrial, apportionment barred.

What this table can’t tell you

Wages below the maximum scale the dollars down, mesh complications and recurrence belong in the medical award, bilateral hernias combine on the CVC, and TD through repair and recovery runs on the payment clock. Companion pages: back · knee · shoulder · neck · hip · wrist · ankle · elbow · foot · hand · carpal tunnel · hearing · eye · amputation · fusion · knee replacement · rotator cuff · hip replacement · head injury · herniated disc · meniscus · ulnar nerve · lungs · heart. Estimates for informational use; not legal or medical advice.

Rate your hernia 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 hernia worth in California workers’ comp?
Engine-computed at the 2026 maximum, age 37–41: a residual defect with mild symptoms (class 1, 3% WPI) rates 3–6% PD ($2,610–$5,220) depending on occupation; frequent protrusion or discomfort that rules out heavy lifting (class 2, 10% WPI) rates 10–18% PD ($8,772.50–$18,995); at 16% WPI, high in class 2, it reaches 16–27% PD ($16,095–$32,697.50) — plus TD through surgery and recovery. Every class requires a palpable defect in the abdominal wall.
Is a hernia covered by workers’ comp in California?
Yes, when work caused it — the classic pattern is a specific lift with immediate pain, but cumulative strain claims are recognized too. For qualifying firefighters and peace officers, hernia is on the §3212 presumption list: it is presumed industrial and the employer must disprove it, with apportionment barred by §4663(e).
Does a repaired hernia still get a rating?
Only from what remains. Every class of the AMA Guides’ hernia table requires a palpable defect in the abdominal wall, so a solid repair with no defect rates zero on the table, even with some pain; a residual or recurrent defect rates by how much it protrudes and how much it limits activity — which is why the P&S exam’s findings, not the original tear, decide the money. Recurrence after repair typically relates back to the original claim.

About this guide. Rating and dollar figures here are computed with — or checked against — RateString’s rating engine, which reproduces the State’s own published worked examples (see the proof). Where the guide relies on a statute or regulation, it cites it in the text. Descriptive information, not legal advice. See something wrong? Report an error.