To meet Listing 13.23, you must provide medical evidence showing your cancer has invaded adjoining organs, metastasized, or is persistent/recurrent after initial treatment. The Social Security Administration (SSA) requires these conditions to last at least 12 months. Most denials occur because medical records fail to document the extent of the disease or the severity of treatment residuals. An attorney can help you organize your records to align with these specific SSA requirements.
What this listing covers
Listing 13.23 covers malignant cancers originating in the female reproductive system, including the uterus, cervix, vulva, vagina, fallopian tubes, and ovaries. These conditions involve the uncontrolled growth of abnormal cells that can invade surrounding tissues or spread to other parts of your body.
The impact of these cancers on your daily life is often severe, causing chronic pain, extreme fatigue, and significant physical limitations. Treatment regimens like surgery, chemotherapy, and radiation often leave you with debilitating side effects that make maintaining a full-time work schedule impossible.
How SSA evaluates a claim under this listing
Under Listing 13.23, the SSA evaluates the specific site of your cancer and the extent of its spread. They look for evidence that your cancer has invaded adjoining organs, spread to distant lymph nodes, or has proven persistent or recurrent despite initial treatment. For ovarian cancer, they specifically consider whether your disease has extended beyond the pelvis.
To qualify, your impairment must be severe enough to prevent gainful work and be expected to last at least 12 months. The SSA assesses how your cancer responds to initial therapy and whether it has returned after treatment. If your cancer does not meet the exact criteria of this listing, the SSA will still evaluate your residual functional capacity to determine if you can perform any work. An attorney can help you navigate these requirements.
Diagnosed with cancer? Check what benefits you may be owed.
Check My BenefitsEvidence that strengthens a claim
Strong claims rely on comprehensive medical records that document the type, site, and extent of your cancer. You need operative notes from any surgeries, pathology reports confirming your diagnosis, and imaging studies that track the progression or metastasis of your disease. Clear documentation of your response to anticancer therapy is essential for showing the severity of your condition.
Beyond medical records, statements from your treating physicians regarding your physical limitations and the side effects of your treatment are vital. Records of your treatment history, including the frequency and dosage of medications or radiation, help the SSA understand the intensity of your care. Third-party reports detailing your daily struggle to perform basic tasks can also support your claim. An attorney can help you gather this evidence.
Why claims fail
Many claims are denied because your medical evidence fails to clearly link your cancer's stage or recurrence to specific functional limitations. If your records do not explicitly document that your cancer is persistent, recurrent, or metastatic as defined by the SSA, the agency may conclude you are capable of working. Furthermore, missing pathology reports or incomplete treatment histories often lead to unnecessary delays or denials during the initial review process. An attorney can help you avoid these pitfalls.
How an attorney helps
A disability attorney helps by ensuring your medical evidence directly addresses the specific requirements of Listing 13.23. They can coordinate with your medical team to obtain detailed functional capacity statements that explain why your symptoms prevent you from sustaining full-time employment. If your claim is denied, an attorney can manage the appeals process, gather missing documentation, and prepare you for hearings to ensure your case is presented effectively.
