20 C.F.R. § 416.919
The consultative examination
A consultative examination is a physical or mental examination or test purchased for you at our request and expense from a treating source or another medical source, including a pediatrician when appropriate. The decision to purchase a consultative examination will be made on an individual case basis in accordance with the provisions of § 416.919a through § 416.919f. Selection of the source for the examination will be consistent with the provisions of § 416.903a and §§ 416.919g through 416.919j. The rules and procedures for requesting consultative examinations set forth in §§ 416.919a and 416.919b are applicable at the reconsideration and hearing levels of review, as well as the initial level of determination.
Notes of Decisions
Cited in 23
cases (15 in the last 5 years), 1995–2026 · leading case: Banks Ex Rel. Hunter v. Comm'r, Soc. Sec. Admin., 686 F. App'x 706 (11th Cir. 2017).
Banks Ex Rel. Hunter v. Comm'r, Soc. Sec. Admin., 686 F. App'x 706 (11th Cir. 2017). “See 20 C.F.R. § 416.919 (b); Ingram, 496 F.3d at 1269 .”
Gorecki v. Massanari, 197 F. Supp. 2d 154 (M.D. Penn. 2001). “) Defendant cites 20 C.F.R. § 416.919 et. seq. Although it is true that the ALJ must develop the record fully before rendering a decision, there is nothing to suggest that “the ALJ is duty-bound to order a consultative examination.”
Hernandez v. Barnhart, 203 F. Supp. 2d 1341 (S.D. Fla. 2002). “…examination should include a statement about what the claimant can still do despite his or her impairments. 20 C.F.R. § 416.919 (c)(6).”
Nicole Clough v. Kilolo Kijakazi, Acting Comm'r of Soc. Sec., 2022 DNH 038 (D.N.H. 2022). “” 20 C.F.R. § 416.919 . 16 Tr. 591. 11 Hampshire application for Medicaid benefits.”
Fleeton v. O'Malley (CONSENT) (M.D. Ala. 2024). “See 20 C.F.R. § 416.919 (b); Ingram, 496 F.3d at 1269 .”
Harris v. Berryhill (D. Conn. 2020). “20 C.F.R. § 416.919 . A consultative examination may be provided by the SSA “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.”
Kava v. Saul (D. Haw. 2021). “Cases which may require a consultative examination include those in which there is an “inconsistency in the evidence, or when the evidence as a whole is insufficient [] to make a determination or decision.” 20 C.”
Fonseca v. Saul (N.D. Ill. 2022). “See 20 C.F.R. § 416.919 . “The decision to purchase a consultative examination will be made on an individual case basis in accordance with” the governing regulations.”
Wilson v. Saul (D. Maryland 2022). “4, 2014) (remanding for the ALJ’s failure to order a consultative examination to determine the plaintiff’s medically determinable reading disorder). Accordingly, the ALJ erred in failing to fully and fairly develop the record as to Plaintiff’s mental limitations, warranting…”
Clough v. US Soc. Sec. Admin., Comm'r (D.N.H. 2022). “” 20 C.F.R. § 416.919 . 16 Tr. 591. Hampshire application for Medicaid benefits.”
Gross v. Comm'r of Soc. Sec. (W.D.N.Y. 2021). “20 C.F.R. § 416.919 (the decision to purchase a consultative examination will be made on an individual case basis).”
Szuba v. Comm'r of Soc. Sec. (W.D.N.Y. 2022). “(Dkt. No. 17 at 19-20.) To be sure, as stated by Plaintiff, the relevant regulations stipulate that a consultative examination is ordered at the Administration's request, on an individual case basis, and when appropriate.”
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