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SSA Listing-5.02 Gastrointestinal Hemorrhaging from Any Cause, Requiring Blood Transfusion

When individuals experience significant gastrointestinal hemorrhaging, it can have a profound impact on their health and ability to work. To determine eligibility for disability benefits, the Social Security Administration (SSA) has specific criteria for evaluating gastrointestinal hemorrhaging cases. In this blog post, we will delve into how the SSA evaluates gastrointestinal hemorrhaging under listing 5.02 and the considerations made for disability purposes.

Evaluating Gastrointestinal Hemorrhaging under Listing 5.02

Listing 5.02 of the SSA's Blue Book provides the criteria for evaluating gastrointestinal hemorrhaging cases. To meet this listing, the following conditions must be satisfied:

  • Gastrointestinal Hemorrhaging: The individual must experience gastrointestinal hemorrhaging from any cause, resulting in significant blood loss.

  • Blood Transfusions: The hemorrhaging must be severe enough to require blood transfusions. Specifically, at least two units of blood per transfusion must be administered.

  • Frequency of Hemorrhaging: The hemorrhaging episodes must occur at least three times within a consecutive six-month period. The transfusions themselves should be spaced at least 30 days apart within this six-month period.

Disability Consideration for One Year

If an individual meets the criteria outlined above, the SSA considers them disabled for one year following the last documented transfusion. This means that for the year immediately following the most recent transfusion, the individual is eligible for disability benefits based on the severity of their condition.

Evaluation of Residual Impairments

After the one-year disability period, the SSA will evaluate the residual impairments resulting from the gastrointestinal hemorrhaging. Residual impairments refer to any ongoing physical or mental limitations that remain after the initial disability period. The evaluation will consider the impact of the hemorrhaging on the individual's ability to perform substantial gainful activity (SGA) and maintain employment.

Determining Disability Eligibility

To determine disability eligibility beyond the initial one-year period, the SSA evaluates the severity of the residual impairments. They consider the individual's functional limitations, medical records, and any other relevant evidence. If the impairments are severe enough to prevent the person from engaging in SGA, they may continue to receive disability benefits.

It's important to note that meeting the requirements of Listing 5.02 is not the only way to be deemed disabled by the SSA. If an individual's condition does not precisely meet the criteria, the SSA will assess their functional limitations and how they impact their ability to work.

The SSA evaluates gastrointestinal hemorrhaging cases under listing 5.02 to determine disability eligibility. Meeting the criteria outlined in the listing, including the frequency of hemorrhaging, blood transfusions, and the one-year disability period, is crucial for initial disability consideration. After the initial year, residual impairments are evaluated to determine ongoing eligibility for disability benefits. Understanding how the SSA evaluates gastrointestinal hemorrhaging cases can help individuals navigate the disability application process and seek the support they need.