Medical Issues in Social Security Disability

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SUMMARY OF CONTENTS

Volume I

1.        Musculoskeletal System and Growth Impairments

2.        Special Senses and Speech

3.        Respiratory System

4.        Cardiovascular System

5.        Digestive System

6.        Genitourinary Impairments

7.        Hematological System

8.        Skin Disorders

9.        Endocrine System

Volume II

10.      Multiple Body Systems

11.      Neurological

12.      Mental Disorders

13.      Neoplastic Diseases – Malignant

14.      Immune System

Appendices

Index

EXPANDED CONTENTS

Chapter 1     Musculoskeletal System and Growth Impairments

Part I – Adults

§1.00       Musculoskeletal System

§1.01                 Category of Impairments, Musculoskeletal

§1.02                 Major Dysfunction of a Joint

§1.03                 Reconstructive Surgery or Arthrodesis of a Major Weight-Bearing Joint

§1.04                 Disorders of the Spine

§1.05                 Amputation (due to any cause)

§1.06                 Fracture of Femur, Tibia, Pelvis, Tarsals

§1.07                 Fracture of an Upper Extremity with Non-Union

§1.08                 Soft Tissue Injury

Part II – Children

§100.00   Growth Impairments

§100.01             Category of Impairments, Growth

§100.02             Growth impairment

§100.03             Growth Impairment

§101.00   Musculoskeletal System

§101.01             Category of Impairments, Musculoskeletal

§101.02             Major Dysfunction of a Joint

§101.03             Reconstructive Surgery or Arthrodesis of a Major Weight-Bearing Joint

§101.04             Disorders of the Spine

§101.05             Amputation (due to any cause)

§101.06             Fracture of Femur, Tibia, Pelvis, Tarsals

§101.07             Fracture of Upper Extremity with Non-Union

§101.08             Soft Tissue Injury

Part III – Forms

§1.02F               Major Dysfunction of Joints

§1.03F               Reconstructive Joint Surgery

§1.04F               Disorders of the Spine

§1.05F               Amputation from Any Cause

§1.06F               Pelvis and Lower Extremity Fractures

§1.07F               Upper Extremity Fractures

§1.08F               Soft Tissue Injuries

§100.02F           Growth Impairments

Chapter 2     Special Senses and Speech

Part I – Adults

§2.00       Special Senses and Speech

§2.01                 Category of Impairments, Special Senses and Speech

§2.02                 Loss of Visual Acuity

§2.03                 Contraction of the Visual Field in the Better Eye

§2.04                 Loss of Visual Efficiency

§2.05                 (Reserved)

§2.06                 (Reserved)

§2.07                 Disturbance of Labyrinthine-Vestibular Function

§2.08                 Hearing Impairments

§2.09                 Loss of Speech

Part II – Children

§102.00   Special Senses and Speech

§102.01             Category of Impairments, Special Sense Organs

§102.02             Impairments of Visual Acuity

§102.08             Hearing Impairments

Part III – Forms

§2.02F               Impairment of Visual Acuity

§2.03F               Impairment of Peripheral Visual Fields

§2.06F               Ophthalmoplegia

§2.07F               Disturbance of Labyrinthine-Vestibular Function

§2.08F               Hearing Impairments

§2.09F               Loss of Speech

Chapter 3     Respiratory System

Part I – Adults

§3.00       Respiratory System

§3.01                 Category of Impairments, Respiratory System

§3.02                 Chronic Pulmonary Insufficiency

§3.03                 Asthma

§3.04                 Cystic Fibrosis

§3.05                 (Reserved)

§3.06                 Pneumoconiosis

§3.07                 Bronchiectasis

§3.08                 Mycobacterial, Mycotic, and Other Persistent Infections

§3.09                 Cor Pulmonale

§3.10                 Sleep-Related Breathing Disorders

§3.11                 Lung Transplant

Part II – Children

§103.00   Respiratory System

§103.01             Category of Impairments, Respiratory System

§103.02             Chronic Pulmonary Insufficiency

§103.03             Asthma

§103.04             Cystic Fibrosis

§103.05             Lung Transplant

Part III – Forms

§3.02F               Chronic Pulmonary Insufficiency

§3.03F               Asthma

§3.04F               Cystic Fibrosis

§3.07F               Bronchiectasis

§3.08F               Chronic Persistent Lung Infection

§3.09F               Cor Pulmonale Secondary to Chronic Pulmonary Vascular Hypertension

§3.10F               Sleep-Related Breathing Disorders

§3.11F               Lung Transplant

Chapter 4     Cardiovascular System

Part I – Adults

§4.00       Cardiovascular System

§4.01                 Category of Impairments, Cardiovascular System

§4.02                 Chronic Heart Failure

§4.03                 (Reserved)

§4.04                 Ischemic Heart Disease

§4.05                 Recurrent Arrhythmias

§4.06                 Symptomatic Congenital Heart Disease

§4.07                 (Reserved)

§4.08                 (Reserved)

§4.09                 Heart Transplant

§4.10                 Aneurysm of Aorta or Major Branches

§4.11                 Chronic Venous Insufficiency of a Lower Extremity

§4.12                 Peripheral Arterial Disease

Part II – Children

§104.00   Cardiovascular System

§104.01             Category of Impairments, Cardiovascular System

§104.02             Chronic Heart Failure

§104.03             (Reserved)

§104.04             (Reserved)

§104.05             Recurrent Arrhythmias

§104.06             Congenital Heart Disease

§104.07             (Reserved)

§104.08             (Reserved)

§104.09             Heart Transplant

§104.10             (Reserved)

§104.11             (Reserved)

§104.12             (Reserved)

§104.13             Chronic Rheumatic Fever or Rheumatic Heart Disease

§104.14             (Reserved)

§104.15             (Reserved)

Part III – Forms

§4.02F               Cronic Heart Failure

§4.03F               Hypertension

§4.04F               Ischemic Heart Disease

§4.04(CP)F       Chest Pain Description

§4.05F               Recurrent Arrhythmias

§4.06F               Congenital Heart Disease

§4.07F               Valvular Heart Disease

§4.08F               Cardiomyopathies

§4.09F               Cardiac Transplant

§4.10F               Aneurysm of Aorta or Branches

§4.11F               Chronic Venous Insufficiency

§4.12F               Peripheral Arterial Disease

§104.13F           Chronic Rheumatic Fever or Rheumatic Heart Disease

§104.14F           Hyperlipidemia

§104.15F           Kawasaki Syndrome

Chapter 5     Digestive System

Part I – Adults

§5.00       Digestive System

§5.01                 Category of Impairments, Digestive System

§5.02                 Gastrointestinal Hemorrhaging From Any Cause

§5.03                 (Reserved)

§5.04                 (Reserved)

§5.05                 Chronic Liver Disease

§5.06                 Inflammatory Bowel Disease (IBD)

§5.07                 Short Bowel Syndrome (SBS)

§5.08                 Weight Loss

§5.09                 Liver Transplantation

Part II – Children

§105.00   Digestive System

§105.01             Category of Impairments, Digestive System

§105.02             Gastrointestinal Hemorrhaging From Any Cause

§105.03            (Reserved)

§105.04             (Reserved)

§105.05             Chronic Liver Disease

§105.06             Inflammatory Bowel Disease (IBD)

§105.07             Short Bowel Syndrome (SBS)

§105.08             Malnutrition

§105.09             Liver Transplantation

Part III – Forms

§5.02F               Recurrent Upper Gastrointestinal Hemorrhage

§5.03F               Stricture, Stenosis or Obstruction of Esophagus

§5.04F               Peptic Ulcer Disease

§5.05F               Chronic Liver Disease

§5.06F               Inflammatory Bowel Disease

§5.08F               Weight-Loss Malnutrition

§5.09F               Liver Transplant

Chapter 6     Genitourinary Impairments

Part I – Adults

§6.00       Genitourinary Impairments

§6.01                 Category of Impairments, Genitourinary Impairments

§6.02                 Impairment of Renal Function

§6.03                 (Reserved)

§6.04                 (Reserved)

§6.05                 (Reserved)

§6.06                 Nephrotic Syndrome

Part II – Children

§106.00   Genitourinary Impairments

§106.01             Category of Impairments, Genitourinary Impairments

§106.02             Impairment of Renal Function

§106.03             (Reserved)

§106.04             (Reserved)

§106.05             (Reserved)

§106.06             Nephrotic Syndrome

§106.07             Congenital Genitourinary Impairments

Part III – Forms

§6.02F               Impairment of Renal Function

Chapter 7     Hematological System

Part I – Adults

§7.00       Hemic and System

§7.01                 Category of Impairments, Hemic and Lymphatic System

§7.02                 Chronic Anemia

§7.03                 (Reserved)

§7.04                 (Reserved)

§7.05                 Sickle Cell Disease

§7.06                 Chronic Thrombocytopenia

§7.07                 Hereditary Telangiectasia

§7.08                 Coagulation Defects (hemophilia or a similar disorder)

§7.09                 Polycythemia Vera

§7.10                 Myelofibrosis

§7.11                 (Reserved)

§7.12                 (Reserved)

§7.13                 (Reserved)

§7.14                 (Reserved)

§7.15                 Chronic Granulocytopenia

§7.16                 (Reserved)

§7.17                 Aplastic Anemias with Bone Marrow or Stem Cell Transplantation

Part II – Children

§107.00   Hemic and Lymphatic System

§107.01             Category of Impairments, Hemic and Lymphatic System

§107.02             (Reserved)

§107.03             Hemolytic Anemia

§107.04             (Reserved)

§107.05             Sickle Cell Disease

§107.06             Chronic Idiopathic Thrombocytopenic Purpura of Childhood

§107.07             (Reserved)

§107.08             Inherited Coagulation Disorder

§107.09             (Reserved)

§107.10             (Reserved)

§107.11             (Reserved)

Part III – Forms

§7.02F               Chronic Anemia

§7.05F               Sickle Cell Anemia or Variants

§7.06F               Chronic Thrombocytopenia

§7.07F               Hereditary Telangiectasia

§7.08F               Coagulation Defects

§7.09F               Polycythemia Vera

§7.10F               Myelofibrosis

§7.15F               Granulocytopenia

§7.17F               Aplastic Anemia With Bone Marrow or Stem Cell Transplant

Chapter 8     Skin Disorders

Part I – Adults

§8.00       Skin

§8.01                 Category of Impairments, Skin

§8.02                 Ichthyosis

§8.03                 Bullous Disease

§8.04                 Chronic Infections

§8.05                 Dermatitis

§8.06                 Hydradenitis Suppurativa

§8.07                 Genetic Photosensitivity Disorders

§8.08                 Burns

Part II – Children

§108.01             Category of Impairments, Skin

§108.02             Ichthyosis

§108.03             Bullous Disease

§108.04             Chronic Infections

§108.05             Dermatitis

§108.06             Hydradenitis Suppurativa

§108.07             Genetic Photosensitivity Disorders

§108.08             Burns

Chapter 9     Endocrine System

Part I – Adults

§9.00       Endocrine System

§9.01                 Category of Impairments, Endocrine System

§9.02                 Thyroid Disorders

§9.03                 Hyperparathyroidism

§9.04                 Hypoparathyroidism

§9.05                 Neurohypophyseal Insufficiency (Diabetes Insipidus)

§9.06                 Hyperfunction of the Adrenal Cortex

§9.07                 (Reserved)

§9.08                 Diabetes Mellitus

Part II – Children

§109.00   Endocrine System

§109.01             Category of Impairments, Endocrine System

§109.02             Thyroid Disorders

§109.03             Hyperparathyroidism

§109.04             Hypoparathyroidism or Pseudohypoparathyroidism

§109.05             Diabetes Insipidus

§109.06             Hyperfunction of the Adrenal Cortex

§109.07             Adrenal Cortical Insufficiency

§109.08             Juvenile Diabetes Mellitus

§109.09             Iatrogenic Hypercorticoid state

§109.10             Pituitary Dwarfism

§109.11             Adrenogenital Syndrome

§109.12             Hypoglycemia

§109.13             Gonadal Dysgenesis (Turner’s Syndrome)

Part III – Forms

§9.02F          Thyroid Disorders

§9.03F          Parathyroid Disorders

§9.05F          Neurohypophyseal Insufficiency

§9.06            Adrenal Disorders

§9.08F          Diabetes Mellitus

§109.09F       Iatrogenic Hypercorticoid

§109.13F       Gonadal Dysgenesis

Chapter 10     Multiple Body Systems

Part I – Adults

§10.00     Impairments that Affect Multiple Body Systems

§10.01               Category of Impairments, Multiple Body Systems

§10.02               (Reserved)

§10.03               (Reserved)

§10.04               (Reserved)

§10.05               (Reserved)

§10.06               Non-Mosaic Down Syndrome

Part II – Children

§110.00   Impairments that Affect Multiple Body Systems

§110.01             Category of Impairments, Multiple Body Systems

§110.02             (Reserved)

§110.03             (Reserved)

§110.04             (Reserved)

§110.05             (Reserved)

§110.06             Non-Mosaic Down Syndrome

§110.07             (Reserved)

§110.08             Catastrophic Congenital Abnormalities or Disease

Part III – Forms

§10.06F             Down Syndrome

§110.08F           Catastrophic Congenital Abnormalities

Chapter 11     Neurological

Part I – Adults

§11.00     Neurological

§11.02               Epilepsy—Convulsive Epilepsy

§11.03               Epilepsy—Nonconvulsive Epilepsy

§11.04               Central Nervous System Vascular Accident

§11.05               Brain Tumors

§11.06               Parkinsonian Syndrome

§11.07               Cerebral Palsy

§11.08               Spinal Cord or Nerve Root Lesions

§11.09               Multiple Sclerosis

§11.10               Amyotrophic Lateral Sclerosis

§11.11               Anterior Poliomyelitis

§11.12               Myasthenia Gravis

§11.13               Muscular Dystrophy

§11.14               Peripheral Neuropathies

§11.15               (Reserved)

§11.16               Subacute Combined Cord Degeneration

§11.17               Degenerative Disease Not Listed Elsewhere

§11.18               Cerebral Trauma

§11.19               Syringomyelia

Part II – Children

§111.00   Multiple Body Systems

§111.02             Major Motor Seizure disorder

§111.03             Nonconvulsive Epilepsy

§111.04             (Reserved)

§111.05             Brain Tumors

§111.06             Motor Dysfunction (due to any neurological disorder)

§111.07             Cerebral Palsy

§111.08             Meningomyelocele (and related disorders)

§111.09             Communication Impairment

Part III – Forms

§11.02F             Epilepsy

§11.04F             Central Nervous System Vascular Accident

§11.05F             Benign Brain Tumors

§11.06F             Parkinsonian Syndrome

§11.07F             Cerebral Palsy

§11.08F             Spinal Cord or Nerve Root Lesions

§11.09F             Multiple Sclerosis

§11.10F             Amyotrophic Lateral Sclerosis

§11.11F             Anterior Poliomyelitis

§11.12F             Myasthenia Gravis

§11.13F             Muscular Dystrophy

§11.14F             Peripheral Neuropathy

§11.16F             Subacute Combined Cord Degeneration

§11.17F             Degenerative Disease Not Considered Elsewhere

§11.19F             Syringomyelia

§111.06F           Motor Dysfunction Due To Any Cause

§111.09F           Communication Impairment

Chapter 12     Mental Disorders

Part I – Adults

§12.00     Mental Disorders

§12.02               Organic Mental Disorders

§12.03               Schizophrenic, Paranoid and Other Psychotic Disorders

§12.04               Affective Disorders

§12.05               Mental Retardation

§12.06               Anxiety-Related Disorders

§12.07               Somatoform Disorders

§12.08               Personality Disorders

§12.09               Substance Addiction Disorders

§12.10               Autistic and Other Pervasive Developmental Disorders

Part II – Children

§112.00   Mental Disorders

§112.02             Organic Mental Disorders

§112.03             Schizophrenic, Paranoid, and Other Psychotic Disorders

§112.04             Mood Disorders

§112.05             Mental Retardation

§112.06             Anxiety Disorders

§112.07             Somatoform, Eating, and Tic Disorders

§112.08             Personality Disorders

§112.09             Psychoactive Substance Dependence Disorders

§112.10             Autistic and Other Pervasive Developmental Disorders

§112.11             Attention Deficit Hyperactivity Disorder

§112.12             Developmental and Emotional Disorders of Newborn and Younger Infants

Part III – Forms

§12.02F             Organic Mental Disorders

§12.03F             Schizophrenia, Paranoid and Other Psychotic Mental Disorders

§12.04F             Affective Disorders

§12.05F             Mental Retardation and Subaverage Intellectual Functioning

§12.06F             Anxiety-Related Disorders

§12.07F             Somatoform or Eating Disorders

§12.08F             Personality Disorders

§12.09F             Substance Addiction Disorders

§12.10F             Autistic and Other Pervasive Development Disorders

§112.11F           Attention Deficit Hyperactivity Disorder

§112.12F           Development and Emotional Disorders of Newborn and Younger Infants

Chapter 13     Neoplastic Diseases – Malignant

Part I – Adults

§13.00     Neoplastic Diseases, Malignant

§13.02               Soft Tissue Tumors of the Head and Neck

§13.03               Skin

§13.04               Soft Tissue Sarcoma

§13.05               Lymphoma

§13.06               Leukemia

§13.07               Multiple Myeloma

§13.08               Salivary Glands

§13.09               Thyroid Gland

§13.10               Breast

§13.11               Skeletal System

§13.12               Maxilla, Orbit or Temporal Fossa

§13.13               Nervous System

§13.14               Lungs

§13.15               Pleura or Mediastinum

§13.16               Esophagus or Stomach

§13.17               Small Intestine

§13.18               Large Intestine

§13.19               Liver or Gallbladder

§13.20               Pancreas

§13.21               Kidneys, Adrenal Glands, or Ureters

§13.22               Urinary Bladder

§13.23               Cancers of the Female Genital Tract

§13.24               Prostate Gland

§13.25               Testicles

§13.26               Penis

§13.27               Primary Site Unknown—Metastatic Carcinoma or Sarcoma

§13.28               Malignant Disease Treated with Transplants

Part II – Children

§113.00   Neoplastic Diseases, Malignant

§113.03             Malignant Solid Tumors

§113.05             Lymphoma

§113.06             Leukemia

§113.09             Thyroid Gland

§113.12             Retinoblastoma

§113.13             Brain Tumors

§113.21             Neuroblastoma

Chapter 14     Immune System

Part I – Adults

§14.00     Immune Systems

§14.01               Category of Impairments, Immune System

§14.02               Systemic Lupus Erythematosus

§14.03               Systemic Vasculitis

§14.04               Systemic Sclerosis and Scleroderma

§14.05               Polymyositis or Dermatomyositis

§14.06               Undifferentiated Connective Tissue Disorder

§14.07               Immunoglobulin Deficiency Syndromes or Deficiencies of Cell-Mediated Immunity

§14.08               Human Immunodeficiency Virus (HIV) Infection

§14.09               Inflammatory Arthritis

§114.10             Sjögren’s Syndrome

Part II – Children

§114.00   Immune Body Systems

§114.01             Category of Impairments, Immune System

§114.02             Systemic Lupus Erythematosus

§114.03             Systemic Vasculitis

§114.04             Systemic Sclerosis and Scleroderma

§114.05             Polymyositis or Dermatomyositis

§114.06             Undifferentiated Connective Tissue Disorder

§114.07             Immunoglobulin Deficiency Syndromes or Deficiencies of Cell-Mediated Immunity

§114.08             Human Immunodeficiency Virus (HIV) Infection

§114.09             Inflammatory Arthritis

§114.10              Sjögren’s Syndrome

Appendices

Appendix 1   Combined Stature and Weight Charts for Determining Growth or Weight Percentiles

Appendix 2   Tables of Linear Measurements

Appendix 2a   Neonatal Growth Chart

Appendix 3   New Ballard Prematurity Assessment Criteria

Appendix 4   Esterman Peripheral Field Grid

Appendix 5   Evaluation of Visual Impairments Using Variable Threshold Automated Perimeters and Other Special Issues

Appendix 6   Language Development Checklist

Appendix 7   Weight Percentile Chart Showing Example of Malnutrition-Related Weight Loss

Appendix 8   Tables of Weight Measurements

Appendix 9   Karnofsky Performance Status

Appendix 10   Diagnostic Criteria for Alzheimer’s Disease

Appendix 11   Psychological Tests

Appendix 12   Psychiatric Review Technique Form (PRTF)

Appendix 13   Mental Residual Functional Capacity (RFC) Form

Appendix 14   Physical Residual Functional Capacity (RFC) Form

Appendix 15   Sample Mental Status Examination Format for CE

Appendix 16   Diagnostic Codes for Mental Disorders: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)

Appendix 17   Evaluation Of Specific Issues — Psychological/Psychometric Testing

Appendix 18   Environmental Illness in Disability Determinations

Appendix 19   Mosaic Down Syndrome (Prior Listing 110.07)

Appendix 20    Hypertension (Prior Listings 4.03 and 104.03)

Appendix 21   Valvular Heart Disease (Prior Listings 4.07 and 104.07)

Appendix 22   Cardiomyopathies (Prior Listings 4.08 and 104.08)

Appendix 23   Hyperlipidemia (Prior Listing 104.14)

Appendix 24   Kawasaki Syndrome (Prior Listing 104.15)

Appendix 25    Total Bilateral Ophthalmoplegia (Old Listing)

Appendix 26    Upper Gastrointestinal Hemorrhaging (Old Listing)

Appendix 27    Esophageal Obstruction (Old Listings)

Appendix 27a    Form 5.03 (2006 Version for Esophageal Obstruction)

Appendix 28    Peptic Ulcer Disease (Old Listing)

Appendix 28a    Form 5.04 (2006 Version for Peptic Ulcer Disease)

Appendix 29    Chronic Liver Disease (Old Listings)

Appendix 30    Chronic Ulcerative or Granulomatous Colitis (Old Listing)

Appendix 31    Regional Enteritis and Inflammatory Bowel Disease (Old Listings)

Appendix 32    Weight Loss and Malnutrition (Old Listings)

Appendix 33    Weight for Length and BMI for Age Growth Charts

Appendix 34    Expanded Disability Status Scale (EDSS)

Appendix 35    Three Rating Systems for Parkinson's Disease

Index

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