Listing 14.11
Human immunodeficiency virus (HIV) infection
This listing covers HIV infection. 00F1 (definitive lab tests or other acceptable documentation).
Read the full plain-language explanation
ve lab tests or other acceptable documentation). Then one of several specific complications, lab values, hospitalization patterns, or repeated manifestations with marked functional limits must be met. Only one path (A through I) needs to be met.
Upload your medical records
PDFs or photos (JPG, PNG) — up to 15 files, 20 MB each.
What Listing 14.11 asks for
What SSA looks for — see the 9 items
We will check your records against each of these. Every item comes straight from SSA's own listing.
- You have HIV plus multicentric Castleman disease, a lymphoproliferative disorder affecting multiple groups of lymph nodes or lymphoid organs (not the localized/unicentric form).
- Only one HIV path (A–I) is needed.
Read the original wording
You have HIV plus multicentric Castleman disease, a lymphoproliferative disorder affecting multiple groups of lymph nodes or lymphoid organs (not the localized/unicentric form). Only one HIV path (A–I) is needed.
(Listing 14.11, criterion A)
You have HIV plus primary central nervous system lymphoma (a lymphoma starting in the brain, spinal cord, meninges, or eye). Only one HIV path (A–I) is needed.
(Listing 14.11, criterion B)
You have HIV plus primary effusion lymphoma (also called body cavity lymphoma). Only one HIV path (A–I) is needed.
(Listing 14.11, criterion C)
- You have HIV plus progressive multifocal leukoencephalopathy (PML), a brain disease caused by the JC virus in people with weakened immune systems.
- Only one HIV path (A–I) is needed.
Read the original wording
You have HIV plus progressive multifocal leukoencephalopathy (PML), a brain disease caused by the JC virus in people with weakened immune systems. Only one HIV path (A–I) is needed.
(Listing 14.11, criterion D)
You have HIV plus Kaposi sarcoma in the lung, the most serious form of Kaposi sarcoma. Only one HIV path (A–I) is needed.
(Listing 14.11, criterion E)
- You have HIV and a single absolute CD4 count of 50 cells/mm3 or less, measured within the period SSA is considering.
- If you have more than one measurement, SSA uses the lowest.
- Only one HIV path (A–I) is needed.
Read the original wording
You have HIV and a single absolute CD4 count of 50 cells/mm3 or less, measured within the period SSA is considering. If you have more than one measurement, SSA uses the lowest. Only one HIV path (A–I) is needed.
(Listing 14.11, criterion F)
- You have HIV plus a CD4 count under 200 cells/mm3 (or CD4 percentage under 14%), AND either a BMI under 18.5 or hemoglobin under 8.0 g/dL.
- The two measurements do not have to be on the same date.
- If you have several, SSA uses the lowest of each.
- Only one HIV path (A–I) is needed.
Read the original wording
You have HIV plus a CD4 count under 200 cells/mm3 (or CD4 percentage under 14%), AND either a BMI under 18.5 or hemoglobin under 8.0 g/dL. The two measurements do not have to be on the same date. If you have several, SSA uses the lowest of each. Only one HIV path (A–I) is needed.
(Listing 14.11, criterion G)
- You have HIV and complications that required at least three hospitalizations within a 12-month period, each at least 30 days apart, and each lasting at least 48 hours (emergency department hours right before admission count).
- Only one HIV path (A–I) is needed.
Read the original wording
You have HIV and complications that required at least three hospitalizations within a 12-month period, each at least 30 days apart, and each lasting at least 48 hours (emergency department hours right before admission count). Only one HIV path (A–I) is needed.
(Listing 14.11, criterion H)
- You have HIV with repeated manifestations (occurring on average about three times a year for 2 weeks or more, or the equivalent) — either the conditions in 14.11A–H that fall short of those exact criteria, or other listed manifestations — causing significant documented symptoms, plus one marked limitation in daily activities, social functioning, or completing tasks on time.
- Only one HIV path (A–I) is needed.
Read the original wording
You have HIV with repeated manifestations (occurring on average about three times a year for 2 weeks or more, or the equivalent) — either the conditions in 14.11A–H that fall short of those exact criteria, or other listed manifestations — causing significant documented symptoms, plus one marked limitation in daily activities, social functioning, or completing tasks on time. Only one HIV path (A–I) is needed.
(Listing 14.11, criterion I)
How long it must last:
- Criteria F and G require measurements within the period being considered
- Criterion H requires three hospitalizations within a 12-month period
- Criterion I requires 'repeated' manifestations within the claim period. Otherwise the general 12-month duration requirement applies.
Read the original wording
Criteria F and G require measurements within the period being considered; criterion H requires three hospitalizations within a 12-month period; criterion I requires 'repeated' manifestations within the claim period. Otherwise the general 12-month duration requirement applies.