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November 20, 2014

Appealing Your Indiana Social Security Disability Claim for Cirrhosis of the Liver

Many people find that their initial application for Social Security disability benefits has been denied, even though they have a medical condition, such as cirrhosis of the liver, that may be very severe.  Statistically, you are more likely to be turned down for disability benefits on your initial application than you are to be approved.  Therefore, it is important to follow through with an appeal of  the denial of your claim to improve your chances of obtaining Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI) benefits. The Social Security Administration (SSA) identifies cirrhosis of the liver as a disabling condition that may entitle you to disability payments.  The SSA addresses this condition in its Listing of Impairments at Listing 5.05: Chronic Liver Disease.  This Listing spells out the criteria that allow a patient with cirrhosis of the liver to be found disabled.  If your medical records show that you have certain complications stemming from your diagnosis of cirrhosis, and if medical imaging and testing have severe enough results, you could meet Social Security’s criteria based on your medical records alone.  For more specific details of Listing 5.05, see this blog post. Even if your medical records do not show the specific conditions and test results required to meet the Listing, you may still be disabled under Social Security’s rules if you show that your cirrhosis of the liver symptoms and treatments prevent you from maintaining full time employment.  These symptoms can include, but are not limited to: Fatigue Jaundice or yellowing of the skin Weight loss Nausea Obviously, symptoms may vary from individual to individual, but the effects of these symptoms can powerfully affect your ability to work.  Further, if you have additional medical conditions that cause additional symptoms, the combined effects of all of your medical conditions may prevent you from being able to … Continued

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October 4, 2013

What documentation do I need for my cirrhosis of the liver disability claim?

As a disability lawyer in Indiana, I speak to clients daily about the documentation they need to prove their Social Security disability claims.   Once you have applied for benefits, the Social Security Administration (SSA) will, with your permission, request medical records from the physicians and other medical providers who have treated or evaluated you for your impairments.  As you proceed through the appeals process, the SSA will request updated information from your providers, and if you reach a hearing, the Administrative Law Judge (ALJ) will make sure that all of your medical records have been added to your Social Security file.  For some impairments, including cirrhosis of the liver, it is very important that your medical records include complete documentation of your symptoms and objective evidence of your condition. Cirrhosis of the liver is evaluated by the SSA as a digestive system impairment.  If you have cirrhosis of the liver, the SSA’s Listing of Impairments Section 5.05 for chronic liver disease requires documentation of at least one of the following: Hemorrhaging due to esophageal, gastric, or ectopic varices or portal hypertensive gastropathy, resulting in hemodynamic instability and requiring hospitalization for transfusion.  Acceptable documentation includes: Endoscopy X-rays Ascites or hydrothorax, in spite of continuing treatment, on at least two evaluations at least sixty days apart.  Acceptable documentation includes: Laboratory tests showing serum albumin of 3.0 g/dL or less Coagulation studies showing increased International Normalized Ratio (INR) Spontaneous bacterial peritonitis.  Acceptable documentation includes: Laboratory tests showing an absolute neutrophil count of at least 250 cells/mm3. Hepatorenal syndrome.  Acceptable documentation includes: Documentation of low arterial oxygenation Echocardiography (ECG) or lung perfusion scan showing intrapulmonary arteriovenous shunting Hepatic encephalopathy.  Acceptable documentation includes: Documentation of abnormal mental state or cognitive dysfunction Documentation of surgical portosystemic shunt placement Documentation of neurological abnormalities such as asterixis Electroencephalogram (EEG) Serum albumin … Continued

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