Congenital Disorders that Affect Multiple Body Systems

Congenital Disorders that Affect Multiple Body Systems


Background Information


The Social Security Administration (SSA) updated the medical listings for Congenital Disorders That Affect Multiple Body Systems in February 2013.


You may review the current listings for adults at: https://www.ssa.gov/disability/professionals/bluebook/10.00-MultipleBody-Adult.htm;. and for children at: https://www.ssa.gov/disability/professionals/bluebook/110.00-MultipleBody-Childhood.htm.

SSA updates the medical listings on an ongoing basis, considering information from various sources including medical experts, advocates, adjudicators, and people with impairments. As part of our continuing efforts to ensure the medical listings and related medical policy remain current, we would like your feedback.


Please see the issues below for your comment

Question Area 1

Background - In 110.00 D. and 110.00 E., we provide guidance on disorders we may consider under listing 110.08 A. Catastrophic Congenital Disorder. We explain that we generally need a report of the definitive test that documents the disorder or evidence from a physician that demonstrates the characteristic physical features of the disorder.

Question - Disorders we evaluate under listing 110.08 A, Catastrophic Congenital Disorder, are usually expected to result in early death. What kind of guidance should we provide to our adjudicators for evaluating these disorders?


Question Area 2

Background - We evaluate a wide variety of congenital disorders under the listings in 10.00 and 110.00. Many of these disorders are part of a recognized wider class of disorders. For example, there are numerous congenital disorders that disrupt the body’s normal metabolic processes, and are thus broadly categorized as inborn metabolic syndromes or inborn errors of metabolism.

Question - In these listings, which clinical distinctions, if any, between disease types (for example, congenital anomalies or inborn metabolic syndromes) would be useful to provide to our adjudicators?


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Campaign: Congenital Disorders that Affect Multiple Body Systems

Expand Disorders in Preamble Part D for 110.08

It would be helpful to expand the list of disorders in 110.00D that typically meet 110.08. For starters, include the CAL conditions that cite this listing- i.e. Cornelia deLange syndrome, MPS syndromes; and/or perhaps a link to the CAL page could be added.

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Ehlers Danlos Syndrome

Ehlers Danlos Syndrome is a syndrome that encompasses several genetic disorders of varying severity with known and unknown genetic etiology. https://ghr.nlm.nih.gov/condition/ehlers-danlos-syndrome Several of the conditions manifest in childhood, some are quite serious and can result in early death and disability, yet none of them is listed as a congenital disorder under SSA. Because of the differential presentation, ...more »

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Question 1

Disorders we evaluate under listing 110.08 A, Catastrophic Congenital Disorder, are usually expected to result in early death. What kind of guidance should we provide to our adjudicators for evaluating these disorders?

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Question 2

In these listings, which clinical distinctions, if any, between disease types (for example, congenital anomalies or inborn metabolic syndromes) would be useful to provide to our adjudicators?

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