Polymyositis and dermatomyositis. As described in 14.00D4. With: 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

14.00 Immune System Disorders

Listing 14.05 criteria are federal standards that apply nationwide, including in Nebraska.

Medical criteria

SSA Blue Book listing: 14.05 Polymyositis and dermatomyositis. As described in 14.00D4. With:
Listing criteria (20 CFR Appendix 1, Part A): A. Proximal limb-girdle (pelvic or shoulder) muscle weakness and medical documentation of at least one of the following: 1. A documented medical need (see 14.00C6) 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. An inability to use one upper extremity to independently initiate, sustain, and complete work-related activities involving fine and gross movements (see 14.00C7), and a documented medical need (see 14.00C6) for a one-handed, hand-held assistive device (see 1.00C6d) that requires 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. An inability to use both upper extremities to the extent that neither can be used to independently initiate, sustain, and complete work-related activities involving fine and gross movements (see 14.00C7); or B. Impaired swallowing (dysphagia) with aspiration due to muscle weakness. or C. Impaired respiration due to intercostal and diaphragmatic muscle weakness. or D. Diffuse calcinosis with limitation of joint mobility or intestinal motility. or E. Repeated manifestations of polymyositis or dermatomyositis, with at least two of the constitutional symptoms or signs (severe fatigue, fever, malaise, or involuntary weight loss) and one of the following at the marked level: 1. Limitation of activities of daily living. 2. Limitation in maintaining social functioning. 3. Limitation in completing tasks in a timely manner due to deficiencies in concentration, persistence, or pace.
Body system category: 14.00 Immune System Disorders
Common denial reason: Polymyositis claims are often denied when proximal muscle weakness and CK levels do not show listing-level functional decline.

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