Cowgirl, (Morgan, Tyler, Ricky & Wings too) - I don't know how to locate it, nor do I have the time, given my lack of computer skills, but according to the VBM, 2007 edition, page 380, under 5.8.4 Duty to Assist Requires, it states: The CAVC has held that "a medical examination for the purpose of determining the current level of disability must be conducted before (such a) claim can fairly be adjudicated." Proscelle, 2 Vet. App. at 632, 38 CFR 3.326(a),(b.)(2007).
So, as you can see, it is not the "rater" that decides to exam or not, although he/she could decide not to exam, thereby leaving the claim open for appeal or maybe CUE. jmo
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