Depressive, bipolar and related disorders SSDI Claims in Nebraska

Nebraska statewide initial denial rate

52%

Applies to all adult SSDI claims at initial DDS level in Nebraska, not this listing only. Derived from SSA initial-level allowance data for FY2024. Source: SSA State Agency Operations Report (via NOSSCR FY2024 allowance rates publication).

National average initial processing time

~7.4 months

(226 days)

National average for all initial disability claims requiring a medical determination (not condition- or state-specific). Data for FY2025. Source: SSA processing time data.

Blue Book body system

12.00 Mental Disorders

Listing 12.04 criteria are federal standards that apply nationwide, including in Nebraska.

Medical criteria

SSA Blue Book listing: 12.04 Depressive, bipolar and related disorders
Listing criteria (20 CFR Appendix 1, Part A): (see 12.00B3), satisfied by A and B, or A and C: A. Medical documentation of the requirements of paragraph 1 or 2: 1. Depressive disorder, characterized by five or more of the following: a. Depressed mood; b. Diminished interest in almost all activities; c. Appetite disturbance with change in weight; d. Sleep disturbance; e. Observable psychomotor agitation or retardation; f. Decreased energy; g. Feelings of guilt or worthlessness; h. Difficulty concentrating or thinking; or i. Thoughts of death or suicide. 2. Bipolar disorder, characterized by three or more of the following: a. Pressured speech; b. Flight of ideas; c. Inflated self-esteem; d. Decreased need for sleep; e. Distractibility; f. Involvement in activities that have a high probability of painful consequences that are not recognized; or g. Increase in goal-directed activity or psychomotor agitation. AND B. Extreme limitation of one, or marked limitation of two, of the following areas of mental functioning (see 12.00F): 1. Understand, remember, or apply information (see 12.00E1). 2. Interact with others (see 12.00E2). 3. Concentrate, persist, or maintain pace (see 12.00E3). 4. Adapt or manage oneself (see 12.00E4). OR C. Your mental disorder in this listing category is “serious and persistent;” that is, you have a medically documented history of the existence of the disorder over a period of at least 2 years, and there is evidence of both: 1. Medical treatment, mental health therapy, psychosocial support(s), or a highly structured setting(s) that is ongoing and that diminishes the symptoms and signs of your mental disorder (see 12.00G2b); and 2. Marginal adjustment, that is, you have minimal capacity to adapt to changes in your environment or to demands that are not already part of your daily life (see 12.00G2c).
Body system category: 12.00 Mental Disorders
Common denial reason: Depression and bipolar claims are commonly denied when treatment notes describe symptoms but do not show marked functional limits in work-related mental activities.

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