TN 2 (06-15)
DI 28010.050 Functional Abnormalities or Limitations May Constitute Symptoms, Signs, and Laboratory Findings
A. Consideration of findings
Symptoms, signs, and laboratory findings include any abnormalities of physical and mental functioning used as medical findings in making the most recent favorable decision. For example, in the adult and child mental disorders listings, the “paragraph B” medical severity criteria are descriptions of abnormalities or limitations in the individual’s functioning that constitute medical findings.
If the comparison point decision (CPD) considered such abnormalities as medical findings, the examiner must also consider these abnormalities when making the medical improvement review standard (MIRS) comparison.
B. Comparison of findings
1. Unchanged findings
The impact of some findings such as hearing threshold levels and tachycardia depends on the individual's age. A finding that remains numerically unchanged over a period of years could reflect either an increase or decrease in medical severity, depending on the impairment involved.
2. Medical improvement (MI) decision
Consider the relationship of prior and current findings to the individual's prior and current age. Do not base the MI decision solely on the presence or absence of numerical change in such findings.