DI 34226.003 Genito-Urinary Listings from 01/06/86 to 09/05/05
106.00 GENITO-URINARY SYSTEM
-
A.
Determination of the presence of chronic renal disease will be based upon the following factors:
-
1.
History, physical examination, and laboratory evidence of renal disease.
-
2.
Indications of its progressive nature or laboratory evidence of deterioration of renal
function.
-
B.
Renal transplant. The amount of function restored and the time required to effect improvement depend
upon various factors including adequacy of post-transplant renal function, incidence
of renal infection, occurrence of rejection crisis, presence of systemic complications
(anemia, neuropathy, etc.) and side effects of corticosteriod or immuno-suppressive
agents. A period of at least 12 months is required for the individual to reach a point
of stable medical improvement.
-
C.
Evaluate associated disorders and complications according to the appropriate body
system listing.
106.01 Category of Impairments, Genito-Urinary
106.02 Chronic Renal Disease. With:
-
A.
Persistent elevation of serum creatinine to 3 mg. per deciliter (100 ml.) or greater
over at least 3 months; or
-
B.
Reduction of creatinine clearance to 30 ml. per minute (43 liters/24 hours) per 1.73
m2 of body surface area at least 3 months, or
-
C.
Chronic renal dialysis program for irreversible renal failure; or
-
D.
Renal transplant. Consider under a disability for 12 months following surgery; thereafter,
evaluate the residual impairment (see 106.00B).
106.06. Nephrotic Syndrome, with edema not controlled by prescribed therapy. And:
-
A.
Serum albumin less than 2 gm./100 ml.; or
B. Proteinuria more than 2.5 gm./1.73 m2 /day.