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Direct answer

What is a consultative examination?

A consultative examination (CE) is a medical or psychological exam the SSA arranges and pays for with an independent provider when it needs additional evidence to decide a disability claim — the rules are set out in POMS DI 22505.

The CE is not treatment; its purpose is to gather specific information the SSA identifies as missing from your existing records.

Sourced from ssa.gov see citations below.

When does SSA order a CE?

When existing medical records are insufficient, outdated, or missing specific findings needed to evaluate a listing or residual functional capacity.

Do I have to attend?

Yes — failing to attend without good reason can result in a decision based on the evidence in file, often unfavorable.

What happens after the CE?

The CE provider sends a report to the SSA; the disability examiner and medical consultant use it alongside your treating-source records to decide the claim.

Topics

Sources

Every figure and rule on this page is drawn from official SSA publications. Verify at the links below.

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