SSDI Blue Book 13.18

Large Intestine Cancer and SSDI Eligibility

Large intestine cancer that meets the criteria in Listing 13.18 may qualify you for SSDI benefits.

Large intestine cancer?

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What this listing covers

Large intestine cancer involves the growth of malignant cells in the colon or the anal canal. This condition begins when healthy cells in the lining of the bowel develop mutations that cause them to grow uncontrollably, forming tumors that can spread to other parts of your body.

The physical impact of this cancer and its treatment is often severe. You may experience chronic fatigue, persistent bowel dysfunction, and significant pain that interferes with your ability to sit, stand, or maintain the concentration required for a full-time job. These symptoms often persist even after surgical intervention or during ongoing chemotherapy.

How SSA evaluates a claim under this listing

Under Listing 13.18, the SSA evaluates the severity of your large intestine cancer based on the type of tumor and its spread. They look for evidence of adenocarcinoma that is inoperable, unresectable, or recurrent. For squamous cell carcinoma of the anus, they specifically look for cases that have recurred after your initial surgical treatment.

The SSA also considers the extent of your disease, specifically if the cancer has metastasized beyond your regional lymph nodes or if it is identified as small-cell carcinoma. The listing requires medical documentation that confirms your diagnosis and the current status of your disease, as these factors determine whether your impairment meets the threshold for disability.

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Evidence that strengthens a claim

To strengthen your claim, you must provide comprehensive medical records, including pathology reports from your biopsies or surgical procedures. The SSA requires documentation that specifies the site of your primary lesion, the extent of your cancer, and any evidence of metastasis. Imaging studies, such as CT scans or MRIs, are essential to demonstrate the current progression of your disease.

Non-medical evidence is also vital, such as detailed treatment notes that describe your response to chemotherapy, radiation, or surgery. Statements from your treating physicians regarding your functional limitations, such as your inability to perform daily tasks or sustain work-related activities, help provide a complete picture of how the cancer affects your ability to function. An attorney can help you gather this evidence to ensure your claim is complete.

How an attorney helps

A disability attorney helps by ensuring your medical records are organized and clearly mapped to the specific criteria of Listing 13.18. They can work with your medical team to obtain functional capacity statements that document your limitations and help prepare your case for potential hearings. By managing the complexities of the application process, an attorney ensures that your evidence is presented in a way that aligns with what the SSA looks for when evaluating cancer claims.

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