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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

APPENDIX
LIST OF STUDY TASKS

In addressing the Listings, the committee will consider:

  1. 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)

  2. Conceptual models for organizing the Listings, beyond the current “body systems” model at 20 C.F.R. Part 404, Subpart P, Appendix I

  3. Processes for determining when the Listings require revision and criteria upon which to add new listings or remove old ones

  4. Feedback mechanisms to continuously assess and evaluate the Listings for the purpose of improving consistency in application by all adjudicators throughout the country

  5. 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

  6. Methods to assess and quantify the effects of multiple impairments that may not individually cross the eligibility threshold (e.g., SSA’s “equivalence” concept)

  7. Advisability of and methods for integrating functional assessment into the Listings

In addressing the organization of medical expertise, the committee will:

  1. 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.

  2. 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).

  3. 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.

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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.

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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.

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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.

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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.

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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.

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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.

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×

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.

Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
×
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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Suggested Citation:"Appendix: List of Study Tasks." Institute of Medicine. 2006. Improving the Social Security Disability Decision Process: Interim Report. Washington, DC: The National Academies Press. doi: 10.17226/11521.
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The Institute of Medicine (IOM) Committee on Improving the Disability Decision Process has been working since it first met in January 2005 to develop recommendations to the Social Security Administration (SSA) on how to improve the medical aspects of its disability determination process. By law, Social Security can only pay benefits to those unable to engage in substantial gainful activity because of a "medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months (emphasis added)." Medical and psychological expertise is critical both in developing the criteria for measuring the severity and functional impact of an impairment or impairments on an applicant's ability to work and in applying the criteria to individual cases where the medical evidence does not clearly meet the criteria in the eyes of a nonmedical disability examiner.

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