Title 20

PART 404 SUBPART P

Subpart P - Determining Disability and Blindness Authority:Secs. 202, 205(a)-(b) and (d)-(h), 216(i), 221(a) and (h)-(j), 222(c), 223, 225, and 702(a)(5) of the Social Security Act (42 U.S.C. 402, 405(a)-(b) and (d)-(h), 416(i), 421(a) and (h)-(j), 422(c), 423, 425, and 902(a)(5)); sec. 211(b), Pub. L. 104-193, 110 Stat. 2105, 2189; sec. 202, Pub. L. 108-203, 118 Stat. 509 (42 U.S.C. 902 note). Source:45 FR 55584, Aug. 20, 1980, unless otherwise noted.

Authority:
Source:

20:2.0.1.1.5.16.184	SUBJGRP 184	General
20:2.0.1.1.5.16.184.1	SECTION 404.1501	404.1501 Scope of subpart.
20:2.0.1.1.5.16.184.2	SECTION 404.1502	404.1502 Definitions for this subpart.
20:2.0.1.1.5.16.185	SUBJGRP 185	Determinations
20:2.0.1.1.5.16.185.3	SECTION 404.1503	404.1503 Who makes disability and blindness determinations.
20:2.0.1.1.5.16.185.4	SECTION 404.1503a	404.1503a Program integrity.
20:2.0.1.1.5.16.185.5	SECTION 404.1503b	404.1503b Evidence from excluded medical sources of evidence.
20:2.0.1.1.5.16.185.6	SECTION 404.1504	404.1504 Decisions by other governmental agencies and nongovernmental entities.
20:2.0.1.1.5.16.186	SUBJGRP 186	Definition of Disability
20:2.0.1.1.5.16.186.7	SECTION 404.1505	404.1505 Basic definition of disability.
20:2.0.1.1.5.16.186.8	SECTION 404.1506	404.1506 When we will not consider your impairment.
20:2.0.1.1.5.16.186.9	SECTION 404.1508	404.1508 [Reserved]
20:2.0.1.1.5.16.186.10	SECTION 404.1509	404.1509 How long the impairment must last.
20:2.0.1.1.5.16.186.11	SECTION 404.1510	404.1510 Meaning of substantial gainful activity.
20:2.0.1.1.5.16.186.12	SECTION 404.1511	404.1511 Definition of a disabling impairment.
20:2.0.1.1.5.16.187	SUBJGRP 187	Evidence
20:2.0.1.1.5.16.187.13	SECTION 404.1512	404.1512 Responsibility for evidence.
20:2.0.1.1.5.16.187.14	SECTION 404.1513	404.1513 Categories of evidence.
20:2.0.1.1.5.16.187.15	SECTION 404.1513a	404.1513a Evidence from our Federal or State agency medical or psychological consultants.
20:2.0.1.1.5.16.187.16	SECTION 404.1514	404.1514 When we will purchase existing evidence.
20:2.0.1.1.5.16.187.17	SECTION 404.1515	404.1515 Where and how to submit evidence.
20:2.0.1.1.5.16.187.18	SECTION 404.1516	404.1516 If you fail to submit medical and other evidence.
20:2.0.1.1.5.16.187.19	SECTION 404.1517	404.1517 Consultative examination at our expense.
20:2.0.1.1.5.16.187.20	SECTION 404.1518	404.1518 If you do not appear at a consultative examination.
20:2.0.1.1.5.16.188	SUBJGRP 188	Standards To Be Used in Determining When a Consultative Examination Will Be Obtained in Connection With Disability Determinations
20:2.0.1.1.5.16.188.21	SECTION 404.1519	404.1519 The consultative examination.
20:2.0.1.1.5.16.188.22	SECTION 404.1519a	404.1519a When we will purchase a consultative examination and how we will use it.
20:2.0.1.1.5.16.188.23	SECTION 404.1519b	404.1519b When we will not purchase a consultative examination.
20:2.0.1.1.5.16.189	SUBJGRP 189	Standards for the Type of Referral and for Report Content
20:2.0.1.1.5.16.189.24	SECTION 404.1519f	404.1519f Type of purchased examinations.
20:2.0.1.1.5.16.189.25	SECTION 404.1519g	404.1519g Who we will select to perform a consultative examination.
20:2.0.1.1.5.16.189.26	SECTION 404.1519h	404.1519h Your medical source.
20:2.0.1.1.5.16.189.27	SECTION 404.1519i	404.1519i Other sources for consultative examinations.
20:2.0.1.1.5.16.189.28	SECTION 404.1519j	404.1519j Objections to the medical source designated to perform the consultative examination.
20:2.0.1.1.5.16.189.29	SECTION 404.1519k	404.1519k Purchase of medical examinations, laboratory tests, and other services.
20:2.0.1.1.5.16.189.30	SECTION 404.1519m	404.1519m Diagnostic tests or procedures.
20:2.0.1.1.5.16.189.31	SECTION 404.1519n	404.1519n Informing the medical source of examination scheduling, report content, and signature requirements.
20:2.0.1.1.5.16.189.32	SECTION 404.1519o	404.1519o When a properly signed consultative examination report has not been received.
20:2.0.1.1.5.16.189.33	SECTION 404.1519p	404.1519p Reviewing reports of consultative examinations.
20:2.0.1.1.5.16.189.34	SECTION 404.1519q	404.1519q Conflict of interest.
20:2.0.1.1.5.16.190	SUBJGRP 190	Authorizing and Monitoring the Referral Process
20:2.0.1.1.5.16.190.35	SECTION 404.1519s	404.1519s Authorizing and monitoring the consultative examination.
20:2.0.1.1.5.16.191	SUBJGRP 191	Procedures To Monitor the Consultative Examination
20:2.0.1.1.5.16.191.36	SECTION 404.1519t	404.1519t Consultative examination oversight.
20:2.0.1.1.5.16.192	SUBJGRP 192	Evaluation of Disability
20:2.0.1.1.5.16.192.37	SECTION 404.1520	404.1520 Evaluation of disability in general.
20:2.0.1.1.5.16.192.38	SECTION 404.1520a	404.1520a Evaluation of mental impairments.
20:2.0.1.1.5.16.192.39	SECTION 404.1520b	404.1520b How we consider evidence.
20:2.0.1.1.5.16.192.40	SECTION 404.1520c	404.1520c How we consider and articulate medical opinions and prior administrative medical findings for claims filed on or after March 27, 2017.
20:2.0.1.1.5.16.192.41	SECTION 404.1521	404.1521 Establishing that you have a medically determinable impairment(s).
20:2.0.1.1.5.16.192.42	SECTION 404.1522	404.1522 What we mean by an impairment(s) that is not severe.
20:2.0.1.1.5.16.192.43	SECTION 404.1523	404.1523 Multiple impairments.
20:2.0.1.1.5.16.193	SUBJGRP 193	Medical Considerations
20:2.0.1.1.5.16.193.44	SECTION 404.1525	404.1525 Listing of Impairments in appendix 1.
20:2.0.1.1.5.16.193.45	SECTION 404.1526	404.1526 Medical equivalence.
20:2.0.1.1.5.16.193.46	SECTION 404.1527	404.1527 Evaluating opinion evidence for claims filed before March 27, 2017.
20:2.0.1.1.5.16.193.47	SECTION 404.1528	404.1528 [Reserved]
20:2.0.1.1.5.16.193.48	SECTION 404.1529	404.1529 How we evaluate symptoms, including pain.
20:2.0.1.1.5.16.193.49	SECTION 404.1530	404.1530 Need to follow prescribed treatment.
20:2.0.1.1.5.16.193.50	SECTION 404.1535	404.1535 How we will determine whether your drug addiction or alcoholism is a contributing factor material to the determination of disability.
20:2.0.1.1.5.16.193.51	SECTION 404.1536	404.1536 Treatment required for individuals whose drug addiction or alcoholism is a contributing factor material to the determination of disability.
20:2.0.1.1.5.16.193.52	SECTION 404.1537	404.1537 What we mean by appropriate treatment.
20:2.0.1.1.5.16.193.53	SECTION 404.1538	404.1538 What we mean by approved institutions or facilities.
20:2.0.1.1.5.16.193.54	SECTION 404.1539	404.1539 How we consider whether treatment is available.
20:2.0.1.1.5.16.193.55	SECTION 404.1540	404.1540 Evaluating compliance with the treatment requirements.
20:2.0.1.1.5.16.193.56	SECTION 404.1541	404.1541 Establishment and use of referral and monitoring agencies.
20:2.0.1.1.5.16.194	SUBJGRP 194	Residual Functional Capacity
20:2.0.1.1.5.16.194.57	SECTION 404.1545	404.1545 Your residual functional capacity.
20:2.0.1.1.5.16.194.58	SECTION 404.1546	404.1546 Responsibility for assessing your residual functional capacity.
20:2.0.1.1.5.16.195	SUBJGRP 195	Vocational Considerations
20:2.0.1.1.5.16.195.59	SECTION 404.1560	404.1560 When we will consider your vocational background.
20:2.0.1.1.5.16.195.60	SECTION 404.1562	404.1562 Medical-vocational profiles showing an inability to make an adjustment to other work.
20:2.0.1.1.5.16.195.61	SECTION 404.1563	404.1563 Your age as a vocational factor.
20:2.0.1.1.5.16.195.62	SECTION 404.1564	404.1564 Your education as a vocational factor.
20:2.0.1.1.5.16.195.63	SECTION 404.1565	404.1565 Your work experience as a vocational factor.
20:2.0.1.1.5.16.195.64	SECTION 404.1566	404.1566 Work which exists in the national economy.
20:2.0.1.1.5.16.195.65	SECTION 404.1567	404.1567 Physical exertion requirements.
20:2.0.1.1.5.16.195.66	SECTION 404.1568	404.1568 Skill requirements.
20:2.0.1.1.5.16.195.67	SECTION 404.1569	404.1569 Listing of Medical-Vocational Guidelines in appendix 2.
20:2.0.1.1.5.16.195.68	SECTION 404.1569a	404.1569a Exertional and nonexertional limitations.
20:2.0.1.1.5.16.196	SUBJGRP 196	Substantial Gainful Activity
20:2.0.1.1.5.16.196.69	SECTION 404.1571	404.1571 General.
20:2.0.1.1.5.16.196.70	SECTION 404.1572	404.1572 What we mean by substantial gainful activity.
20:2.0.1.1.5.16.196.71	SECTION 404.1573	404.1573 General information about work activity.
20:2.0.1.1.5.16.196.72	SECTION 404.1574	404.1574 Evaluation guides if you are an employee.
20:2.0.1.1.5.16.196.73	SECTION 404.1574a	404.1574a When and how we will average your earnings.
20:2.0.1.1.5.16.196.74	SECTION 404.1575	404.1575 Evaluation guides if you are self-employed.
20:2.0.1.1.5.16.196.75	SECTION 404.1576	404.1576 Impairment-related work expenses.
20:2.0.1.1.5.16.197	SUBJGRP 197	Widows, Widowers, and Surviving Divorced Spouses
20:2.0.1.1.5.16.197.76	SECTION 404.1577	404.1577 Disability defined for widows, widowers, and surviving divorced spouses for monthly benefits payable for months prior to January 1991.
20:2.0.1.1.5.16.197.77	SECTION 404.1578	404.1578 How we determine disability for widows, widowers, and surviving divorced spouses for monthly benefits payable for months prior to January 1991.
20:2.0.1.1.5.16.197.78	SECTION 404.1579	404.1579 How we will determine whether your disability continues or ends.
20:2.0.1.1.5.16.198	SUBJGRP 198	Blindness
20:2.0.1.1.5.16.198.79	SECTION 404.1581	404.1581 Meaning of blindness as defined in the law.
20:2.0.1.1.5.16.198.80	SECTION 404.1582	404.1582 A period of disability based on blindness.
20:2.0.1.1.5.16.198.81	SECTION 404.1583	404.1583 How we determine disability for blind persons who are age 55 or older.
20:2.0.1.1.5.16.198.82	SECTION 404.1584	404.1584 Evaluation of work activity of blind people.
20:2.0.1.1.5.16.198.83	SECTION 404.1585	404.1585 Trial work period for persons age 55 or older who are blind.
20:2.0.1.1.5.16.198.84	SECTION 404.1586	404.1586 Why and when we will stop your cash benefits.
20:2.0.1.1.5.16.198.85	SECTION 404.1587	404.1587 Circumstances under which we may suspend and terminate your benefits before we make a determination.
20:2.0.1.1.5.16.199	SUBJGRP 199	Continuing or Stopping Disability
20:2.0.1.1.5.16.199.86	SECTION 404.1588	404.1588 Your responsibility to tell us of events that may change your disability status.
20:2.0.1.1.5.16.199.87	SECTION 404.1589	404.1589 We may conduct a review to find out whether you continue to be disabled.
20:2.0.1.1.5.16.199.88	SECTION 404.1590	404.1590 When and how often we will conduct a continuing disability review.
20:2.0.1.1.5.16.199.89	SECTION 404.1591	404.1591 If your medical recovery was expected and you returned to work.
20:2.0.1.1.5.16.199.90	SECTION 404.1592	404.1592 The trial work period.
20:2.0.1.1.5.16.199.91	SECTION 404.1592a	404.1592a The reentitlement period.
20:2.0.1.1.5.16.199.92	SECTION 404.1592b	404.1592b What is expedited reinstatement
20:2.0.1.1.5.16.199.93	SECTION 404.1592c	404.1592c Who is entitled to expedited reinstatement
20:2.0.1.1.5.16.199.94	SECTION 404.1592d	404.1592d How do I request reinstatement
20:2.0.1.1.5.16.199.95	SECTION 404.1592e	404.1592e How do we determine provisional benefits
20:2.0.1.1.5.16.199.96	SECTION 404.1592f	404.1592f How do we determine reinstated benefits
20:2.0.1.1.5.16.199.97	SECTION 404.1593	404.1593 Medical evidence in continuing disability review cases.
20:2.0.1.1.5.16.199.98	SECTION 404.1594	404.1594 How we will determine whether your disability continues or ends.
20:2.0.1.1.5.16.199.99	SECTION 404.1595	404.1595 When we determine that you are not now disabled.
20:2.0.1.1.5.16.199.100	SECTION 404.1596	404.1596 Circumstances under which we may suspend and terminate your benefits before we make a determination.
20:2.0.1.1.5.16.199.101	SECTION 404.1597	404.1597 After we make a determination that you are not now disabled.
20:2.0.1.1.5.16.199.102	SECTION 404.1597a	404.1597a Continued benefits pending appeal of a medical cessation determination.
20:2.0.1.1.5.16.199.103	SECTION 404.1598	404.1598 If you become disabled by another impairment(s).
20:2.0.1.1.5.16.199.104	SECTION 404.1599	404.1599 Work incentive experiments and rehabilitation demonstration projects in the disability program.
20:2.0.1.1.5.16.200.105.11	APPENDIX	Appendix 1 to Subpart P of Part 404 - Listing of Impairments
20:2.0.1.1.5.16.200.105.12	APPENDIX	Appendix 2 to Subpart P of Part 404 - Medical-Vocational Guidelines