Endocrine Disorders

Endocrine Disorders


Background Information


On April 8, 2011, we published a final rule that removed most of the listings we used to evaluate endocrine disorders, such as diabetes mellitus in adults, hypoparathyroidism, pituitary dwarfism, and gonadal dysgenesis, located via this link http://www.gpo.gov/fdsys/pkg/FR-2011-04-08/pdf/2011-8389.pdf As we explained in the preamble of the final rule, medical science has made significant advances in detecting endocrine disorders at earlier stages and newer treatments have resulted in better management of these conditions. Consequently, most endocrine disorders do not reach listing-level severity because they do not become sufficiently severe or do not remain at a sufficient level of severity long enough to meet our 12-month duration requirement.


Although we removed most of the listings for endocrine disorders, the final rule included guidance on evaluating endocrine disorders. In addition, we published two Social Security Rulings with additional guidance. These rulings are: SSR 14-2p: Titles II and XVI: Evaluating Diabetes Mellitus (see: here.) and SSR 14-3p: Titles II and XVI: Evaluating Endocrine Disorders Other than Diabetes Mellitus (see: here


Please see the issues below for your comment

Question 1

Is the guidance we provide in the introductory text to the listings and in SSR 14-3p sufficient for evaluating endocrine disorders other than diabetes mellitus? If you believe it is not sufficient, what additional guidance should we provide?


Question 2

Is the guidance we provide in the introductory text to the listings and in SSR 14-2p sufficient for evaluating diabetes mellitus? If you believe it is not sufficient, what additional guidance should we provide?


Question 3

Pancreatic islet cell transplantation is used to treat some people with type 1 diabetes. We are interested in comments on outcomes of this procedure. What are the benefits and risks of this procedure? What guidance should we provide about evaluating diabetes in people who have undergone this procedure?

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