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APPENDIX
LIST OF STUDY TASKS
In addressing the Listings, the committee will consider:
The value and utility of the current Listings for all users (claimants, SSA, health care professionals, state offices, and officials involved in the adjudication process)
Conceptual models for organizing the Listings, beyond the current “body systems” model at 20 C.F.R. Part 404, Subpart P, Appendix I
Processes for determining when the Listings require revision and criteria upon which to add new listings or remove old ones
Feedback mechanisms to continuously assess and evaluate the Listings for the purpose of improving consistency in application by all adjudicators throughout the country
Adaptability of the Listings, including methods to account for variable access to health care services (including diagnostics and pharmaceuticals) in determining whether an individual’s condition meets or equals the Listings
Methods to assess and quantify the effects of multiple impairments that may not individually cross the eligibility threshold (e.g., SSA’s “equivalence” concept)
Advisability of and methods for integrating functional assessment into the Listings
In addressing the organization of medical expertise, the committee will:
Review SSA’s list of presumptive disability conditions and suggest revisions, additions, and/or deletions. The committee will recommend essential criteria for establishing candidate conditions for presumptive disability and recommend the level of professional expertise needed to certify that a presumptive diagnosis is adequately established.
Advise on how best to provide medical expertise needed to support the entire disability adjudication process. This will involve describing the type of experts needed (academic specialists; practicing specialists; practicing generalists or non-physicians); necessary credentials and where best to locate them (from university medical centers, centers of excellence for specialized care, or community practice settings).
Recommend needs for standardized training and certification for consultative examiners who assess claimant’s level of function based on integrated evaluation of medical impairment and functional capacity. Advise on content of a training curriculum, appropriate personnel to train, and mechanisms for the certification process.
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Appendix Table 1 DDS Medical Consultants by Specialty, June 2004
Specialty
Number
Percentage
Psychology
707
33.1
Internal medicine
341
16.0
Psychiatry
233
10.9
Pediatrics
209
9.8
Family practice
141
6.6
Speech-language pathology
59
2.8
General medicine
42
2.0
Neurology
38
1.8
Cardiology
36
1.7
Orthopedic specialist
35
1.6
Surgery
35
1.6
Ophthalmology
25
1.2
Gynecology/obstetrics
21
1.0
Anesthesiology
21
1.0
Emergency medicine
20
0.9
Physical medicine and rehabilitation
19
0.9
Orthopedic surgery
18
0.8
Osteopathy
14
0.7
Occupational medicine
13
0.6
All others
122
5.7
Total
2,136
100.0
NOTE: The percentage of specialists in each category that are board certified or board eligible is not known.
SOURCE: Unpublished tables provided by the Office of Disability and Income Support Programs, SSA.
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Appendix Table 2 Number of DDS Medical Consultants by Specialty and State, June 2004
State DDS
Family practice
Internal medicine
Pediatrics
Psychology
Psychiatry
Cardiology
Neurology
Ortho -pedics
Other
Total
Connecticut
0
9
1
15
4
0
2
0
4
35
Maine
0
0
1
7
0
1
0
1
4
14
Massachusetts
3
24
2
28
6
0
1
0
2
66
New Hampshire
3
1
1
4
0
0
0
0
1
10
Rhode Island
0
8
1
6
2
0
0
0
1
18
Vermont
0
4
2
5
1
1
1
0
0
14
Region I Total
6
46
8
65
13
2
4
1
12
257
New Jersey
0
23
5
22
3
3
0
8
3
67
New York
3
23
16
18
33
0
0
1
15
109
Puerto Rico
0
8
0
8
3
1
1
0
3
24
Delaware
1
3
1
4
1
0
0
0
1
11
District of Columbia
0
3
3
2
0
0
0
0
0
8
Region II Total
4
60
25
56
40
4
1
9
22
219
Maryland
1
4
4
11
5
1
0
0
4
30
Pennsylvania
5
7
4
45
2
0
1
3
12
79
Virginia
6
6
8
20
2
2
0
2
9
55
West Virginia
2
7
2
9
2
0
0
0
1
23
Region III Total
14
24
18
85
11
3
1
5
26
187
Alabama
1
4
6
14
4
3
1
2
7
42
Florida
20
11
33
76
9
2
0
1
28
180
Georgia
1
18
5
24
1
1
2
4
7
63
Kentucky
0
5
4
15
1
0
0
1
14
40
Mississippi
0
3
2
11
1
0
0
2
8
27
North Carolina
9
5
4
19
4
0
1
1
6
49
South Carolina
2
4
4
21
1
0
1
1
11
45
Tennessee
2
5
8
20
3
1
1
1
15
56
Region IV Total
35
55
66
200
24
7
6
13
96
502
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State DDS
Family practice
Internal medicine
Pediatrics
Psychology
Psychiatry
Cardiology
Neurology
Orthopedics
Other
Total
Illinois
6
11
10
22
4
3
0
0
22
78
Indiana
0
5
1
8
0
1
2
0
10
27
Michigan
8
17
5
15
21
0
2
0
14
82
Minnesota
0
6
2
12
1
0
0
5
2
28
Ohio
12
11
5
41
1
0
0
2
16
88
Wisconsin
0
5
3
9
0
0
1
0
2
20
Region V Total
26
55
26
107
26
4
5
7
66
323
Arkansas
0
1
5
3
2
1
1
3
2
18
Louisiana
2
5
5
19
2
2
1
2
12
50
New Mexico
5
5
2
2
2
0
0
0
1
17
Oklahoma
2
5
1
10
1
0
0
0
1
20
Texas
6
6
2
10
9
1
3
2
6
45
Region VI Total
15
22
15
44
16
4
5
7
22
150
Iowa
7
0
3
17
1
2
0
0
4
34
Kansas
9
4
1
11
3
1
0
0
2
31
Missouri
2
9
9
31
5
2
1
2
20
81
Nebraska
6
1
2
8
0
0
0
0
2
19
Region VII Total
24
14
15
67
9
5
1
2
28
165
Colorado
0
5
2
3
5
2
2
2
4
25
Montana
1
1
1
4
0
0
0
1
2
10
North Dakota
0
3
0
4
1
1
0
1
1
11
South Dakota
1
1
1
4
1
0
0
0
5
13
Utah
0
1
1
6
5
0
1
0
4
18
Wyoming
1
2
0
6
0
0
0
1
6
16
Region VIII Total
3
13
5
27
12
3
3
5
22
93
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State DDS
Family practice
Internal medicine
Pediatrics
Psychology
Psychiatry
Cardiology
Neurology
Ortho -pedics
Other
Total
Arizona
1
6
2
7
9
1
4
1
13
44
California
7
28
19
1
62
2
4
2
49
174
Hawaii
1
3
1
4
2
0
0
0
4
15
Nevada
0
3
3
5
0
0
1
0
2
14
Region IX Total
9
40
25
17
73
3
9
3
68
247
Alaska
0
1
1
0
2
0
2
0
2
8
Idaho
0
1
1
2
0
0
0
1
1
6
Oregon
1
3
1
7
0
0
0
0
4
16
Washington
4
7
3
31
6
1
1
1
9
63
Region X Total
5
12
6
40
8
1
3
2
16
93
All DDSs
141
341
209
706
233
36
38
54
378
2136
NOTE: Psychiatry includes 12 child psychiatrists. Orthopedics includes 18 orthopedic surgeons, 35 orthopedic specialists, and 1 orthopedic-neurologist.
SOURCE: Unpublished tables provided by the Office of Disability and Income Support Programs, SSA.
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Appendix Table 3 Case Mix Compared with Mix of Medical Consultant Specialties
Clinical field
Percentage of MCs in the clinical specialty
Percentage of initial decisions involving the clinical field
Cardiology
1.7%
6.7%
Child Psychiatry
0.6%
0.5%
Child Psychology
*
3.7%
Endocrinology
0.2%
3.8%
Family Practice
6.8%
0.0%
Gastroenterology
0.3%
2.4%
Internal Medicine
16.3%
6.3%
Neurology
1.9%
6.8%
Oncology
0.3%
4.7%
Orthopedics
2.5%
19.9%
Pediatrics
9.8%
0.9%
Psychiatry
10.7%
19.6%
Psychology
31.2%
7.5%
Pulmonology
0.3%
4.7%
Rheumatology
0.3%
6.7%
*Less than 0.1 percent.
NOTE: Part-time medical consultants are assumed to work 20 hours a week.
SOURCE: Unpublished table provided by the Office of Disability and Income Support Programs, SSA.
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Appendix Table 4 Number of Medical Experts by Specialty, June 2005
Specialty
Number
Percentage
Clinical psychology
415
22.3
Internal medicine
371
19.9
Psychiatry
235
12.6
Orthopedic surgery
121
6.5
Pediatrics
115
6.2
Neurology
102
5.5
Cardiovascular diseases
71
3.8
Ophthalmology
57
3.1
Family Practice
31
1.7
Pulmonary diseases
22
1.2
Child psychiatry
21
1.1
Physical medicine and rehabilitation
20
1.0
Rheumatology
19
1.0
General surgery
18
1.0
Occupational Medicine
18
0.8
Gastroenterology
15
0.8
General preventive medicine
15
0.8
Urological surgery
14
0.7
Endocrinology
13
0.6
Child psychology
12
0.6
Neurological surgery
12
0.6
Emergency medicine
11
0.6
Medical oncology
11
0.6
All Others
122
6.6
Total
1,861
100.0
NOTE: The number of specialties is more than the number of MEs (1,575), because some practice in more than one specialty.
SOURCE: Unpublished table provided by the Office of Hearings and Appeals, SSA.
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Appendix Table 5 Number of Medical Experts by Specialty and Federal Region, June 2005
Federal region
Clinical psychology
Internal medicine
Psychiatry
Orthopedic surgery
Pediatrics
Neurology
Cardiovascular diseases
Ophthalmology
Other
Total
Region I
18
23
16
10
6
9
4
5
18
109
Region II
13
25
20
7
9
7
5
5
29
120
Region III
31
35
28
3
7
13
5
5
45
172
Region IV
110
85
78
42
39
25
20
12
93
504
Region V
73
56
30
20
23
17
7
8
52
286
Region VI
47
46
22
16
6
14
6
6
48
211
Region VII
12
14
3
1
3
1
3
1
16
54
Region VIII
37
7
0
0
2
4
0
1
10
61
Region IX
43
53
32
16
12
8
19
14
47
244
Region X
31
27
6
6
8
4
2
0
16
100
All regions
415
371
235
121
115
102
71
57
374
1,861
SOURCE: Unpublished table provided by the Office of Hearings and Appeals, SSA.
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Appendix Table 6 Impairment Codes of DDS Presumptive Disability Decisions with a Reversal Rate of Less Than 5 percent, CY 2004
SSA impairment code
Number of DDS PD decisions
Number reversed
Reversal rate percent)
4160-Chronic pulmonary heart disease
163
8
4.9
2940-Organic mental disorders
4,505
215
4.8
3060-Somatoform disorders
42
2
4.8
3370-Disorders of the autonomic nervous system
64
3
4.7
4920-Emphysema
193
9
4.7
1830-Malignant neoplasm/ovary and other uterine adnexa
314
14
4.5
1640-Malignant neoplasm/thymus, heart, mediastinum
23
1
4.3
3430-Cerebral palsy
1,835
78
4.3
4430-Peripheral vascular disease
516
21
4.1
2950-Schizophrenic/paranoid functional disorders
4,944
198
4.0
1920-Malignant neoplasm/other parts of the nervous system
76
3
3.9
1900-Malignant neoplasm/eye
31
1
3.2
1710-Malignant neoplasm/connective and other soft tissue
99
3
3.0
1910-Malignant neoplasm/brain
830
23
2.8
3360-Other disorders of the spinal cord
517
14
2.7
1410-Malignant neoplasm/tongue
192
5
2.6
7600-Multiple body dysfunction
714
18
2.5
1510-Malignant neoplasm/stomach
249
6
2.4
1990-Malignant neoplasm/unspecified sites
131
3
2.3
2070-Leukemias
1,058
24
2.3
8060-Vertebral fracture/cord lesion
766
18
2.3
2630-Malnutrition/weight loss
139
3
2.2
7840-Loss of voice
983
20
2.0
2990-Childhood origin psychosis (adult)
637
12
1.9
3180-Mental retardation
9,643
185
1.9
1720-Malignant melanoma of skin
179
3
1.7
5850-Chronic renal failure
4,173
62
1.5
2990-Developmental disabilities including autism (children)
2,558
36
1.4
1620-Malignant neoplasm/trachea, bronchus, lung
2,606
35
1.3
1980-Malignant neoplasm/distant sites
78
1
1.3
3320-Parkinsons disease
154
2
1.3
1500-Malignant neoplasm/esophagus
367
4
1.1
1630-Malignant neoplasm/pleura
98
1
1.0
3350-Anterior horn cell disorder (ALS)
113
1
0.9
7580-Chromosome anomaly/Down syndrome
1,443
8
0.6
7650-Birth weight under 1200 grams
3,291
12
0.4
1550-Malignant neoplasm of liver and intrahepatic bile ducts
710
2
0.3
0940-Neurosyphilis
3
0
0.0
1560-Malignant neoplasm/gallbladder
56
0
0.0
1570-Malignant neoplasm/pancreas
400
0
0.0
1760-Malignant Kaposi’s sarcoma
8
0
0.0
1780-Malignant neoplasm/skeletal system
4
0
0.0
2730-Disorders of plasma protein metabolism
3
0
0.0
3210-Arachnoiditis
10
0
0.0
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SSA impairment code
Number of DDS PD decisions
Number reversed
Reversal rate percent)
5010-Asbestosis
6
0
0.0
7050-Hidradenitis suppurativa
16
0
0.0
9330-Chronic fatigue syndrome
11
0
0.0
SOURCE: Unpublished table provided by the Office of Disability and Income Support Programs, SSA.
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Appendix Table 7 SSA Impairment Codes by Allowance Rate, from Highest to Lowest, CY 2004
SSA impairment code
Number of decisions
Number of allowances
Allowance rate (percent)
All codes
2,532,798
947,266
37.4
1550-Malignant neoplasm of liver and intrahepatic bile ducts
4,653
4,616
99.2
1570-Malignant neoplasm/pancreas
3,304
3,258
98.6
3350-Anterior horn cell disorder (ALS)
1,534
1,506
98.2
7650-Birth weight under 1200 grams
17,235
16,890
98.0
7580-Chromosome anomaly/Down syndrome
5,242
5,111
97.5
1980-Malignant neoplasm/distant sites
619
599
96.8
1630-Malignant neoplasm/pleura
806
776
96.3
1560-Malignant neoplasm/gallbladder
450
432
96.0
1620-Malignant neoplasm/trachea, bronchus, lung
19,291
18,307
94.9
1500-Malignant neoplasm/esophagus
2,916
2,744
94.1
2990-Developmental disabilities including autism (children)
10,759
9,920
92.2
1910-Malignant neoplasm/brain
6,302
5,754
91.3
1510-Malignant neoplasm/stomach
1,966
1,779
90.5
5850-Chronic renal failure
22,195
19,998
90.1
1780-Malignant neoplasm/skeletal system
20
18
90.0
1720-Malignant melanoma of skin
1,832
1,618
88.3
2070-Leukemias
6,166
5,408
87.7
1760-Malignant Kaposi’s sarcoma
40
35
87.5
1410-Malignant neoplasm/tongue
1,392
1,197
86.0
2990-Childhood origin psychosis (adult)
3,898
3,352
86.0
2030-Multiple myeloma
2,164
1,859
85.9
1590-Malignant neoplasm/other digestive organs, peritoneum
741
636
85.8
1990-Malignant neoplasm/unspecified sites
552
471
85.3
1830-Malignant neoplasm/ovary and other uterine adnexa
3,394
2,882
84.9
3180-Mental retardation
77,102
65,460
84.9
3360-Other disorders of the spinal cord
3,428
2,856
83.3
7600-Multiple body dysfunction
2,555
2,128
83.3
1920-Malignant neoplasm/other parts of the nervous system
280
230
82.1
1520-Malignant neoplasm/small intestine
552
449
81.3
1890-Malignant neoplasm/kidney, other urinary organs
2,740
2,206
80.5
0420-Malignant neoplasm/bone marrow or stem cell transplantation
5
4
80.0
7400-Anencephalus/catastrophic anomaly
569
453
79.6
2630-Malnutrition/weight loss
1,112
876
78.8
1640-Malignant neoplasm/thymus, heart, mediastinum
173
136
78.6
1700-Malignant neoplasm/bone and articular cartilage
1,550
1,207
77.9
3430-Cerebral palsy
9,864
7,546
76.5
3320-Parkinsons disease
3,853
2,894
75.1
1950-Malignant neoplasm/other sites
5,399
4,049
75.0
8060-Vertebral fracture/cord lesion
4,699
3,449
73.4
1880-Malignant neoplasm/bladder
1,535
1,122
73.1
7840-Loss of voice
5,162
3,742
72.5
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SSA impairment code
Number of decisions
Number of allowances
Allowance rate (percent)
1380-Late effects of acute poliomyelitis
1,859
1,346
72.4
1710-Malignant neoplasm/connective and other soft tissue
902
650
72.1
7410-Spina bifida
1,867
1,344
72.0
1530-Malignant neoplasm/colon, rectum, anus
11,184
8,019
71.7
2950-Schizophrenic/paranoid functional disorders
56,218
40,308
71.7
3300-Cerebral degeneration/childhood
616
439
71.3
3750-Cardiac transplantation
319
226
70.8
1420-Malignant neoplasm/salivary glands
234
165
70.5
4380-Late effects of cerebrovascular disease
32,139
22,529
70.1
1790-Malignant neoplasm/uterus
2,566
1,783
69.5
4430-Peripheral vascular disease
8,979
6,240
69.5
4160-Chronic pulmonary heart disease
2,137
1,481
69.3
2840-Aplastic anemia
738
505
68.4
7830-Malnutrition, marasmus/growth impairment
2,388
1,631
68.3
3590-Muscular dystrophies
3,188
2,155
67.6
3150-Developmental/emotional disorders—infant
4,521
3,034
67.1
0300-Leprosy
3
2
66.7
4960-Cronic pulmonary insufficiency/COPD
40,287
26,348
65.4
1940-Malignant neoplasm/other endocrine glands and related
242
158
65.3
3310-Other cerebral degenerations
3,901
2,536
65.0
2940-Organic mental disorders
57,567
36,958
64.2
3210-Arachnoiditis
231
145
62.8
9070-Late effects/nervous system injuries
6,740
4,125
61.2
3690-Blindness/low vision
24,669
14,752
59.8
4280-Heart failure
15,865
9,440
59.5
1740-Malignant neoplasm/breast
17,865
10,558
59.1
3620-Other retinal disorders
3,455
2,038
59.0
3153-Speech and language delays
32,332
18,914
58.5
4460-Periarteritis nodosa/allied condition
296
171
57.8
1870-Malignant neoplasm/penis, male genital organs
158
91
57.6
7500-Congenital anomalies/upper alimentary tract
372
212
57.0
1850-Malignant neoplasm/prostate
3,233
1,827
56.5
4920-Emphysema
4,382
2,471
56.4
2760-Diabetec acidosis
222
123
55.4
4540-Varicose veins/low extremities
2,374
1,294
54.5
3570-Diabetic/peripheral neuropathy
13,714
7,460
54.4
2020-Lymphoma
7,075
3,799
53.7
3890-Deafness
15,352
8,183
53.3
7460-Congenital heart anomalies
5,542
2,910
52.5
0940-Neurosyphilis
25
13
52.0
0430- Symptomatic HIV positive
18,168
9,429
51.9
8540-Intracranial injury
5,785
2,968
51.3
1900-Malignant neoplasm/eye
194
99
51.0
2770-Disorders of metabolism/cystic fibrosis
1,426
719
50.4
3400-Multiple sclerosis
14,183
7,148
50.4
4250-Cardiomyopathy
15,472
7,581
49.0
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SSA impairment code
Number of decisions
Number of allowances
Allowance rate (percent)
1170-Skin/mucus membrane infections
720
351
48.7
7140-Rheumatoid & other inflammatory arthritis
19,437
9,330
48.0
3060-Somatoform disorders
1,425
681
47.8
1860-Malignant neoplasm/testis
791
375
47.4
2960-Mood disorders (children)
21,121
9,927
47.0
2390-Neoplasm/unspecified/unknown behavior
308
144
46.8
7050-Hidradenitis suppurativa
295
135
45.8
4410-Aortic aneurysm
1,341
607
45.3
1730-Other malignant neoplasm of skin
463
209
45.1
3610-Retinal detachment with retinal defects
1,592
716
45.0
2250-Benign neoplasm/brain, nervous system
3,049
1,332
43.7
4590-Other diseases of the circulatory system
7,004
3,061
43.7
3370-Disorders of the autonomic nervous system
1,408
614
43.6
1840-Malignant neoplasm/other female genital organs
1,141
496
43.5
4140-Chronic ischemic heart disease
44,127
19,195
43.5
4030-Hypertensive vascular/renal disease
376
162
43.1
7200-Ankylosing/inflamnatory spondylopathies
1,007
430
42.7
2820-Hereditary hemolytic anemias including sickle cell
4,167
1,771
42.5
5010-Asbestosis
289
122
42.2
7300-Osteomyelitis/other infections involving bone
1,837
775
42.2
1930-Malignant neoplasm/thyroid gland
782
327
41.8
5710-Chronic liver disease/cirrhosis
30,970
12,853
41.5
7150-Osteoarthritis/allied disorders
113,194
45,730
40.4
4480-Diseases of capillaries
145
57
39.3
0930-Cardio vascular syphilis
36
14
38.9
2730-Disorders of plasma protein metabolism
93
36
38.7
3490-Cther nervous system disorders
15,534
5,996
38.6
3000-Anxiety-related disorders
46,037
17,724
38.5
3138-Oppositional/defiant disorder
7,776
2,955
38.0
3650-Glaucoma
2,958
1,121
37.9
3580-Myoneural disorders
3,118
1,160
37.2
5810-Nephrotic syndrome
2,447
903
36.9
3120-Conduct disorder
5,856
2,102
35.9
2960-Affective disorders (adult)
277,560
99,089
35.7
7590-Other congenital anomalies
3,324
1,160
34.9
2850-Other anemias
1,864
641
34.4
3660-Cataract
2,400
826
34.4
2790-Disorders immune mechanism (except HIV)
1,009
345
34.2
3010-Personality disorders
14,295
4,860
34.0
1360-Other infectious/parasitic diseases
1,488
487
32.7
5780-Gastro intestinal hemorrhage
979
311
31.8
9050-Late effects/musculoskeletal and connective tissue injuries
14,412
4,525
31.4
7100-Diffuse diseases of connective tissue
9,056
2,835
31.3
2880-Diseases of white blood cells
145
45
31.0
3140-Attention deficit hyperactivity disorder
94,862
29,312
30.9
3950-Diseases of aortic valve
3,889
1,190
30.6
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SSA impairment code
Number of decisions
Number of allowances
Allowance rate (percent)
4100-Acute myocardial infarction
5,254
1,608
30.6
3070-Eating and tic disorders
349
106
30.4
2870-Purpura/other hemorrhagic conditions
499
151
30.3
2380-Neoplasm/uncertain behavior
204
60
29.4
5190-Other diseases of respiratory system
8,111
2,385
29.4
1350-Sarcoidosis
1,904
554
29.1
5300-Diseases of esophagus
984
286
29.1
3860-Vertiginous syndromes
2,155
625
29.0
7330-Other bone/cartilage disorders
16,067
4,659
29.0
4940-Bronchiectasis
674
193
28.6
7649-Birth weight between 1200 and 2000 grams
6,951
1,981
28.5
2810-Deficiency anemias
1,365
388
28.4
4020-Hypertensive vascular disease
7,426
2,109
28.4
3980-Other rheumatic heart disease
629
177
28.1
9490-Burns
1,925
537
27.9
4510-Phlebitis/thrombophlebitis
1,012
280
27.7
4240-Valvular heart diseases/other stenotic defects
3,923
1,067
27.2
3910-Rheumatic fever/heart involvement
169
45
26.6
4270-Cardiac dysrhythmias
4,966
1,311
26.4
2890-Other diseases blood/blood forming organs
1,313
339
25.8
5050-Pneumoconiosis
240
61
25.4
5560-Idiopathic proctocolitis
1,369
344
25.1
6940-Bullous disease
517
128
24.8
4130-Angina pectoris
1,761
426
24.2
2860-Coagulation defects
826
199
24.1
2720-Hyperlipidemia
175
42
24.0
7160-Other and unspecified arthropathies
27,885
6,469
23.2
6960-Dermatitis
1,951
451
23.1
2780-Obesity
20,758
4,754
22.9
5550-Regional enteritis/granulomatous colitis
4,723
1,053
22.3
3680-Visual disturbances
6,158
1,324
21.5
8690-Internal injury
506
108
21.3
8940-Lower limb open wounds
3,117
664
21.3
3152-Learning disorder
36,123
7,622
21.1
8270-Lower limb fractures
34,015
7,075
20.8
2740-Gout
1,511
308
20.4
3195-Borderline intellectual functioning
31,621
6,356
20.1
7240-Back disorders
311,813
62,674
20.1
0110-Pulmonary tuberculosis
472
90
19.1
6950-Ichthyosis
567
103
18.2
7280-Muscle, ligament, fascia disorders
58,995
10,619
18.0
2550-Disorders of adrenal glands
386
69
17.9
2500-Diabetes mellitus
67,988
11,966
17.6
5690-Other disorders gastrointestinal system
13,943
2,440
17.5
9330-Chronic fatigue syndrome
1,974
342
17.3
2530-Disorders of pituitary gland
441
75
17.0
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SSA impairment code
Number of decisions
Number of allowances
Allowance rate (percent)
7800-Sleep-related disorder
2,371
403
17.0
7090-Other disorders skin/subcutaneous tissue
3,399
557
16.4
5330-Peptic ulcer
1,022
165
16.1
8390-Dislocations
2,435
392
16.1
3460-Migraine
8,011
1,282
16.0
3540-Carpal tunnel syndrome
5,627
889
15.8
8840-Upper limb open wounds
3,676
573
15.6
5530-Hernias
3,048
451
14.8
8180-Upper limb fractures
12,756
1,862
14.6
8290-Other fractures
8,432
1,214
14.4
4910-Chronic bronchitis
1,653
230
13.9
2510-Hypoglycemia
123
17
13.8
3780-Strabismus/disorders eye movements
557
76
13.6
3450-Epilepsy
37,165
4,980
13.4
7370-Curvature of spine
4,530
607
13.4
4010-Essential hypertension
32,188
3,863
12.0
6080-Disorders of male genital organs
434
49
11.3
5990-Other disorders of urinary tract
3,823
413
10.8
2520-Disorders of parathyroid
265
28
10.6
4930-Asthma
60,855
6,086
10.0
5350-Gastritis/Duodenitis
1,480
144
9.7
8790-Other open wounds
432
42
9.7
3880-Other ear disorders
3,019
281
9.3
8030-Skull fracture without intracranial injury
460
35
7.6
8480-Sprains & strains
19,846
1,111
5.6
2460-Disorders of thyroid
3,592
198
5.5
6290-Disorders of female genital organs
1,582
63
4.0
0440-Asymptomatic HIV positive
8,438
262
3.1
3040-Substance dependence/drugs (child)
100
1
1.0
3030-Addiction disorder/alcohol (adult)
8,069
0
0.0
3030-Substance dependence/alcohol (child)
39
0
0.0
3040-Addiction disorders/drugs (adult)
7,167
0
0.0
Unknown, missing, invalid codes
145,328
8,284
5.7
SOURCE: Unpublished table provided by the Office of Disability and Income Support Programs, SSA.
Representative terms from entire chapter:
disability decision
