When “Statutory Blindness” is the secondary diagnosis:
Enter “Statutory Blindness” as the secondary diagnosis when the established onset
date is based on another impairment and that impairment’s onset date is before the
onset date of statutory blindness.
In Item 16A (Primary Diagnosis), enter the diagnosis of the other impairment at the established
onset date. Enter the related body system code and diagnosis code.
In Item 16B (Secondary Diagnosis), enter “Statutory Blindness” as the secondary diagnosis and
show diagnosis code 3694. Because item 16B can only show “Statutory Blindness,” the
underlying cause cannot be shown in item 16 of the SSA-831 (Disability Determination
and Transmittal) http://inform.ssahost.ba.ssa.gov/PDFs/ssa831u3.pdf In this situation, show the diagnosis code of the underlying cause in item 34, Remarks.
In eCAT, show the underlying cause in the Medically Determinable Impairments section.
NOTE: A claimant has statutory blindness only if the visual disorder meets the Listing
of Impairments criteria of 2.02 or 2.03A for adults, or 102.02A, 102.02B, or 102.03A
See DI 26510.015, “Completing Item 16A and 16B - (Primary and Secondary Diagnosis, Body System Code
and Impairment Code) on the SSA-831 Disability Determination Transmittal” for background
on establishing diagnoses and impairment codes.
See DI 26510.015C, for determining the primary and secondary diagnosis codes when Drug addiction and
alcoholism (DAA) or symptomatic HIV infection is involved.