A second SSA-538, CDEF, or CDE is necessary when:
-
•
There is MI in the CPD impairment(s) and the impairment(s) does not meet, medically,
or functionally equal the severity of the listing that was met or equaled at the CPD,
and
-
•
There are new impairments that were not established at the CPD; then
Assess only the CPD impairments in the first SSA-538, CDEF, or CDE. This will be the
"MIRS" version of the document. In the second SSA-538, CDEF, or CDE, assess the current
severity of ALL impairments, not only comparing those that were established at the CPD.
If all current impairments were considered at the time of the CPD, a second CDEF or
CDE is not necessary.