Listing 4.06
Symptomatic congenital heart disease
This listing covers heart defects present from birth (congenital heart disease) that still cause problems.
Read the full plain-language explanation
The condition must be documented by proper imaging or cardiac catheterization, and must cause one of three findings: severe low blood oxygen at rest (Path A), oxygen drops with mild exertion due to blood shunting the wrong way (Path B), or dangerously high lung artery pressure (Path C). You need only one of A, B, or C.
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What Listing 4.06 asks for
What SSA looks for — see the 3 items
We will check your records against each of these. Every item comes straight from SSA's own listing.
Path A (you need only one of A, B, or C): your skin or lips show a bluish color (cyanosis) even at rest, plus a lab finding — either a hematocrit of 55% or higher, or oxygen saturation below 90% on room air, or a resting blood-oxygen (PO2) level of 60 Torr or less.
(Listing 4.06, criterion A)
Path B: blood sometimes flows the wrong way through the heart defect (right-to-left shunting), causing bluish coloring with activity, and blood testing shows your oxygen (PO2) drops to 60 Torr or less at a light workload (5 METs or less).
(Listing 4.06, criterion B)
Path C: the heart defect has caused disease of the lung blood vessels, and the pressure in the lung artery has risen to at least 70% of your body's main blood pressure.
(Listing 4.06, criterion C)
How long it must last:
No listing-specific duration is stated; the general rule applies — the impairment must have lasted or be expected to last at least 12 continuous months.