Amputation due to any cause SSDI Claims in North Dakota

Medical criteria

SSA Blue Book listing

1.20 Amputation due to any cause

Listing criteria (20 CFR Appendix 1, Part A)

(see 1.00K), documented by A, B, C, or D: A. Amputation of both upper extremities, occurring at any level at or above the wrists (carpal joints), up to and including the shoulder (glenohumeral) joint. OR B. Hemipelvectomy or hip disarticulation. OR C. Amputation of one upper extremity, occurring at any level at or above the wrist (carpal joints), and amputation of one lower extremity, occurring at or above the ankle (talocrural joint), and medical documentation of at least one of the following: 1. A documented medical need (see 1.00C6a) for a walker, bilateral canes, or bilateral crutches (see 1.00C6d) or a wheeled and seated mobility device involving the use of both hands (see 1.00C6e(i)); or 2. A documented medical need (see 1.00C6a) for a one-handed, hand-held assistive device (see 1.00C6d) requiring the use of the other upper extremity or a wheeled and seated mobility device involving the use of one hand (see 1.00C6e(ii)); or 3. The inability to use the remaining upper extremity to independently initiate, sustain, and complete work-related activities involving fine and gross movements (1.00E4). OR D. Amputation of one or both lower extremities, occurring at or above the ankle (talocrural joint), with complications of the residual limb(s) that have lasted, or are expected to last, for a continuous period of at least 12 months, and medical documentation of 1 and 2: 1. The inability to use a prosthesis(es); and 2. A documented medical need (see 1.00C6a) for a walker, bilateral canes, or bilateral crutches (see 1.00C6d) or a wheeled and seated mobility device involving the use of both hands (see 1.00C6e(i)).

Body system category

1.00 Musculoskeletal Disorders

Common denial reason

Amputation claims are commonly denied when prosthetic use or residual function allows ambulation or use of the limb at a level SSA considers compatible with competitive work.