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How Social Security Evaluates Chronic Kidney Disease (CKD)

By Kenton Koszdin on August 28, 2018 | In Disability Insurance

How Social Security Evaluates Chronic Kidney Disease (CKD)

If you or someone you know has a genitourinary disorder resulting from a kidney transplant or chronic kidney disease, you may have a disability that meets the criteria established by the Social Security Administration’s (SSA) Listing of Impairments (the “Listings”). The Listing of Impairments lists impairments considered severe enough to prevent an individual from performing substantial gainful activity (SGA), which is work that earns income above a certain threshold per month. In 2018, this is $1,180 for non-blind disabled applicants and $1,970 for blind applicants.

The category of impairments of genitourinary disorders usually involves conditions such as chronic kidney disease, nephrotic syndrome, and complications resulting from chronic kidney disease. Social Security will accept a report from an acceptable medical source that describes the CKD and current dialysis showing that dialysis will be ongoing. If undergoing chronic hemodialysis or peritoneal dialysis, a claimant’s CKD may meet the SSA’s definition of disability before the beginning of dialysis.

Chronic kidney disease, with chronic hemodialysis or peritoneal dialysis, involves dialysis as a treatment for CKD that uses artificial means to remove toxic metabolic byproducts from the blood. Hemodialysis uses an artificial kidney machine to clean waste products from the blood; peritoneal dialysis uses a dialyzing solution that is introduced into and removed from the abdomen (peritoneal cavity) either continuously or intermittently.

Chronic kidney disease, with chronic hemodialysis or peritoneal dialysis, with ongoing dialysis that must have lasted or be expected to last for a continuous period of at least 12 months.

Chronic kidney disease with impairment of kidney function must include a documented laboratory finding showing reduced glomerular filtration on at least two occasions at least 90 days apart during a consecutive 12-month period. This condition may be shown by findings of certain levels of serum creatinine, a predefined creatinine clearance; or a certain minimum estimated glomerular filtration rate (eGFR).

Also, there must be a finding of one of renal osteodystrophy with severe bone pain and imaging studies documenting bone abnormalities, such as osteitis fibrosa, osteomalacia, or pathologic fractures; or peripheral neuropathy; or fluid overload syndrome documented by a certain diastolic hypertension rate or signs of vascular congestion or anasarca.

Complications of chronic kidney disease require at least three hospitalizations within a consecutive 12-month period and occurring at least 30 days apart. Each hospitalization must last at least 48 hours, including hours in a hospital emergency department immediately before the hospitalization.

Nephrotic syndrome, may be established by laboratory findings documented on at least two occasions at least 90 days apart during a consecutive 12-month period, of certain pre-established levels of Proteinuria, Serum albumin, and a urine total-protein-to-creatinine ratio of 3.5 or greater. There must also be a finding of anasarca persisting for at least 90 days despite prescribed treatment.

Every application for social security benefits requires the consideration of a substantial list of issues over the life of a case. It’s one matter to apply for and receive benefits, but it’s another to understand what happens after this occurs over the long road ahead. The Kenton Koszdin Law Office provides the necessary experience to represent and assist you throughout the entire process in Social Security Disability and workers’ compensation. Do you have any questions or concerns about how Social Security benefits affect your receipt of Medicare and/or Medicaid? If so, contact the Kenton Koszdin Law Office to get the Social Security help you need in the San Fernando Valley! Call 800-438-7734 or visit us online. Se habla espańol!

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