Social Security Disability for Congenital Heart Disease

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ashley social security disability multiple myelomaSymptomatic congenital heart disease can be a very limiting and disabling impairment. A person with this condition, with the right documentation, can qualify for Social Security disability benefits under Social Security disability regulations. Unfortunately, a lot of people think the diagnosis alone will qualify them for Social Security disability benefits. Most medical conditions require more than just the diagnosis to qualify. The diagnosis by an acceptable medical source is the first step. An acceptable medical source is a licensed physician such as a M.D. or D.O. when it comes to a physical medical condition. Social Security disability will need an objective method to prove the existence of the congenital heart disease and its severity.

The key to properly documenting the heart disease and show it is disabling are follow-up visits with a physician, preferably a cardiologist. Social Security will find someone is disabled by congenital heart disease if it is documented by appropriate medically acceptable imaging or cardiac catheterization and one of the following scenarios applies. The first scenario is a cyanosis at rest along with a hematocrit laboratory testing of fifty-five percent or greater or arterial O2 saturation of less than ninety percent in room air or resting arterial PO2 of sixty TORR or less. The second scenario is intermittent right to left shunting resulting in cyanosis on exertion and with arterial PO2 of 60 TORR or less at a workload equivalent to five METs or less. The last scenario is a secondary pulmonary vascular obstructive disease with pulmonary arterial systolic pressure elevated to at least seventy percent of the systemic arterial systolic pressure.

Keep in mind, in order to qualify for Social Security disability a person must show how the medical condition affects the person even with prescribed medical treatment. Social Security will determine whether the person is receiving prescribed medical treatment by getting medical records and looking at the office visit notes indicating whether the person is compliant with taking medications and what the doctor recommends they do.

If the results from the congenital heart disease are not disabling on their own, Social Security will determine what limitations the person would have from the heart disease in combination with any other medical conditions they have. It is good to let your doctor know what issues you are having, so that can be reported to Social Security. You can find information about congenital heart disease at www.heart.org, the American Heart Association website.

The important thing with congenital heart disease as with any medical condition is medical treatment and reporting ongoing symptoms to your doctor.