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Alberti Vasquez

Want to know why

Question

Greetings and happy holidays!!! I am wondering why I have been scheduled for a C&P exam for 3 conditions for which I already submitted all military medical record and DBQ completed by a specialist.

I want to know if it the normal procedure? Because, I was under the believe that with the information given was enough to decide my claim for those conditions.

Thanks!!!

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The RO has the right to do it for any reason.  Also I think it is SOP to do a C&P.  The RO would get hammered at the BVA if they did not a C&P.

I am pretty sure they say it is to help the veteran by getting the most current so they can see how bad the conditions are.

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Hi Alberti

As Shrek pointed out, the RO is doing normal stuff. They don't have to have a C&P, but on most initial claims, they are going to do it to cover themselves. Read up on the dbq's and diagnostic codes for your disabilities, and you will feel more comfortable when you go to the exam.

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A  C and P exam isnt "magic".  They cost VA money, and they dont do them "unless" there is "something missing" that a C and P exam could fix.  

A few examples:

   You dont have a nexus, or etiology of your claimed conditions.  

   You have a nexus but the symptoms are not documented.  

 In this example, a C and P exam would NOT fix your issue and would not be given:

1.  You have no "in service event" which could link your condition to service.  

2.  You already have a current diagnosis, in service event, nexus and symptoms documented.  No fix needed.  

Years ago, the VA called it "not well grounded".  While they dont use that term anymore, if certain things are NOT there, a c and p exam is not done.  

For example, you have a bad discharge, were not in the military, or dont meet eligibility criteria, or dont have the in service event.  A c and p exam cant fix those, so one would not be done.  

     My guess is that "something" you were missing is a nexus, but it could be your symptoms were not well documented.  It would take a review of your file to know that.  

     Whether or not to do a c and p exam is a judgement call made by the rating specialist, and, no they dont always get that one right.  

     When the VA calls for an exam when all 3 Caluza elements are present, as well as symptoms documented, they call it "developing to deny", and the VA is not supposed to do that.  If there is already sufficient evidence in your file to meet the critieria, the VA isnt supposed to go on a "hunting trip" to try to "bag" a doctor who will provide VA "evidence to deny".  

Edited by broncovet

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Yes it’s normal and if you have copies of the actual records for issues you filed may help I always took in the records for the doctor to see. That way when their doctor at the RO does the exam he can review it. He may or may not have looked at your file this is one way for stuff to get  not to get lost in the sauce of the disability blackhole.... might be me just being paranoid but I’ve heard to many stories about being submitting stuff and being lost but this isn’t to say it will happen to you just giving you a tip. Also even after the exams it’s not unheard of to be called into another exam if conditions are intertwined or so they can clarify If they can separate issues...

Edited by jfrei
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I always take copies of my records to the C&P exam, some will take them and some won't. But I always take then just in case they want to see them. Even if they have your records a lot of times they are given all of them to go through and they don't want to. So by giving them a copy helps them as well as you. I would also take the results from my DBQ by the specialist.

Good luck with your claim.

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