a. Some examinations are routinely performed by specialists. These Examinations examinations include Routinely Performed by hearing Specialists vision dental, and psychiatric. In certain circumstances, specialist examinations for other conditions can be b. Who May Request Other requested by Types of Specialist the VSR or RVSR Examinations the medical examiner, or BVA. c. When to Request a specialist examination only if it is considered essential for rating Request a purposes. Specialist Examination A specialist examination may be requested Example: if an issue is unusually complex if there are conflicting opinions or diagnoses that must be reconciled, or based on a BVA remand. Continued on next page , Continued The choice of examiners is up to the VA medical facility conducting the d. Who Determines the examination, unless the BVA remand specifies that the examination must be Choice of conducted by a Examiner or specialist in “Board-certified …,” who is Board “specialist qualified.” In the absence of a BVA remand, ROs may not designate qualification Note: requirements for a specialist examination. 9. Medical Opinions
a. Examinations Routinely Performed by Specialists Some examinations are routinely performed by specialists. These examinations include hearing vision dental, and psychiatric. b. Who May Request Other Types of Specialist Examinations In certain circumstances, specialist examinations for other conditions can be requested by the VSR or RVSR the medical examiner, or BVA. c. When to Request a Specialist Examination Request a specialist examination only if it is considered essential for rating purposes. Example: A specialist examination may be requested if an issue is unusually complex if there are conflicting opinions or diagnoses that must be reconciled, or based on a BVA remand. Continued on next page , Continued d. Who Determines the Choice of Examiner The choice of examiners is up to the VA medical facility conducting the examination, unless the BVA remand specifies that the examination must be conducted by a “Board-certified specialist in …,” or “specialist who is Board qualified.” Note: In the absence of a BVA remand, ROs may not designate qualification requirements for a specialist examination. 9. Medical Opinions