To meet Listing 7.08, you must document at least three hospitalizations of 48 hours or more within a 12-month period, with each event occurring at least 30 days apart. Most denials occur because medical records fail to clearly document the duration of hospital stays or the specific laboratory findings required. An attorney can help you ensure your medical records explicitly link your treatment history to these frequency and duration thresholds to win your claim.
What this listing covers
Disorders of thrombosis and hemostasis involve serious abnormalities in how your blood clots. These conditions can be congenital or acquired and are categorized as either hypercoagulation, where your blood clots too easily, or hypocoagulation, where your blood fails to clot properly. Common examples include hemophilia, von Willebrand disease, and thrombocytopenia.
These conditions disrupt your daily life by creating a constant risk of life-threatening events like embolisms or uncontrolled bleeding. You may find it impossible to maintain a steady work schedule due to the need for frequent emergency care, factor concentrate infusions, or platelet transfusions. The physical toll of these complications often makes sustained, full-time employment unfeasible.
How SSA evaluates a claim under this listing
Under Listing 7.08, the Social Security Administration evaluates your disorder based on the frequency and severity of your complications. The primary requirement is that your condition must result in at least three separate hospitalizations within a 12-month period. Each of these hospitalizations must last at least 48 hours to be considered by the agency.
SSA requires that these hospitalizations occur at least 30 days apart to ensure they are distinct events. You do not need to be hospitalized for the same complication every time; the agency counts any combination of complications, such as thromboses, embolisms, or severe bleeding episodes, provided they meet the duration and frequency thresholds required for a disability determination. An attorney can help you organize your records to ensure your history meets these specific criteria.
Bleeding or clotting disorder? Check your disability benefits.
Check My BenefitsEvidence that strengthens a claim
Your claim relies heavily on detailed medical records that document your diagnosis and the necessity of your hospitalizations. SSA needs laboratory reports of definitive tests, such as plasma clotting-factor protein analysis or platelet counts, signed by your physician. Imaging reports confirming thromboses or embolisms are also critical to establishing the severity of your condition.
Documentation from your hematologist is essential to show the frequency of your treatment. Keep records of all emergency department visits and infusions at specialized treatment centers, as these hours can count toward the 48-hour hospitalization requirement. A clear, chronological history of your complications and the specific treatments required to control them will significantly strengthen your case.
Why claims fail
Many claims are denied because the medical record fails to clearly link the frequency of hospitalizations to the specific 12-month window required by the listing. If your hospital stays are not documented as lasting at least 48 hours, or if they occur too close together to meet the 30-day separation rule, SSA may find your condition does not meet the criteria. Incomplete records that omit the specific laboratory findings confirming your diagnosis are another common cause for an initial denial.
How an attorney helps
A disability attorney helps by ensuring your medical evidence is organized to match the specific requirements of Listing 7.08. They can work with your medical providers to obtain detailed statements that clarify how your clotting or bleeding disorder prevents you from sustaining a full-time work schedule. By managing the appeals process and ensuring your records are complete, an attorney helps you present the most accurate picture of your functional limitations to the Social Security Administration.
