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Advances in the Diagnosis and Evaluation of Disabling Physical Health Conditions (2023)

Chapter: Appendix A: Examples of Functional Criteria in the Social Security Administration's Adult Listing of Impairments

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Suggested Citation:"Appendix A: Examples of Functional Criteria in the Social Security Administration's Adult Listing of Impairments." National Academies of Sciences, Engineering, and Medicine. 2023. Advances in the Diagnosis and Evaluation of Disabling Physical Health Conditions. Washington, DC: The National Academies Press. doi: 10.17226/26941.
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Appendix A

Examples of Functional Criteria in the Social Security Administration’s Adult Listing of Impairments

Listing Examples of Functional Criteria
4.00 Cardiovascular system
  • “Very serious limitation in the ability to independently initiate, sustain, or complete activities of daily living”
  • “Inability to perform on an exercise tolerance test at a workload equivalent to 5 METS or less”
7.00 Hematological disorders
  • Marked level of limitation in one of
    • “activities of daily living”
    • “maintaining social functioning”
    • “completing tasks in a timely manner due to deficiencies in concentration, persistence, or pace”
11.00 Neurological disorders
  • “Disorganization of motor function in two extremities . . . resulting in an extreme limitation . . . in the ability to stand up from a seated position, balance while standing or walking, or use the upper extremities”
  • Marked limitation in
    • “physical functioning”
    • “understanding, remembering, or applying information”
    • “interacting with others”
    • “concentrating, persisting, or maintaining pace”
    • “adapting or managing oneself”
  • “Ineffective speech or communication”
Suggested Citation:"Appendix A: Examples of Functional Criteria in the Social Security Administration's Adult Listing of Impairments." National Academies of Sciences, Engineering, and Medicine. 2023. Advances in the Diagnosis and Evaluation of Disabling Physical Health Conditions. Washington, DC: The National Academies Press. doi: 10.17226/26941.
×

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Suggested Citation:"Appendix A: Examples of Functional Criteria in the Social Security Administration's Adult Listing of Impairments." National Academies of Sciences, Engineering, and Medicine. 2023. Advances in the Diagnosis and Evaluation of Disabling Physical Health Conditions. Washington, DC: The National Academies Press. doi: 10.17226/26941.
×
Page 225
Suggested Citation:"Appendix A: Examples of Functional Criteria in the Social Security Administration's Adult Listing of Impairments." National Academies of Sciences, Engineering, and Medicine. 2023. Advances in the Diagnosis and Evaluation of Disabling Physical Health Conditions. Washington, DC: The National Academies Press. doi: 10.17226/26941.
×
Page 226
Next: Appendix B: Selected Functional Assessments for Debilitating Neurologic Conditions »
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The U.S. Social Security Administration (SSA) provides benefits to adults and children who meet the eligibility requirements for a disability as described in Title II and Title XVI of the Social Security Act. To determine whether more accurate or precise techniques exist for determining if a previously evaluated physical impairment is either more or less severe, SSA requested the National Academies assemble a committee to review new or improved diagnostic or evaluative techniques that have become generally available within the past 30 years for cardiovascular, neurological, respiratory, hematological, and digestive conditions. The resulting report presents a summary of the evidence and information around a selected subset of diagnostic and evaluative techniques.

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