DI 28010: Medical Improvement and Related Medical Issues
TN 2 (06-15)
A. Consideration for MI
In deciding whether MI occurred, consider only the impairment(s) present at the time of the comparison point decision (CPD).
B. Consideration of CPD impairment(s)
1. Impairment present if evidence in file
For purposes of the MI step, consider the impairment(s) present at the time of the CPD only if the file at that time included medical evidence showing the existence of that impairment(s).
2. Impairment absent if no evidence in file
Do not consider an impairment(s) present at the time of the CPD if the file at that time contained only an allegation of that impairment(s), not supported by medical evidence.
3. No substitution of judgment
Do not substitute current judgment for the judgment of the prior adjudicator in determining whether CPD evidence documented the presence of a particular impairment(s).
C. References
DI 22505.000 Development of Medical Evidence of Record (MER)
DI 24501.015 Medical Evidentiary Issues