Many Veterans believe a Compensation and Pension (C&P) exam is the only way to win a VA disability claim—but that’s not always the case. While C&P exams are a standard part of the process, some claims can succeed without one. Knowing how and when this is possible can save time and stress, especially if the exam was missed, canceled, or was never scheduled.
What Is a C&P Exam and Why Does It Matter?
A C&P exam is typically ordered by the VA to evaluate your medical condition and determine how it’s connected to your service. However, not every case needs this step. In fact, if there’s enough medical and lay evidence already submitted, the VA may grant your claim without scheduling an exam.
Situations Where a C&P Exam May Not Be Required
Fully Developed Claims with Strong Medical Evidence
If you submit complete medical records, diagnosis, treatment history, and a medical nexus letter that clearly connects your condition to service, the VA may deem a C&P exam unnecessary.
Clear Service-Connection Evidence
Some conditions, like Gulf War syndrome or injuries documented in combat, may have direct service connection without the need for further evaluation.
Presumptive Conditions
If your condition is on the VA’s presumptive list (such as Agent Orange exposure-related illnesses or certain Gulf War conditions), and your service matches the criteria, the VA can approve the claim without an exam.
High-Quality Independent Medical Opinions (IMOs)
When a licensed medical professional provides a detailed, well-supported opinion linking your condition to military service, it can replace the need for a C&P exam.
How to Prepare a Strong Claim Without a C&P Exam
Submit all relevant medical records and documentation upfront
Include a clear timeline of symptoms and treatment
Provide a well-written Statement in Support of Claim (VA Form 21-4138)
Obtain a thorough nexus letter from a medical provider who understands VA disability standards
Attach buddy statements if they add insight into how your condition affects you
What If the VA Still Requests an Exam?
If you’re asked to attend a C&P exam, don’t skip it unless advised by your representative. Not attending can result in a denial. But if you truly believe your file already has sufficient evidence, you or your representative can request that the VA make a decision based on the evidence of record.
When It Makes Sense to Fight a C&P Exam
In some cases, a previous C&P exam was unfair, rushed, or dismissive. You can challenge the findings with an IMO or request a Higher-Level Review if the decision was based on a poor exam. This doesn’t remove the exam from the record, but it lets you offer better evidence for reconsideration.
Let Veterans Valor Help You
At Veterans Valor, we’ve helped Veterans win claims both with and without C&P exams. We know how to gather and present the right documentation to get your case approved without unnecessary delays. Our team can review your file and guide you on the strongest path forward—whether that means submitting more evidence or pushing back on a bad exam result.
