× [log e (serum creatinine mg/dL)] SSDI Claims in Ohio

Medical criteria

SSA Blue Book listing

9.57 × [log e (serum creatinine mg/dL)]

Listing criteria (20 CFR Appendix 1, Part A)

+ 3.78 × [log e (serum total bilirubin mg/dL)] +11.2 × [log e (INR)] + 6.43 rounded to the nearest whole integer. (ii) If the value from the initial calculation is 11 or below, the SSA CLD score will be the SSA CLD i value. If the value from the initial calculation is greater than 11, the SSA CLD score will be re-calculated as: SSA CLD = SSA CLD i + 1.32 × (137−serum sodium mmol/L) −[0.033 × SSA CLD i × (137−serum sodium mmol/L)] (iii) We round the results of your SSA CLD score calculation to the nearest whole integer to arrive at your SSA CLD score. b. For any SSA CLD score calculation, all of the required laboratory values (serum creatinine, serum total bilirubin, INR, and serum sodium) must have been obtained within a continuous 30-day period. (i) We round values for serum creatinine (mg/dL), serum total bilirubin (mg/dL), or INR less than 1.0 up to 1.0 to calculate your SSA CLD score. (ii) We round values for serum creatinine (mg/dL) greater than 4.0 down to 4.0 to calculate your SSA CLD score. (iii) If there are multiple laboratory values within the 30-day interval for serum creatinine (mg/dL), serum total bilirubin (mg/dL), or INR, we use the highest value to calculate your SSA CLD score. We will not use any INR values derived from testing done while you are on anticoagulant treatment in our SSA CLD calculation. (iv) If there are multiple laboratory values within the 30-day interval for serum sodium (mmol/L), we use the lowest value to calculate your SSA CLD score. (v) If you are in renal failure or on renal dialysis within a week of any serum creatinine test in the period used for the SSA CLD calculation, we will use a serum creatinine value of 4.0, which is the maximum serum creatinine level allowed in the calculation, to calculate your SSA CLD score. (vi) If your serum sodium is less than 125 mmol/L, we will set your serum sodium to 125 mmol/L for purposes of calculation of the SSA CLD score. If your serum sodium is higher than 137 mmol/L, we will set your serum sodium to 137 mmol/L for purposes of calculation of the SSA CLD score. c. When we indicate “log e ” (also abbreviated “ln”) in the formula for the SSA CLD score calculation, we mean the “base e logarithm” or “natural logarithm” of the numerical laboratory value, not the “base 10 logarithm” or “common logarithm” (log) of the laboratory value, and not the actual laboratory value. For example, if a person has laboratory values of serum creatinine 1.4 mg/dL, serum total bilirubin 1.3 mg/dL, INR 1.32, and serum sodium 119 mmol/L, we compute the SSA CLD score as follows: SSA CLD i =

Body system category

9.00 Endocrine Disorders

Common denial reason

Endocrine claims are commonly denied when complications of diabetes or other endocrine disorders are not documented as severely limiting work capacity.