The claimant alleges or medical records indicate an impairment which is untreatable,
i.e., the impairment cannot be reversed and is expected to end in death. These impairments
include, but are not limited to, the following list of descriptors:
-
a.
Chronic dependence on a cardiopulmonary life-sustaining device.
-
b.
Awaiting a heart, heart/lung, lung, liver, small intestine, or bone marrow transplant
(excludes kidney, pancreas, and corneal transplants).
-
c.
Chronic pulmonary or heart failure requiring continuous home oxygen and an inability
to care for personal needs.
-
d.
Any cancer (malignant neoplasm) which is:
-
-
-
•
Persistent or recurrent following initial therapy; or
-
•
Inoperable or unresectable.
-
e.
An allegation or diagnosis of :
-
-
-
-
•
Cancer of the gallbladder;
-
-
•
Small Cell or Oat Cell lung cancer;
-
-
•
Acute Myelogenous Leukemia (AML) or Acute Lymphocytic Leukemia (ALL).
-
f.
Comatose for 30 days or more.
-
g.
Newborn with a lethal genetic or congenital defect.
The above list, shown on the back of the TERI Flag (i.e., SSA-2200 [TERI Case]), is
not intended to be all-inclusive. Use it to provide general guidance in the identification
of TERI cases. The remaining category of: Other: ____________ allows for cases, which are not identified in the list of descriptors,
to be included as well, as long as the medical condition is untreatable and is expected
to end in death.