DI 34129.005 Endocrine Listings from 7/2/93 to 10/24/99

9.00 ENDOCRINE SYSTEM AND OBESITY

Cause of impairment. Impairment is caused by overproduction or underproduction of hormones, resulting in structural or functional changes in the body. Where involvement of other organ systems has occurred as a result of a primary endocrine disorder, these impairments should be evaluated according to the criteria under the appropriate sections.

Long-term massive obesity will usually be associated with disorders of the musculoskeletal, cardiovascular, peripheral vascular, and pulmonary systems, and the occurrence of these disorders is the major cause of disability at the listing level. Extreme obesity results in restrictions imposed by body weight and the additional restrictions imposed by disturbances in other body systems.

The weight-bearing criterion in 9.09A refers to the lumbosacral spine. The cervical and thoracic spines are not considered weight-bearing.

9.01 CATEGORY OF IMPAIRMENTS, ENDOCRINE SYSTEM AND OBESITY

9.02 Thyroid Disorders. With:

A.

Progressive exophthalmos as measured by exophthalmometry; or
B.

Evaluate the resulting impairment under the criteria for the affected body system.

9.03 Hyperparathyroidism. With:

A.

Generalized decalcification of bone on X-ray study and elevation of plasma calcium to 11 mg. per deciliter (100 ml.) or greater; or
B.

A resulting impairment. Evaluate according to the criteria in the affected body system.

9.04 Hypoparathyroidism. With:

A.

Severe recurrent tetany; or
B.

Recurrent generalized convulsions; or
C.

Lenticular cataracts. Evaluate under the criteria in 2.00ff.

9.05 Neurohypophyseal insufficiency (diabetes insipidus). With urine specific gravity of 1.005 or below, persistent for at least 3 months and recurrent dehydration.

9.06 Hyperfunction of the adrenal cortex. Evaluate the resulting impairment under the criteria for the affected body system.

9.08 Diabetes mellitus. With:

A.

Neuropathy demonstrated by significant and persistent disorganization of motor function in two extremities resulting in sustained disturbance of gross and dexterous movements, or gait and station (see 11.00C); or
B.

Acidosis occurring at least on the average of once every 2 months documented by appropriate blood chemical tests (pH or pCO₂ or bicarbonate levels); or
C.

Amputation at, or above, the tarsal region due to diabetic necrosis or peripheral arterial disease; or
D.

Retinitis proliferans; evaluate the visual impairment under the criteria in 2.02, 2.03, or 2.04.

9.09 Obesity. Weight equal to or greater than the values specified in Table I for males, Table II for females (100 percent above the desired level), and one of the following:

A.

History of pain and limitation of motion in any weight-bearing joint or the lumbosacral spine (on physical examination) associated with findings on medically acceptable imaging techniques of arthritis in the affected joint or lumbosacral spine; or
B.

Hypertension with diastolic blood pressure persistently in excess of 100 mm.Hg measured with appropriate size cuff; or
C.

History of congestive heart failure manifested by past evidence of vascular congestion such as hepatomegaly, peripheral or pulmonary edema; or
D.

Chronic venous insufficiency with superficial varicosities in a lower extremity with pain on weight bearing and persistent edema; or
E.

Respiratory disease with total forced vital capacity equal to or less than 2.0 L. or a level of hypoxemia at rest equal to or less than the values specified in Table III-A or III-B or III-C.

Table I - Men (metric)

Height without shoes (centimeters)	Weight (kilograms)
152...........................	112
155...........................	115
157...........................	117
160...........................	120
163...........................	123
165...........................	125
168...........................	129
170...........................	134
173...........................	137
175...........................	141
178...........................	145
180...........................	149
183...........................	153
185...........................	157
188...........................	162
190...........................	165
193...........................	170

Table I - Men

Height without shoes (inches)	Weight (pounds)
60...........................	246
61...........................	252
62...........................	258
63...........................	264
64...........................	270
65...........................	276
66...........................	284
67...........................	294
68...........................	302
69...........................	310
70...........................	318
71...........................	328
72...........................	336
73...........................	346
74...........................	356
75...........................	364
76...........................	374

Table II - Women (metric)

Height without shoes (centimeters)	Weight (kilograms)
142...........................	95
145...........................	96
147...........................	99
150...........................	102
152...........................	105
155...........................	107
157...........................	110
160...........................	114
163...........................	117
165...........................	121
168...........................	125
170...........................	128
173...........................	132
175...........................	135
178...........................	139
180...........................	143
183...........................	146

Table II - Women

Height without shoes (inches)	Weight (pounds)
56...........................	208
57...........................	212
58...........................	218
59...........................	224
60...........................	230
61...........................	236
62...........................	242
63...........................	250
64...........................	258
65...........................	266
66...........................	274
67...........................	282
68...........................	290
69...........................	298
70...........................	306
71...........................	314
72...........................	322

Table III - A
(Applicable at test sites less than
3,000 ft. above sea level)

Arterial PCO₂ (mmHg) and	Arterial PO₂ Equal to or Less than (mmHg)
30 or below.....................	65
31..............................	64
32..............................	63
33..............................	62
34..............................	61
35..............................	60
36..............................	59
37..............................	58
38..............................	57
39..............................	56
40 or above.....................	55

Table III - B
(Applicable at test sites 3,000 ft above sea level)

Arterial PCO₂ (mmHg) and	Arterial PO₂ Equal to or Less than (mmHg)
30 or below.....................	60
31..............................	59
32..............................	58
33..............................	57
34..............................	56
35..............................	55
36..............................	54
37..............................	53
38..............................	52
39..............................	51
40 or above.....................	50

Table III - C
(Applicable at test sites
over 6,000 ft above sea level)

Arterial PCO₂ (mmHg) and	Arterial PO₂ Equal to or Less than (mmHg)
30 or below.....................	55
31..............................	54
32..............................	53
33..............................	52
34..............................	51
35..............................	50
36..............................	49
37..............................	48
38..............................	47
39..............................	46
40 or above.....................	45

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0434129005

DI 34129.005 - Endocrine Listings from 7/2/93 to 10/24/99 - 07/29/2015
Batch run: 07/29/2015
Rev:07/29/2015

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DI 34129.005 Endocrine Listings from 7/2/93 to 10/24/99