What this listing covers
Benign brain tumors are non-cancerous growths that form in or on your brain.
The impact of these tumors varies based on their size and location.
How SSA evaluates a claim under this listing
Under Listing 11.05, the SSA evaluates how a benign tumor disrupts your ability to function.
Alternatively, the SSA considers if the tumor causes marked limitations in your physical functioning combined with marked limitations in mental areas like concentration, memory, or social interaction.
Evidence that strengthens a claim
Strong claims rely on clear medical imaging such as CT scans or MRIs that confirm the presence and location of your tumor.
Non-medical evidence is also vital, including statements from your doctors about your response to treatment and reports from family members regarding your daily struggles.
How an attorney helps
A disability attorney helps by ensuring your medical records clearly link your tumor's symptoms to the specific functional criteria in Listing 11.05. They can help gather necessary evidence from your specialists and prepare functional capacity statements that illustrate your limitations to the SSA. If your initial application is not successful, an attorney can guide you through the appeals process, including preparing for a hearing before an ALJ.
Frequently asked questions
Not all benign brain tumors qualify automatically. The SSA evaluates your claim based on the specific functional limitations the tumor causes, such as motor dysfunction or cognitive impairment, rather than just the diagnosis itself. An attorney can review your medical records to see if your symptoms meet the criteria in Listing 11.05.
The most important evidence includes imaging like MRIs or CT scans, along with detailed clinical notes from your neurologist. These records must document the specific ways the tumor limits your physical or mental ability to perform work-related activities on a sustained basis.
The SSA defines a marked limitation as a serious interference with your ability to function independently, effectively, and on a sustained basis in a work setting. This is not based on a single test score but on the overall impact of your symptoms on your daily activities and work capacity.
If your claim is denied, you have the right to request reconsideration and, if necessary, a hearing before an ALJ. You must file your appeal within the required timeframe to keep your claim active. An attorney can help you identify missing evidence and strengthen your case for the next stage of the process.
