To meet Listing 13.09, you must document anaplastic carcinoma or other thyroid cancers that have metastasized beyond regional lymph nodes and remain progressive despite radioactive iodine therapy. Most denials occur because medical records lack specific pathology or evidence of treatment failure. An attorney can help you ensure your file clearly links your diagnosis to these specific criteria to strengthen your claim.
What this listing covers
Thyroid cancer is a malignant growth originating in the thyroid gland, a butterfly-shaped organ at the base of your neck. These cancers vary significantly in how they grow and spread, ranging from slow-moving types to highly aggressive forms like anaplastic carcinoma.
Living with thyroid cancer often involves intense fatigue, voice changes, and the physical toll of surgeries or radioactive iodine treatments. These symptoms can make it difficult to maintain the concentration, stamina, or physical presence required for a full-time job.
How SSA evaluates a claim under this listing
Under Listing 13.09, the SSA evaluates your thyroid cancer based on the type of tumor and how far it has spread. They specifically look for anaplastic carcinoma, which is highly aggressive, or other carcinomas that have metastasized beyond your regional lymph nodes and failed to respond to radioactive iodine therapy.
The SSA also considers medullary carcinoma that has spread beyond your regional lymph nodes. The agency requires medical documentation showing your cancer's persistence or progression despite treatment, as they generally evaluate your case based on the severity of the disease at the time of diagnosis or during ongoing treatment.
Evidence that strengthens a claim
Strong claims rely on clear pathology reports and operative notes that confirm your specific type of thyroid cancer. Imaging studies, such as CT scans, MRIs, or PET scans, are essential to document the extent of your disease and any metastasis beyond your regional lymph nodes.
Documentation of your response to treatment is equally vital. This includes records of radioactive iodine therapy, your surgical history, and physician notes detailing the persistence of your cancer. Statements from your endocrinologist or oncologist regarding your functional limitations can also provide necessary context for your claim. An attorney can help you gather this evidence to support your case.
Why claims fail
Many claims are denied because your medical evidence fails to clearly link your cancer's stage to the specific requirements of Listing 13.09. If your records do not explicitly document that your cancer has metastasized or that it remains progressive despite treatment, the SSA may find your condition does not meet the listing. Additionally, incomplete pathology reports often lead to delays or denials during the initial review process.
How an attorney helps
A disability attorney helps by ensuring your medical file contains the precise documentation the SSA needs to verify your diagnosis and treatment history. They can coordinate with your medical team to obtain necessary functional capacity statements and ensure your records clearly demonstrate how your condition meets the criteria of Listing 13.09. By organizing your evidence to align with SSA standards, an attorney helps you avoid common pitfalls that lead to initial application denials.
