Section E. Claims Based on Service in Southwest Asia


d. Gulf War Examination Unnecessary When the Claim is Substantiated



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d. Gulf War Examination Unnecessary When the Claim is Substantiated


Do not order a Gulf War examination when the evidence is adequate to substantiate the claim under 38 CFR 3.317 or on another basis (for example, 38 CFR 3.303, 3.306, 3.307, 3.309, 3.310) – even if the threshold for an examination as stated in M21-1, Part IV, Subpart ii, 1.E.2.a is met.
When there is a current diagnosis of a medically unexplained chronic multi-symptom illness from 38 CFR 3.317(a)(2)(i)(B)(1) to (3) (chronic fatigue syndrome, fibromyalgia or any listed functional gastrointestinal disorder) an examination is not necessary unless workup is needed for the purpose of assigning a disability evaluation.



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