Genitourinary Impairments and Disability

Social Security’s rules recognize a wide variety of medical conditions which, if severe enough, may qualify for disability benefits with the Social Security Administration. Over the next few days I will post the types of conditions that are recognized by the Administration as “Listings of Impairments”.

Today’s category includes genitourinary impairments. These conditions include, but are not limited to, the following:

1. Impairment of renal function, due to any chronic renal disease that has lasted or can be expected to last for a continuous period of at least 12 months. With:
A.Chronic hemodialysis or peritoneal dialysis, or
B. Kidney transplantation. Consider under a disability for 12 months following surgery; thereafter, evaluate the residual impairment, or
C. Persistent elevation of serum creatinine to 4 mg per deciliter (dL)(100 ml) or greater or reduction of creatinine clearance to 20 ml per minute or less, over at least 3 months, with one of the following: (1) Renal osteodystrophy manifested by severe bone pain and appropriate medically acceptable imaging demonstrating abnormalities such as osteitis fibrosa, significant osteoporosis, osteomalacia, or pathologic fractures; or (2) Persistent motor or sensory neuropathy; or (3) Persistent fluid overload syndrome with: (a)Diastolic hypertension greater than or equal to diastolic blood pressure of 110 mm Hg; or (b)Persistent signs of vascular congestion despite prescribed therapy (see 6.00B5); or (4) Persistent anorexia with weight loss determined by body mass index (BMI) of less than 18.0, calculated on at least two evaluations at least 30 days apart within a consecutive 6-month period.

2, Nephrotic syndrome, with anasarca, persisting for at least 3 months despite prescribed therapy. With:

A. Serum albumin of 3.0 g per dL (100 ml) or less and proteinuria of 3.5 g or greater per 24 hours, or

B. Proteinuria of 10.0 g or greater per 24 hours.