SSDI Blue Book 13.07

Multiple Myeloma and SSDI Eligibility

Multiple myeloma that meets specific treatment or progression criteria may qualify you for SSDI under Listing 13.07.

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What this listing covers

Multiple myeloma is a cancer that forms in a type of white blood cell called a plasma cell. These cancerous cells accumulate in your bone marrow, where they crowd out healthy blood cells and produce abnormal proteins that can damage your kidneys and bones.

This condition often causes severe bone pain, frequent infections, and extreme fatigue. The physical toll makes it difficult to maintain the stamina required for a standard work shift, as simple tasks like standing, lifting, or concentrating become increasingly challenging.

How SSA evaluates a claim under this listing

Under Listing 13.07, the SSA evaluates your multiple myeloma based on how the cancer responds to initial treatment. They look for evidence that your disease has failed to respond to therapy or has continued to progress despite medical intervention.

If you have undergone a bone marrow or stem cell transplant, the SSA considers you disabled for at least 12 months following the date of the procedure. After that period, they evaluate any remaining symptoms or functional limitations to determine if you can still perform substantial gainful activity. An attorney can help you document your treatment response to meet these criteria.

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Evidence that strengthens a claim

To strengthen your claim, you need clear documentation from your oncologist. This includes results from serum or urine protein electrophoresis and detailed bone marrow biopsy reports that confirm your diagnosis and the extent of your disease.

Records of your treatment history are also vital. Provide evidence of all chemotherapy cycles, radiation, or surgical interventions, along with notes describing your response to these therapies and any persistent side effects that impact your daily functioning. An attorney can help you gather this evidence to ensure your claim is complete.

Why claims fail

Many claims are denied because your medical record fails to clearly document the failure of initial therapy or the specific progression of your cancer. The SSA requires precise laboratory findings to confirm the diagnosis, and missing pathology reports or incomplete treatment summaries often lead to unnecessary rejections. When the evidence does not explicitly link the cancer's severity to your inability to work, your application may be viewed as insufficient. An attorney can help you ensure your records meet these standards.

How an attorney helps

A disability attorney helps by ensuring your medical records are complete and directly address the criteria in Listing 13.07. They work with your healthcare providers to obtain the necessary functional capacity statements that explain how your symptoms prevent you from working. By organizing your evidence and handling communication with the SSA, an attorney helps you avoid common pitfalls and ensures your case is presented as clearly as possible.

Frequently asked questions