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When is kidney failure considered a disability for SSD benefits?

On Behalf of | Oct 18, 2024 | Physical Impairments And SSD

The Social Security Administration (SSA) is the body mandated to evaluate and determine eligibility for Social Security Disability (SSD) benefits. It recognizes various conditions as disabilities, including some genitourinary conditions like chronic kidney disease and kidney failure, when they significantly impair an individual’s ability to work.

For the SSA to consider kidney failure a disability and eligible for benefits, they generally require medical evidence demonstrating that the condition meets specific criteria outlined in their Blue Book. These include the following.

Kidney disease with transplant 

One condition where the SSA may approve disability benefits for kidney failure is if you have had a kidney transplant within the past year. If this condition significantly limits your ability to perform daily activities, you may qualify for benefits. The SSA will require detailed medical documentation to support your claim, including records of the transplant and how it impacts your functional abilities.

Kidney disease and undergoing dialysis

The SSA may also approve disability benefits if you have been undergoing dialysis for at least one year, and it is expected to continue for over a year. This treatment can significantly limit your ability to perform daily activities. You will need to provide medical evidence confirming your ongoing dialysis and its impact on your functional abilities.

Kidney disease with reduced kidney function

Another qualification for disability benefits is if you have kidney disease with impaired kidney function and at least one of the following:

  • Renal osteodystrophy with severe bone pain
  • Peripheral neuropathy causing pain and numbness
  • Fluid overload syndrome, including high blood pressure or a BMI of 18.0 or less
  • Anorexia with a BMI of 18.0 or less on two occasions, 90 days apart

You must provide medical documentation that confirms your kidney condition and how it affects your daily activities. Legal guidance may help you understand the qualifying factors and prepare your SSD benefits application, presenting all necessary information accurately to improve your chances of approval.