What this listing covers
Penile carcinoma is a cancer that begins in the cells of the penis.
This condition often causes significant physical pain and requires intensive treatment, such as surgery, radiation, or chemotherapy.
How SSA evaluates a claim under this listing
Under Listing 13.26, the SSA evaluates your penile carcinoma based on the extent of the cancer's spread.
The SSA requires medical evidence confirming your diagnosis and the specific location of the metastases.
Evidence that strengthens a claim
To strengthen your claim, you need clear medical documentation that specifies the type and site of your primary lesion.
Beyond imaging, the SSA looks for detailed treatment records that describe the drugs administered, radiation schedules, and any complications from your therapy.
How an attorney helps
A disability attorney helps by ensuring your medical records are complete and clearly mapped to the requirements of Listing 13.26. They can work with your medical team to obtain detailed functional capacity statements that explain how your symptoms and treatment side effects prevent you from sustaining gainful employment. If your claim requires an appeal, an attorney will prepare you for hearings and present your case to an ALJ.
Frequently asked questions
No condition is automatically approved, but penile carcinoma may qualify under Listing 13.26 if you can provide medical evidence of metastases to or beyond your regional lymph nodes. The SSA evaluates the severity and the impact of your treatment on your daily life. An attorney can review your medical records to see if they meet the specific criteria the SSA requires.
The most critical evidence includes pathology reports from biopsies and imaging studies that document the spread of your cancer. You should also provide detailed records of your treatment plan, including any surgeries or chemotherapy, and notes on how these treatments affect your physical and mental health. An attorney can help you organize these records to ensure your claim is as strong as possible.
The SSA recognizes that treatments like surgery and chemotherapy can cause persistent weakness, neurological issues, or gastrointestinal problems. They evaluate these residuals to see if they prevent you from performing basic work activities. If you are struggling with these side effects, an attorney can help you document them to show how they limit your ability to work.
If your claim is denied, you have the right to file an appeal, starting with a request for reconsideration. If that is also denied, you can request a hearing before an ALJ, where you can present new evidence or clarify your existing records. An attorney can guide you through each step of the appeals process and represent your interests.
