Listing 6.05
Chronic kidney disease, with impairment of kidney function
This listing covers chronic kidney disease that has seriously reduced how well your kidneys filter your blood, plus at least one serious complication.
Read the full plain-language explanation
You must meet BOTH part A (lab tests showing very low kidney filtering, measured at least twice, at least 90 days apart, within a 12-month period) AND part B (one complication such as bone disease with severe pain, nerve damage, fluid overload, or major weight loss).
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What Listing 6.05 asks for
What SSA looks for — see the 2 items
We will check your records against each of these. Every item comes straight from SSA's own listing.
- Lab tests must show your kidneys filter very poorly, using any ONE of these: serum creatinine of 4 mg/dL or higher, creatinine clearance of 20 mL/min or less, or eGFR of 20 or less.
- The abnormal result must be documented at least twice, with the two tests at least 90 days apart, within one 12-month period.
- Only one of the three lab findings is needed, but Part A AND Part B are both required.
Read the original wording
Lab tests must show your kidneys filter very poorly, using any ONE of these: serum creatinine of 4 mg/dL or higher, creatinine clearance of 20 mL/min or less, or eGFR of 20 or less. The abnormal result must be documented at least twice, with the two tests at least 90 days apart, within one 12-month period. Only one of the three lab findings is needed, but Part A AND Part B are both required.
(Listing 6.05, criterion A)
- You also need ONE of these complications:
- Kidney-related bone disease (renal osteodystrophy) with severe, frequent or treatment-resistant bone pain plus imaging showing bone problems
- Peripheral neuropathy — nerve damage causing pain, numbness, tingling, or weakness — that is severe and lasts or is expected to last 12 months
- Fluid overload syndrome shown by either very high diastolic blood pressure (110 or more) despite 90+ days of treatment, measured twice at least 90 days apart in a 12-month period, or exam findings of vascular congestion or massive swelling (anasarca) despite 90+ days of treatment, documented twice at least 90 days apart
- Loss of appetite with weight loss, with a BMI of 18.0 or less measured twice at least 90 days apart in a 12-month period.
Read the original wording
You also need ONE of these complications: (1) kidney-related bone disease (renal osteodystrophy) with severe, frequent or treatment-resistant bone pain plus imaging showing bone problems; (2) peripheral neuropathy — nerve damage causing pain, numbness, tingling, or weakness — that is severe and lasts or is expected to last 12 months; (3) fluid overload syndrome shown by either very high diastolic blood pressure (110 or more) despite 90+ days of treatment, measured twice at least 90 days apart in a 12-month period, or exam findings of vascular congestion or massive swelling (anasarca) despite 90+ days of treatment, documented twice at least 90 days apart; or (4) loss of appetite with weight loss, with a BMI of 18.0 or less measured twice at least 90 days apart in a 12-month period. Only one of these four paths is needed.
(Listing 6.05, criterion B)
How long it must last:
- Part A lab findings and several Part B findings must be documented on at least two occasions at least 90 days apart during a consecutive 12-month period; peripheral neuropathy must have lasted or be expected to last at least 12 continuous months.
- SSA generally needs evidence covering at least 90 days.
Read the original wording
Part A lab findings and several Part B findings must be documented on at least two occasions at least 90 days apart during a consecutive 12-month period; peripheral neuropathy must have lasted or be expected to last at least 12 continuous months. SSA generally needs evidence covering at least 90 days.