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SSDI Claim Resource

Breast (except sarcoma—13.04). ( See 13.00K4.) SSDI Claims in New York

Localized guidance for claimants navigating Social Security Disability Insurance. Review New York statewide denial rates, national processing benchmarks, and Blue Book criteria — then decode your denial letter in plain English.

61%statewide initial denial rate~7.4 monthsnational avg. initial waitListing 13.10

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

13.00 Cancer (Malignant Neoplastic Diseases)

Listing 13.10 criteria are federal standards that apply nationwide, including in New York.

Medical criteria

SSA Blue Book listing
13.10 Breast (except sarcoma—13.04). ( See 13.00K4.)
Listing criteria (20 CFR Appendix 1, Part A)
A. Locally advanced cancer (inflammatory carcinoma, cancer of any size with direct extension to the chest wall or skin, or cancer of any size with metastases to the ipsilateral internal mammary nodes). OR B. Carcinoma with metastases to the supraclavicular or infraclavicular nodes, to 10 or more axillary nodes, or with distant metastases. OR C. Recurrent carcinoma, except local recurrence that remits with anticancer therapy. OR D. Small-cell (oat cell) carcinoma. OR E. With secondary lymphedema that is caused by anticancer therapy and treated by surgery to salvage or restore the functioning of an upper extremity. (See 13.00K4b.) Consider under a disability until at least 12 months from the date of the surgery that treated the secondary lymphedema. Thereafter, evaluate any residual impairment(s) under the criteria for the affected body system.
Body system category
13.00 Cancer (Malignant Neoplastic Diseases)
Common denial reason
Breast cancer claims are frequently denied when cancer is localized, treated, and without listing-level recurrence or spread.

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