SSDI Blue Book 13.14

Lung Cancer and SSDI Eligibility

Lung cancer that meets the specific medical criteria in Listing 13.14 may qualify you for SSDI benefits.

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What this listing covers

Lung cancer is a malignant disease that begins in the tissues of your lungs, typically in the cells lining your air passages. It is categorized by the type of cells involved, most commonly non-small-cell carcinoma or small-cell carcinoma. These growths can interfere with your normal breathing, oxygen exchange, and overall physical health.

The condition often causes severe fatigue, shortness of breath, and chronic pain, making it difficult to maintain the physical stamina required for a standard work shift. Even simple tasks like walking, lifting, or concentrating on complex work can become impossible as your disease progresses or as your body reacts to aggressive treatments like chemotherapy or radiation.

How SSA evaluates a claim under this listing

Under Listing 13.14, the SSA evaluates your lung cancer based on the type of tumor and its spread. They look for evidence of non-small-cell carcinoma that is inoperable, unresectable, recurrent, or has spread to or beyond your hilar nodes. Small-cell carcinoma is also evaluated under this listing due to its aggressive nature.

For superior sulcus tumors, also known as Pancoast tumors, the SSA considers your use of multimodal anticancer therapy. If you are undergoing such treatment, you may be considered disabled for at least 18 months from the date of your diagnosis. After this period, the SSA assesses any remaining functional limitations caused by your cancer or the side effects of your treatment. An attorney can help you document these limitations to ensure your claim is as strong as possible.

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Evidence that strengthens a claim

To strengthen your claim, you need clear medical documentation that specifies the type, site, and extent of your cancer. This includes operative notes from any surgeries, pathology reports from biopsies, and imaging results like CT scans or PET scans that show the location and spread of your disease.

Non-medical evidence is also vital, including a detailed treatment history and statements from your oncology team regarding your response to therapy. Records documenting persistent symptoms like weakness, neurological issues, or complications from medications help the SSA understand your true functional capacity when you are away from the doctor's office.

How an attorney helps

A disability attorney helps by ensuring your medical records are organized to align directly with the specific requirements of Listing 13.14. They can assist in obtaining detailed functional capacity statements from your doctors that clearly explain how your symptoms prevent you from working. If your claim requires an appeal, an attorney will prepare your case for a hearing before an ALJ to ensure your limitations are fully presented.

Frequently asked questions