Immune deficiency disorders, excluding HIV infection. As described in 14.00E. With: SSDI Claims in Vermont

Medical criteria

SSA Blue Book listing

14.07 Immune deficiency disorders, excluding HIV infection. As described in 14.00E. With:

Listing criteria (20 CFR Appendix 1, Part A)

A. One or more of the following infections. The infection(s) must either be resistant to treatment or require hospitalization or intravenous treatment three or more times in a 12-month period. 1. Sepsis; or 2. Meningitis; or 3. Pneumonia; or 4. Septic arthritis; or 5. Endocarditis; or 6. Sinusitis documented by appropriate medically acceptable imaging. or B. Stem cell transplantation as described under 14.00E3. Consider under a disability until at least 12 months from the date of transplantation. Thereafter, evaluate any residual impairment(s) under the criteria for the affected body system. or C. Repeated manifestations of an immune deficiency disorder, 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 function. 3. Limitation in completing tasks in a timely manner due to deficiencies in concentration, persistence, or pace. 14.08 [Reserved]

Body system category

14.00 Immune System Disorders

Common denial reason

Immune deficiency claims are commonly denied when infection history and lab evidence do not satisfy listing frequency or severity requirements.