TN 24 (07-91)
The CE will be conducted according to SSA standards and accepted medical standards
CEs must be conducted by providers who know what SSA considers the elements of an
adequate CE. The consultative examiner must be currently licensed with no current
sanctions, and qualified to perform the CE.
All CE providers should have SSA training materials, such as the:
Disability Evaluation Under Social Security
Consultative Examinations: A Guide For Health Professionals (also known as the “Green
Training Manuals developed by the state agency if applicable
Pertinent POMS sections, e.g. DI 22510.060 for Speech and Language impairment in children under age three.
Information available to the CE physician should include:
Claimant medical history, and
Current medical findings, if available.
The following minimum scheduling intervals (i.e. time set aside for the individual
appointment not the actual duration of the examination) should be used. Allowances
should be made for the impact of missed or broken CE appointments.
Comprehensive general medical: at least 30 minutes.
Comprehensive musculoskeletal or neurological: at least 20 minutes
Comprehensive psychiatric: at least 40 minutes
Psychological examination: at least 60 minutes (additional time may be required depending
on types of psychological tests administered)
All others: at least 30 minutes
The medical provider should provide a procedure to assure the identity of the claimant
using some acceptable proof of identification (drivers license, social security card,
If the claimant is not fluent in English, the DDS should arrange for an interpreter
to be present and should pay for these services. Follow the guidelines regarding interpreters
for claimants with limited English proficiency (LEP) in DI 23040.001.