To meet Listing 13.24, you must document that your prostate cancer is progressive or recurrent despite hormonal therapy, or that it has metastasized to internal organs. Most denials occur because the medical record fails to clearly show treatment failure or the extent of the disease. Getting your medical evidence to explicitly link your diagnosis and treatment history to the specific criteria in the listing is the most effective way to strengthen your claim, and an attorney can help you navigate this process.
What this listing covers
Prostate cancer is a malignant growth originating in the prostate gland. It is evaluated based on the extent of the disease, how it spreads to other organs, and how it responds to initial treatments like surgery, radiation, or hormone therapy.
This condition often impacts your ability to maintain a full-time work schedule due to the physical toll of the cancer and the side effects of aggressive treatments. Fatigue, pain, and the need for frequent medical monitoring can make sustaining consistent work performance difficult.
How SSA evaluates a claim under this listing
Under Listing 13.24, the SSA evaluates your prostate cancer based on its progression and spread. They look for evidence that your cancer has continued to grow or returned despite initial hormonal therapy, or that it has metastasized to internal organs.
SSA also considers specific types of aggressive cancer, such as small cell carcinoma, which may qualify regardless of treatment response. Your impairment must be severe enough to prevent gainful activity, and your medical record must document the specific clinical findings that meet these regulatory thresholds.
Evidence that strengthens a claim
A strong claim requires detailed medical records, including pathology reports from biopsies and surgical notes. Imaging studies like CT scans, MRIs, or bone scans are essential to document the presence of visceral metastases or the extent of your tumor.
Documentation of your treatment history is equally important. This includes records of hormonal interventions, chemotherapy, or radiation, along with physician notes detailing how your cancer has persisted or progressed despite these efforts. An attorney can help you ensure your medical records are organized to directly address the requirements of Listing 13.24.
Why claims fail
Many claims are denied because your medical evidence fails to clearly link the cancer's progression to an inability to work. SSA often denies cases where the cancer is considered in remission or where the documentation of treatment failure is incomplete. Providing evidence that specifically addresses the criteria in Listing 13.24, rather than just a general diagnosis, is vital to overcoming these initial denials.
How an attorney helps
A disability attorney helps by ensuring your medical records are organized to directly address the requirements of Listing 13.24. They can assist in obtaining detailed statements from your treating physicians that explain how your symptoms and treatment side effects prevent you from working. By preparing your file to meet SSA's specific evidentiary standards, an attorney helps you navigate the appeals process more effectively.
