Applying for Social Security Disability (SSD) is an overwhelming experience for most people. First, you need to meet the work requirements and demonstrate that you were employed and paid taxes for at least 20 of the last 40 quarters. That means you must have worked at least five of the last 10 years, although the time you worked doesn’t have to be five consecutive years.
You also need to meet the Social Security Administration’s (SSA) definition of disability benefits. According to the SSA, your disability must be severe enough to prevent you from working in any capacity for at least 12 months or it is expected to cause your death. The SSA maintains an extensive database of qualifying conditions for disability benefits. Before you file a claim for the first time, it’s a good idea to familiarize yourself with what conditions qualify for social security disability claims to avoid making errors during the application process.
List Of Approved Medical Impairments
According to the SSA website, it considers 14 high-level categories of impairments that might qualify an applicant for medical disability benefits. Each category contains multiple sub-categories as well. Below is its complete list of qualifying conditions for social security benefits. Each high-level category has a number assigned to it from 1.00 to 14.00. The SSA defines subcategories with numbers such as 1.01 and 2.01. The sub-category ending in .01 provides an SSA definition of that disability.
Conditions That Qualify For Disability Claim In New York
1. Disorders Of The Musculoskeletal System
Major joint dysfunction
Reconstructive surgery on a weight-bearing joint
Pelvis, tibia, femur, or tarsal bone fracture
Upper extremity fracture
Soft tissue injury
2. Special Senses And Speech
Central visual acuity loss
Better eye contains a contradiction in the field of vision
Visual efficiency loss
Vestibular-labyrinthine disturbance of function
Hearing loss not correctable with a cochlear implant
Hearing loss treated with a cochlear implant
3. Respiratory Disorders
Chronic respiratory disease
Chronic pulmonary hypertension attributable to any cause
4. Cardiovascular System Disorders
Chronic heart failure
Ischemic heart disease
Recurrent heart arrhythmias
Congenital and symptomatic heart disease
Aorta or aneurysm of major branches of the heart
Chronic venous insufficiency
Peripheral artery disease
5. Digestive System Disorders
A gastrointestinal hemorrhage resulting from any cause and requiring a blood transfusion
Chronic disease of the liver
Inflammatory bowel disease
Short bowel syndrome
Significant weight loss caused by any digestive disorder
6. Genitourinary System Disorders
Chronic kidney disease that includes peritoneal dialysis or chronic hemodialysis
Chronic kidney disease after a kidney transplant
Complications resulting from chronic kidney disease
7. Hematological Disorders
Sickle cell anemia, thalassemia, and other variations of hemolytic anemias
Hemostasis and thrombosis conditions
Bone marrow failure conditions
Hematological disorder treated by stem cell transplantation or bone marrow transplant
Continuous complications of hematological conditions
8. Skin Disorders
Mucous membrane or skin infections, chronic
Photosensitivity disorder, genetic
9. Endocrine System Disorders
Disorder of the pituitary gland
Disorder of the parathyroid gland
Disorder of the thyroid gland
Disorder of the adrenal gland
Pancreatic gland conditions, including diabetes mellitus
10. Congenital Disorders Affecting Multiple Bodily Systems
Spinocerebellar degeneration, Friedreich’s ataxia, Huntington’s disease, and other central nervous system conditions
Traumatic brain injury
Persistent vegetative state or coma
Non-ALS motor neuron disease
12. Mental Disorders
Disorders of neurocognition
Schizophrenia and other psychotic conditions
Depression, bipolar disorder, and related conditions
Obsessive-compulsive disorder and anxiety
Disorder related to somatic symptoms
Impulse-control and personality disorder
Autism spectrum disorder
Conditions related to trauma and stress
Soft tissue cancers in the neck and head
Soft tissue sarcoma
Salivary gland cancer
Thyroid gland cancer
Cancer of the skeletal system
Cancer of the orbit, maxilla, or temporal region
Nervous system cancer
Cancer of the mediastinum or pleura
Esophageal or stomach cancer
Small or large intestine cancer
Gallbladder or liver cancer
Carcinoma of the kidneys, ureters, or adrenal glands
Carcinoma of the urinary bladder
Female genital tract cancers
Prostate gland carcinomas
Cancer of the penis
Cancer treated with stem cell transplantation or bone marrow transplant
14. Immune System Conditions
Systemic lupus erythematosus
Dermatomyositis and polymyositis
Mixed and undifferentiated connective tissue disease
Non-HIV immune deficiency conditions
Human immunodeficiency virus
Does Your Medical Condition Have To Be An Exact Match?
Reviewing the above list of what medical conditions that qualify for social security disability benefits can feel disheartening, especially if your disability claim doesn’t fall on the list. However, the SSA doesn’t require applicants for SSD to meet an exact listing if he or she has a condition that is medically equivalent to something listed above.
You may also meet eligibility requirements for disability insurance if your condition limits your functioning to the point that you can no longer work. This is true even if your condition is not in the SSA database but proving your eligibility can be much more challenging. Fortunately, a social security disability attorney from Terry Katz & Associates can assist you in providing qualifying evidence of your disability insurance and making an oral argument on your behalf. We have over 30 years of working with the social security administration.
Providing Medical Evidence For Your Case
The medical evidence that you include with your application for SSD must include documentation from the time you became disabled until the date of your application. It also needs to prove that your disabling condition is severe enough to prevent you from earning more than $1,000 per month from work. Medical evidence that the SSA considers valid include:
Blood work panels
CAT scan results
Mental health records
Physical examination notes
Treatment reports or notes
All adult patients in the United States have the right to obtain a copy of their medical records. While each place you received treatment from may have slightly different procedures to obtain medical records, you will likely need to put your request in writing or show photo identification if you make the request in person.
Learn More About Qualifying Medical Conditions
We realize that understanding qualifying conditions for disability insurance is a lot of information for anyone to process. It can be even more challenging when you have a chronic physical or mental condition. Terry Katz & Associates invites you to contact our office near Long Island, New York at 888-488-7459 to schedule a free consultation with one of the knowledgeable social security disability attorneys at our firm. We will discuss qualifying medical conditions in greater detail and ensure that you understanding if you qualify for disability benefits, and if so, how to apply.
Terry Katz, Esq.
Terry Katz, Esq., the founding Member of the firm, handles all aspects of Workers’ Compensation and Social Security Disability cases.
From Our Clients
Hiring Terry Katz and associates to represent my interests in my Workers Compensation and Social Security Disability case proved to be a smart decision that yielded an extremely successful outcome.
Through the lengthy and intricate process I came to realize just how valuable having a team of highly skilled representation was, and that is just how to describe the law firm of Terry Katz and Associates “Highly skilled legal representation”. I’d like to thank the entire team who worked on both my cases all of whom were always professional, knowledgeable and extremely caring. Throughout my entire case all of my calls and emails were always returned in a timely manner. My questions always answered competently and professionally. I always understood the process and felt a confidence in the process that I would not have had if not for hiring Terry Katz and Associates.
Mostly I’d like to thank Ms. Langdale who worked tirelessly on both my workers compensation case and my social security disability case. Her representation and legal prowess in the court room was nothing short of impressive to witness. I will never forget how confidently represented and protected I felt during her opening remarks at my social security disability hearing.
During these difficult times I was truly grateful to have Ms. Langdale working so diligently and expertly for my interests.