No C&P Exam

[FacingOdds]

Hello, I'm new here but have read through many posts. I posed this question under a different area not knowing there was a specific area for PTSD/MST cases. Anyway I put in several claims for increase & a new one for PTSD due to MST. I've had exams for everything but the PTSD. When I contacted the VA to inquire if I would be scheduled for one. They stated that reviewing chart records & other evidence no exam was needed. Has anyone had a good outcome without a C&P exam for PTSD? I'm currently at 50% for MDD & anxiety. However, recently VA doctors have said it's a misdiagnosis & changed it to PTSD. Any feedback would be helpful. Thanks 

[broncovet]

Va "has discretion" whether or not to order an exam.  There are at least 2 circumstances when no exam is needed (probably more):

1.  There is already sufficient evidence in the file to award:  There is a diagnosis (PTSD), a stressor included in the records, and a nexus (link between the in service stressor and current PTSD diagnosis.  In this case, you are good to go.  

2.  There is insufficient evidence, but a c and p exam wont make a difference.  Some examples are there is no stressor in the file, or the Veteran does not qualify for benefits as he does not have the requisite discharge.  

    To determine which of these categories you are in, would require a review of your cfile.  You can do this, simply check to see if you have the Caluza elements.  (and, symptoms documented also).  

     

[FacingOdds]

On 7/22/2021 at 3:58 PM, broncovet said:

Va "has discretion" whether or not to order an exam.  There are at least 2 circumstances when no exam is needed (probably more):

1.  There is already sufficient evidence in the file to award:  There is a diagnosis (PTSD), a stressor included in the records, and a nexus (link between the in service stressor and current PTSD diagnosis.  In this case, you are good to go.  

2.  There is insufficient evidence, but a c and p exam wont make a difference.  Some examples are there is no stressor in the file, or the Veteran does not qualify for benefits as he does not have the requisite discharge.  

    To determine which of these categories you are in, would require a review of your cfile.  You can do this, simply check to see if you have the Caluza elements.  (and, symptoms documented also).  

     

Thank you so much for your response. I found out today that they have everything they need for the PTSD portion. The VA rep I spoke with stated they're just waiting for me to complete exams for the other claims. Thankful I don't have to do that portion 

[john999]

What I know is that if you are scheduled for a C&P exam go!  If you are not scheduled for an exam no worries.  It is unusual not to be scheduled for an increase without an exam especially for a mental disorder like PTSD.