(a) General. If we cannot get the information we need from your medical sources, we may decide to purchase a consultative examination. See § 404.1512 for the procedures we will follow to obtain evidence from your medical sources and § 404.1520b for how we consider evidence. Before purchasing a consultative examination, we will consider not only existing medical reports, but also the disability interview form containing your allegations as well as other pertinent evidence in your file.
(b) Situations that may require a consultative examination. We may purchase a consultative examination to try to resolve an inconsistency in the evidence, or when the evidence as a whole is insufficient to allow us to make a determination or decision on your claim. Some examples of when we might purchase a consultative examination to secure needed medical evidence, such as clinical findings, laboratory tests, a diagnosis, or prognosis, include but are not limited to:
(1) The additional evidence needed is not contained in the records of your medical sources;
(2) The evidence that may have been available from your treating or other medical sources cannot be obtained for reasons beyond your control, such as death or noncooperation of a medical source;
(3) Highly technical or specialized medical evidence that we need is not available from your treating or other medical sources; or
(4) There is an indication of a change in your condition that is likely to affect your ability to work, but the current severity of your impairment is not established.
[56 FR 36956, Aug. 1, 1991, as amended at 77 FR 10655, Feb. 23, 2012]
Notes of Decisions
Robert J. Lauer v. Kenneth S. Apfel, Comm'r of Soc. Sec., 245 F.3d 700 (8th Cir. 2001).
“3d at 858 ; see also 20 C.F.R. 404.1519a(b). IV. 21 We therefore vacate the judgment of the district court and remand the case to the district court with instructions to remand it to the Social Security Administration for further consideration consistent with this opinion.”
Pugh v. Kijakazi(CONSENT) (M.D. Ala. 2023).
“1519a(b) (“We may purchase a consultative examination to try to resolve an inconsistency in the evidence, or when the evidence as a whole is insufficient to allow us to make a determination or decision on your claim.”). Because the record contained sufficient evidence for the…”
Adams v. Saul (N.D. Miss. 2021).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination “to try to resolve an inconsistency in the evidence, or when the evidence as a whole is insufficient to allow us to make a determination or decision on your claim.”
McCray v. Kijakazi (N.D. Miss. 2021).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination when evidence is needed that is not contained within the records of the medical sources or cannot be obtained for reasons outside the claimant’s control, highly technical or…”
Liston v. Kijakazi (N.D. Miss. 2022).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination “to try to resolve an inconsistency in the evidence, or when the evidence as a whole is insufficient to allow us to make a determination or decision on your claim.”
Thompson v. Kijakazi (N.D. Miss. 2022).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination when evidence is needed that is not contained within the records of the medical sources or cannot be obtained for reasons outside the claimant’s control, highly technical or…”
Lucio v. Kijakazi (N.D. Miss. 2022).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination when evidence is needed that is not contained within the records of the medical sources or cannot be obtained for reasons outside the claimant’s control, highly technical or…”
McClain v. Kijakazi (N.D. Miss. 2022).
“” 20 C.F.R. 404.1519a(b). The Commissioner’s discretion is nevertheless limited where a claimant “raises the requisite suspicion” that such an examination is necessary to discharge the ALJ’s duty of full inquiry.”
Tutor v. Kijakazi (N.D. Miss. 2022).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination (CE) when evidence is needed that is not contained within the records of the medical sources or cannot be obtained for reasons outside the claimant’s control.”
Whitney v. Soc. Sec. Admin. (D.N.M. 2020).
“1520b (“We may purchase a consultative examination …when the evidence as a whole is insufficient to allow us to make a determination or decision on your claim”). As such, consultative exams “are often required” when the evidence is inconclusive, there is a direct conflict in the…”
Little v. Comm'r of Soc. Sec. (S.D. Ohio 2019).
“See 20 C.F.R. 404.1519a(a) (“If we cannot get the information we need from your medical sources, we may decide to purchase a consultative examination.”
Loveless v. Soc. Sec. Admin. (N.D. Okla. 2022).
“1512” and that the procedure for ordering a CE operates “in accordance with 20 CFR 404.1519a . . . .” Id. SSR 03-2p was promulgated in October 2003, and, until 2012, its language nearly mirrored that of 20 C.”
— 20 C.F.R. § 404.1519a(a) — 1 case
Little v. Comm'r of Soc. Sec. (S.D. Ohio 2019).
“See 20 C.F.R. 404.1519a(a) (“If we cannot get the information we need from your medical sources, we may decide to purchase a consultative examination.”
— 20 C.F.R. § 404.1519a(b) — 13 cases
Robert J. Lauer v. Kenneth S. Apfel, Comm'r of Soc. Sec., 245 F.3d 700 (8th Cir. 2001).
“3d at 858 ; see also 20 C.F.R. 404.1519a(b). IV. 21 We therefore vacate the judgment of the district court and remand the case to the district court with instructions to remand it to the Social Security Administration for further consideration consistent with this opinion.”
Pugh v. Kijakazi(CONSENT) (M.D. Ala. 2023).
“1519a(b) (“We may purchase a consultative examination to try to resolve an inconsistency in the evidence, or when the evidence as a whole is insufficient to allow us to make a determination or decision on your claim.”). Because the record contained sufficient evidence for the…”
Adams v. Saul (N.D. Miss. 2021).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination “to try to resolve an inconsistency in the evidence, or when the evidence as a whole is insufficient to allow us to make a determination or decision on your claim.”
McCray v. Kijakazi (N.D. Miss. 2021).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination when evidence is needed that is not contained within the records of the medical sources or cannot be obtained for reasons outside the claimant’s control, highly technical or…”
Liston v. Kijakazi (N.D. Miss. 2022).
“Under 20 C.F.R. 404.1519a(b), the Commissioner has the discretion to order a consultative examination “to try to resolve an inconsistency in the evidence, or when the evidence as a whole is insufficient to allow us to make a determination or decision on your claim.”
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