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.

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