SSA Listing 6.06 Nephrotic Syndrome
Nephrotic syndrome is a debilitating condition that affects the kidneys, leading to significant impairment and health complications. If you or someone you know has been diagnosed with nephrotic syndrome and is considering applying for Social Security Disability benefits, it is crucial to understand how the Social Security Administration (SSA) evaluates this condition. In this blog post, we will delve into the specific criteria outlined in listing 6.06 and the considerations made by the SSA for disability purposes.
Evaluation Criteria for Nephrotic Syndrome
The SSA utilizes listing 6.06 to evaluate disability claims related to nephrotic syndrome. To meet the requirements of this listing, an individual must satisfy the following criteria:
A. Laboratory Findings: The individual must have specific laboratory findings, documented on at least two occasions at least 90 days apart during a consecutive 12-month period. The laboratory findings include:
Proteinuria: The presence of either of the following:
Proteinuria of 10.0 g or greater per 24 hours.
Serum albumin of 3.0 g/dL or less, and proteinuria of 3.5 g or greater per 24 hours.
Urine Total-Protein-to-Creatinine Ratio: A urine total-protein-to-creatinine ratio of 3.5 or greater.
B. Anasarca: The individual must demonstrate anasarca, a condition characterized by widespread and severe swelling throughout the body, persisting for at least 90 days despite prescribed treatment. Anasarca is described in detail in listing 6.00C6.
Considerations for Disability Determination
When evaluating disability claims for nephrotic syndrome, the SSA takes several factors into consideration:
Medical Documentation: Comprehensive medical records are crucial in supporting the diagnosis of nephrotic syndrome, including laboratory test results, biopsy reports, imaging studies, and reports from treating physicians. These documents provide evidence of the severity, persistence, and impact of the condition on the individual's daily functioning.
Functional Limitations: The SSA assesses the functional limitations caused by nephrotic syndrome and its associated symptoms. This evaluation includes determining the impact of swelling, fatigue, decreased mobility, and other symptoms on the individual's ability to perform activities of daily living, work, and maintain a reasonably normal lifestyle.
Treatment Compliance: The SSA considers whether the individual is following prescribed treatments and making reasonable efforts to manage their nephrotic syndrome. Compliance with medical treatment, including medication, dietary restrictions, and lifestyle modifications, is an important factor in evaluating disability claims.
Understanding how the SSA evaluates nephrotic syndrome cases under listing 6.06 is crucial for individuals seeking Social Security Disability benefits. It is essential to gather comprehensive medical evidence, including laboratory findings and supporting documentation, to demonstrate the severity and persistence of nephrotic syndrome and its impact on daily functioning. Working with a qualified disability advocate or attorney can provide valuable guidance throughout the application process, increasing the chances of a successful disability claim.