Subpart P. Subpart P—Determining Disability and Blindness

• General

  • SECTION § 404.1501 - Scope of subpart.
  • SECTION § 404.1502 - Definitions for this subpart.

• Determinations

  • SECTION § 404.1503 - Who makes disability and blindness determinations.
  • SECTION § 404.1503a - Program integrity.
  • SECTION § 404.1503b - Evidence from excluded medical sources of evidence.
  • SECTION § 404.1504 - Decisions by other governmental agencies and nongovernmental entities.

• Definition of Disability

  • SECTION § 404.1505 - Basic definition of disability.
  • SECTION § 404.1506 - When we will not consider your impairment.
  • SECTION § 404.1508 - [Reserved]
  • SECTION § 404.1509 - How long the impairment must last.
  • SECTION § 404.1510 - Meaning of substantial gainful activity.
  • SECTION § 404.1511 - Definition of a disabling impairment.

• Evidence

  • SECTION § 404.1512 - Responsibility for evidence.
  • SECTION § 404.1513 - Categories of evidence.
  • SECTION § 404.1513a - Evidence from our Federal or State agency medical or psychological consultants.
  • SECTION § 404.1514 - When we will purchase existing evidence.
  • SECTION § 404.1515 - Where and how to submit evidence.
  • SECTION § 404.1516 - If you fail to submit medical and other evidence.
  • SECTION § 404.1517 - Consultative examination at our expense.
  • SECTION § 404.1518 - If you do not appear at a consultative examination.

• Standards To Be Used in Determining When a Consultative Examination Will Be Obtained in Connection With Disability Determinations

  • SECTION § 404.1519 - The consultative examination.
  • SECTION § 404.1519a - When we will purchase a consultative examination and how we will use it.
  • SECTION § 404.1519b - When we will not purchase a consultative examination.

• Standards for the Type of Referral and for Report Content

  • SECTION § 404.1519f - Type of purchased examinations.
  • SECTION § 404.1519g - Who we will select to perform a consultative examination.
  • SECTION § 404.1519h - Your medical source.
  • SECTION § 404.1519i - Other sources for consultative examinations.
  • SECTION § 404.1519j - Objections to the medical source designated to perform the consultative examination.
  • SECTION § 404.1519k - Purchase of medical examinations, laboratory tests, and other services.
  • SECTION § 404.1519m - Diagnostic tests or procedures.
  • SECTION § 404.1519n - Informing the medical source of examination scheduling, report content, and signature requirements.
  • SECTION § 404.1519o - When a properly signed consultative examination report has not been received.
  • SECTION § 404.1519p - Reviewing reports of consultative examinations.
  • SECTION § 404.1519q - Conflict of interest.

• Authorizing and Monitoring the Referral Process

  • SECTION § 404.1519s - Authorizing and monitoring the consultative examination.

• Procedures To Monitor the Consultative Examination

  • SECTION § 404.1519t - Consultative examination oversight.

• Evaluation of Disability

  • SECTION § 404.1520 - Evaluation of disability in general.
  • SECTION § 404.1520a - Evaluation of mental impairments.
  • SECTION § 404.1520b - How we consider evidence.
  • SECTION § 404.1520c - How we consider and articulate medical opinions and prior administrative medical findings for claims filed on or after March 27, 2017.
  • SECTION § 404.1521 - Establishing that you have a medically determinable impairment(s).
  • SECTION § 404.1522 - What we mean by an impairment(s) that is not severe.
  • SECTION § 404.1523 - Multiple impairments.

• Medical Considerations

  • SECTION § 404.1525 - Listing of Impairments in appendix 1.
  • SECTION § 404.1526 - Medical equivalence.
  • SECTION § 404.1527 - Evaluating opinion evidence for claims filed before March 27, 2017.
  • SECTION § 404.1528 - [Reserved]
  • SECTION § 404.1529 - How we evaluate symptoms, including pain.
  • SECTION § 404.1530 - Need to follow prescribed treatment.
  • SECTION § 404.1535 - How we will determine whether your drug addiction or alcoholism is a contributing factor material to the determination of disability.
  • SECTION § 404.1536 - Treatment required for individuals whose drug addiction or alcoholism is a contributing factor material to the determination of disability.
  • SECTION § 404.1537 - What we mean by appropriate treatment.
  • SECTION § 404.1538 - What we mean by approved institutions or facilities.
  • SECTION § 404.1539 - How we consider whether treatment is available.
  • SECTION § 404.1540 - Evaluating compliance with the treatment requirements.
  • SECTION § 404.1541 - Establishment and use of referral and monitoring agencies.

• Residual Functional Capacity

  • SECTION § 404.1545 - Your residual functional capacity.
  • SECTION § 404.1546 - Responsibility for assessing your residual functional capacity.

• Vocational Considerations

  • SECTION § 404.1560 - When we will consider your vocational background.
  • SECTION § 404.1562 - Medical-vocational profiles showing an inability to make an adjustment to other work.
  • SECTION § 404.1563 - Your age as a vocational factor.
  • SECTION § 404.1564 - Your education as a vocational factor.
  • SECTION § 404.1565 - Your work experience as a vocational factor.
  • SECTION § 404.1566 - Work which exists in the national economy.
  • SECTION § 404.1567 - Physical exertion requirements.
  • SECTION § 404.1568 - Skill requirements.
  • SECTION § 404.1569 - Listing of Medical-Vocational Guidelines in appendix 2.
  • SECTION § 404.1569a - Exertional and nonexertional limitations.

• Substantial Gainful Activity

  • SECTION § 404.1571 - General.
  • SECTION § 404.1572 - What we mean by substantial gainful activity.
  • SECTION § 404.1573 - General information about work activity.
  • SECTION § 404.1574 - Evaluation guides if you are an employee.
  • SECTION § 404.1574a - When and how we will average your earnings.
  • SECTION § 404.1575 - Evaluation guides if you are self-employed.
  • SECTION § 404.1576 - Impairment-related work expenses.

• Widows, Widowers, and Surviving Divorced Spouses

  • SECTION § 404.1577 -
  • SECTION § 404.1578 - How we determine disability for widows, widowers, and surviving divorced spouses for monthly benefits payable for months prior to January 1991.
  • SECTION § 404.1579 - How we will determine whether your disability continues or ends.

• Blindness

  • SECTION § 404.1581 - Meaning of blindness as defined in the law.
  • SECTION § 404.1582 - A period of disability based on blindness.
  • SECTION § 404.1583 - How we determine disability for blind persons who are age 55 or older.
  • SECTION § 404.1584 - Evaluation of work activity of blind people.
  • SECTION § 404.1585 - Trial work period for persons age 55 or older who are blind.
  • SECTION § 404.1586 - Why and when we will stop your cash benefits.
  • SECTION § 404.1587 - Circumstances under which we may suspend and terminate your benefits before we make a determination.

• Continuing or Stopping Disability

  • SECTION § 404.1596 - Circumstances under which we may suspend and terminate your benefits before we make a determination.
  • SECTION § 404.1597 - After we make a determination that you are not now disabled.
  • SECTION § 404.1597a - Continued benefits pending appeal of a medical cessation determination.
  • SECTION § 404.1598 - If you become disabled by another impairment(s).
  • SECTION § 404.1599 - Work incentive experiments and rehabilitation demonstration projects in the disability program.
  • SECTION § 404.1588 - Your responsibility to tell us of events that may change your disability status.
  • SECTION § 404.1589 - We may conduct a review to find out whether you continue to be disabled.
  • SECTION § 404.1590 - When and how often we will conduct a continuing disability review.
  • SECTION § 404.1591 - If your medical recovery was expected and you returned to work.
  • SECTION § 404.1592 - The trial work period.
  • SECTION § 404.1592a - The reentitlement period.
  • SECTION § 404.1592b - What is expedited reinstatement?
  • SECTION § 404.1592c - Who is entitled to expedited reinstatement?
  • SECTION § 404.1592d - How do I request reinstatement?
  • SECTION § 404.1592e - How do we determine provisional benefits?
  • SECTION § 404.1592f - How do we determine reinstated benefits?
  • SECTION § 404.1593 - Medical evidence in continuing disability review cases.
  • SECTION § 404.1594 - How we will determine whether your disability continues or ends.
  • SECTION § 404.1595 - When we determine that you are not now disabled.

• APPENDIX

  • Appendix 1 to Subpart P of Part 404—Listing of Impairments
  • Appendix 2 to Subpart P of Part 404—Medical-Vocational Guidelines