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Multiple Myeloma and Social Security and SSI Disability Benefits

by R. M. Bottger

     When people with multiple myeloma apply for Social Security and/or Supplemental Security Income disability benefits, the Social Security Administration looks at a number of factors.  If the person with multiple myeloma meets any of the criteria described in this article, then he or she will be found disabled.

     Multiple myeloma (confirmed by appropriate serum or urine protein electrophoresis and bone marrow findings) is considered disabling if appropriate medically acceptable imaging shows evidence of bony involvement and the person has intractable bone pain. 

      Multiple myeloma (confirmed by appropriate serum or urine protein electrophoresis and bone marrow findings) is considered disabling if it has caused hypercalcemia with serum calcium levels persistently greater than 11 mg per decileter (100 ml) for at least 1 month despite prescribed therapy.

      Multiple myeloma (confirmed by appropriate serum or urine protein electrophoresis and bone marrow findings) is considered disabling if it has caused plasma cells (100 or more cells per cubic millimeter) in the peripheral blood.
 
     Multiple myeloma (confirmed by appropriate serum or urine protein electrophoresis and bone marrow findings) is considered disabling if it has caused irreversible renal failure requiring chronic hemodialysis. 

     Multiple myeloma (confirmed by appropriate serum or urine protein electrophoresis and bone marrow findings) is considered disabling if it has caused irreversible renal failure requiring a kidney transplant.  The person is considered disabled for 12 months after the transplant.  After 12 months, the case is reevaluated to see what impairment is present at that time. 

      Multiple myeloma (confirmed by appropriate serum or urine protein electrophoresis and bone marrow findings) is considered disabling if it has caused persistent elevation of serum creatinine to 4 mg. per deciliter (100 ml.) or greater or reduction of creatinine clearance to 20 ml. per minute (29 liters/ 24 hours) or less, over at least 3 months, with one of the following:


Renal osteodystrophy manifested by severe bone pain shown by appropriate medically acceptable imaging (e. g., osteitis fibrosa, marked osteoporosis, pathologic fractures)

 A clinical episode of pericarditis

 Persistent motor or sensory neuropathy

 Intractable pruritus

 Persistent fluid overload syndrome resulting in diastolic hypertension (110 mm. or above) or signs of vascular congestion

 Persistent anorexia with recent weight loss and current weight meeting the values in the tables at the bottom of this article

 Persistent hematocrits of 30 percent or less

 

     Most of the time, existing medical records are enough to evaluate multiple myeloma.  Most of the time, the Social Security Administration does not need to schedule examinations to evaluate multiple myeloma.  If a personís multiple myeloma is not severe enough to be considered disabling, then the Social Security Administration will investigate any other physical or mental impairments that the person has to see if any of those impairments are severe enough to be considered disabling.  If you have multiple myeloma, it may well come as a shock that the diagnosis alone is not enough to be considered disabled.  However, some multiple myeloma patients have found themselves going to SSA exams to investigate their arthritis or hearing loss or depression or other impairment because their multiple myeloma is not severe enough to be considered disabling.

 

WEIGHT LOSS TABLES 

Men

Height Without Shoes (inches)

Weight (pounds)

   61 95   
   62 98   
   63 100   
   64 103   
   65 106   
   66 109   
   67 112   
   68 116   
   69 119   
   70 122   
   71 126   
   72 129   
   73 133   
   74 136   
   75 139   
   76 143   

Women

Height Without Shoes (inches)

Weight (pounds)

   58 82   
   59 84   
   60 87   
   61 89   
   62 92   
   63 94   
   64 97   
   65 100   
   66 104   
   67 107   
   68 111   
   69 114   
   70 117   
   71 121   
   72 124   
   73 128   

 

           

 

 

  

 

 


 
 

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